Question

A 7-year-old child has a small penis, and an isotope p0.864 test revealed a progesterone level of 36.7. What could be the reasons for the elevated levels of progesterone and estradiol?

Answer

There is no need to worry excessively about elevated progesterone and estradiol levels; it is recommended to have a follow-up check in a week. During the early stages of pregnancy, it is important to maintain a relaxed mood, a regular lifestyle, a balanced diet, appropriate exercise, regular prenatal checks, avoid sexual activity, and take folic acid. The meaning of elevated estradiol levels can vary depending on the time of measurement during the menstrual cycle. It is usually recommended to measure the estradiol baseline on the third day of menstruation and compare it with this result for a more specific diagnosis. The measurement result at a single point should not be used as the final diagnosis, as each individual’s hormonal baseline levels are different. Estradiol levels increase with the development of the follicle. During the menstrual cycle, observing the dynamic changes in estradiol levels can help determine the time of ovulation. Estradiol levels before ovulation are typically around 360pg/ml, and they drop when the LH peak appears, reaching their lowest point the next day.