Lab results - looking for opinions [PLEASE READ 1ST POST]

So, I finally got my cervical screening results back today...

If anyone out there has been through this and wouldn't mind giving me a heads-up on what I might be looking at next, I'd really appreciate it...

Ureaplasma came back >10 (on the fifth)
mycoplasma wasn't isolated
Cervical swab - bacteriological aerobic and microbiological - shows normal vaginal flora

PCR for C. trachomatis - Roche PCR COBAS taqman CT test: Chlamydia trachomatis DNA was not detected

Hi, can someone help me interpret these results:

Day 2:
Estradiol: 326 (110-1100 pmol/L)
Progesterone: 8.2 (follicular phase: up to 3.2 nmol/L)
LH: 3.1 (3-12 IU/L)
FSH: 3.9 (2-12 IU/L)
Prolactin: 15.8 (4-23 µg/L)
Total Testosterone: 1.4 (0.2-2.6 nmol/L)
Free Testosterone: 23.8 (3.5-30 pmol/L)
SHBG: 35 (26.1-110 nmol/L)
DHEA-S: 4.28 (2.68-9.23 µmol/L)
Androstenedione: 13.10 (1.0-11.5 nmol/L)
ACTH: 4.9 (1.6-13.9 pmol/L)
AMH: 5.96 (1.3-7.0 ng/ml)

Day 22:
Progesterone: 9.6 (luteal phase from 22 nmol/L)

T3, T4, and TSH are normal.

I had these drawn because of anovulation and PCOS. My cycles have always been irregular (ranging from 35 days to 10 months).

I can't find clear information on what it means when progesterone is elevated during the first phase.
Could the high androstenedione be causing the anovulation?

Just went in for my physical and the doc told me everything looks fine. But then I actually looked at the labs and noticed my TIBC is low. Digging deeper, all my hemoglobin-related numbers are pretty low too, even if they technically sit within the "normal" range.

Here’s the breakdown:
sed rate 2
WBC 7.3
RBC 4.93
hemoglobin 141
hematocrit 0.429
MCV 87.0
MCH 28.7
MCHC 329
platelets 220
RDW 14.3
PDW 11.0
MPV 7.8
neutrophils 72%
lymphocytes 22%
MID 6%

glucose 4.9
bilirubin 10
BUN 6.7
creatinine 94

AST 17
ALT 17
GGT 12

Serum Fe 17
UIBC 29
TIBC 46

Cholesterol 4
HDL 1.5
LDL 2.4
triglycerides 1.3

Google is a total rabbit hole of nonsense, so I'm asking you guys instead. Should I be worried? Thanks.

Hey guys, if you recall my situation with the gallbladder issues and those spiked liver enzymes...
I ended up getting an MRI, and the results show that the lesion on my liver has cleared out just like the sludge in my gallbladder. However, unlike what the ultrasound showed, the MRI reveals my gallbladder is actually kinked in a knee-like shape, and there’s something in the bile duct that looks like either a tiny stone or maybe a 3mm polyp... I won't bore you by repeating myself, so I'm heading over to the OR section here is the link to the specific thread, where I'd love some input since my gastroenterologist is still out sick.

Hello there.

I was wondering if anyone could help me clarify something regarding a urinalysis (not a culture, just the standard screening). If the results show 8-10 leukocytes—given that the normal range is typically 0-2—does that usually point toward some kind of inflammatory process within the urogenital tract? Furthermore, would those numbers be considered a sufficient indication to move forward with a full urine culture? Does anyone here happen to know?

restlessbadger2 said:Hi there.

I was wondering about urinalysis results (not a culture)—if it shows 8-10 leukocytes when the normal range is 0-2, does that point toward some kind of inflammation in the urogenital tract? Would that be a reason to go ahead with a urine culture? Does anyone know?

What did your leukocyte esterase levels look like? But yeah, those white blood cells definitely suggest inflammation; it might be a good idea to get a culture done just to be safe.

Linda Johnson66 said:What’s your leukocyte esterase level looking like? I mean, elevated white blood cell counts definitely suggest some inflammation is going on, so would it make sense to go ahead with a urine culture?

Thanks for getting back to me. Honestly, I haven't even heard of leukocyte esterase before now. 🤔 Is that something they check for in a urine sample or via a blood test? It wasn't listed on my lab results. 😢
I've been weighing whether or not to just head in for a urine culture, though I did read somewhere that having 8-10 leukocytes might just be a case of sample contamination. 🤷

restlessbadger2 said:Thanks for the reply. I've actually never heard of leukocyte esterase before. 🤔 Is that something they check for in urine or blood? It isn't listed on my lab results. 😢
I'm still debating whether I should go get a urine culture done, but I was reading that those 8-10 leukocytes might just be sample contamination. 🤷

It’s possible, and yes, it's found in urine—how could you not have it on there? According to her, it's a clear indicator of inflammation, but you should definitely make sure to clean up properly before your morning sample if you're going for a culture...

Linda Johnson66 said:That’s possible; if it shows up in your urine, how could you not have it? Based on what she's saying, the inflammation seems pretty obvious, but you should definitely make sure to wash up first thing in the morning before doing the urine culture...

Well, I just looked at my lab results, and it says right here: leukocyte esterase: negative.

Now I'm completely lost. 🤷

restlessbadger2 said:Oh, I just spotted this on my lab results—it says: leukocyte esterase: negative.

Now I am completely lost. 🤷

That is actually fine. It's just an indicator of inflammation, which likely isn't anything major in your case. Usually, a positive leukocyte esterase result would trigger a request for a urine culture.

LEUKOCYTE ESTERASE (an enzyme found in certain white blood cells) in urine
can be detected via a dipstick test. Leukocyte esterase serves as a sign of inflammation, most often resulting from
a bacterial infection. However, the test can yield a false negative if the urine is highly concentrated or contains
glucose, bile salts, certain medications like the antibiotic Rifampin, or high levels of Vitamin C.

Leukocytes
While leukocytes can naturally be found in the urine of healthy individuals, an increased count is a primary indicator of a urinary tract infection, as well as non-infectious kidney diseases.
Leukocyturia paired with bacteriuria is typically the result of bladder inflammation (cystitis) or kidney inflammation (pyelonephritis).

Michelle Harris27 said:I just got my cervical results back...

If anyone can tell me what to expect...

Ureaplasma >10 (on a 5 scale)
Mycoplasma was not isolated
Cervical swab - bacterial aerobic and microbiological - normal vaginal flora

PCR for C. trachomatis - Roche PCR COBAS TaqMan CT test: Chlamydia trachomatis DNA not detected

Ma'am,

The report likely includes an antibiogram—essentially a list showing which antibiotics the ureaplasma is sensitive to. Since the ureaplasma count is quite high here, antibiotic treatment is necessary. It isn't always straightforward, though; these bacteria are often resistant to several drugs and typically only respond to a few, such as azithromycin or doxycycline. Your partner definitely needs to be tested and treated as well if required. Finally, you’ll need a follow-up swab to confirm the treatment worked (but don't do this until at least two weeks after finishing the medication).

Kimberly Bailey6 said:Hi, could someone please help me interpret these results:

Day 2 of cycle:
Estradiol: 326 (110-1100 pmol/L)
Progesterone: 8.2 (follicular phase: up to 3.2 nmol/L)
LH: 3.1 (3-12 IU/L)
FSH: 3.9 (2-12 IU/L)
Prolactin: 15.8 (4-23 µg/L)
Total Testosterone: 1.4 (0.2-2.6 nmol/L)
Free Testosterone: 23.8 (3.5-30 pmol/L)
SHBG: 35 (26.1-110 nmol/L)
DHEA-S: 4.28 (2.68-9.23 µmol/L)
Androstenedione: 13.10 (1.0-11.5 nmol/L)
ACTH: 4.9 (1.6-13.9 pmol/L)
AMH: 5.96 (1.3-7.0 ng/ml)

Day 22 of cycle:
Progesterone: 9.6 (luteal phase should be 20+ nmol/L)

T3, T4, and TSH are fine.

Testing due to anovulation and PCOS. My cycles have always been irregular (anywhere from 35 days to 10 months).

I can't find any info on why progesterone might be elevated during the first phase?
Could the high androstenedione be causing the anovulation?

Elevated androstenedione levels can be linked to PCOS; in fact, they are frequently seen in those cases. One possible explanation involves insulin resistance—higher insulin levels can trigger the ovaries to produce more androstenedione.

Androstenedione itself can also originate from the adrenal glands.

It would be wise to discuss further testing with the gynecologist who ordered these, such as checking other hormones (like cortisol or 17-OHP) or investigating insulin resistance via an OGTT. Since this falls outside my specific area of expertise, I can't offer a definitive opinion on those matters.

Low progesterone during the second phase of the cycle supports the diagnosis of anovulation, but as for why it might be elevated in the first phase... well, that's a much harder question to answer.

Best regards. 🙂

reddrifter11 said:Google can tell you just about anything, which is why I’m asking here. Is there any reason to worry? Thanks.

The results are essentially normal. Personally, I don't see much cause for concern regarding those slightly low TIBC levels.

Best, 🙂

Does this look alright to you guys?

Blood sugar (mmol/L) 3.05-6.38 ref range
1. fasting 5.36
2. 1h post-load 7.10 [
2. 2h post-load 4.80

IRI (insulin) 1.1-17 ref range

1. fasting 8.37
2. 1h post-load 57.6
2. 2h post-load 18.0

Hey everyone—I'm in my late twenties and lately, life has just been one giant stress test. I’ve started getting this weird tightness at the base of my throat... you know that classic "lump in your throat" sensation? Except it’s sticking around way longer than it should and it's honestly pretty uncomfortable. It gets especially annoying whenever I start getting worked up about something.

I went ahead and got my thyroid levels checked and scheduled an ultrasound.
The ultrasound is a month out, but I already have my blood work results back:

Total T3 1.48 nmol/L ref.int. 1.30-3.10
Total T4 62.81 nmol/L ref.int. 66-181
TSH 2.20 mIU/L ref.int. 0.270-4.20

Should I be worried here? 🤷

Thanks.

Hi everyone,

I was wondering if someone could take a look at these results and tell me if everything looks okay... I'm a little concerned about that slight bump in my white blood cell count.
Here’s the context:

A 30-year-old male, just doing some routine blood work. At the time the labs were drawn, I had a cold sore on my lip that was clearing up, and I've been dealing with some dental issues—missing several teeth, though there isn't any active pain or inflammation in my mouth right now, at least as far as I can tell...

RBC 5.75 (4.34-5.72)
Hemoglobin 177 (138-175)
Hematocrit 0.535 (0.415-0.53)

MCV 93 (83-97.2)
MCH 30.8 (27.4-33.9)
MCHC 331 (320-345)
RDW 12 (9-15)
Platelets 338 (158-424)
MPV 8.8 (6.8-10.4)

WBC 13.26 (3.4-9.7)

SE 3.000 (2-13)

Eosinophils 2.1 (0-7)
Basophils 0.4 (0-1)
Neutrophils 66.7 (44-72)
Lymphocytes 27.1 (40-46)
Monocytes 3.7 (2-12)

John Cooper65 said:Does this look okay?

Blood glucose (nmol/l) 3.05-6.38 ref.range
1. fasting 5.36
2. 1h post-load 7.10 [
2. 2h post-load 4.80

IRI (insulin) 1.1-17 ref.range

1. fasting 8.37
2. 1h post-load 57.6
2. 2h post-load 18.0

Hard to say because: a) blood sugar units in nmol/l are unusual; typically we see them expressed in mol/l. The reference range for fasting glucose is also strange (specifically the lower bound) and b) there are no units provided for the insulin measurement.

cosmicsurfer17 said:Total T3 1.48 nmol/L ref.int. 1.30-3.10
Total T4 62.81 nmol/L ref.int. 66-181
TSH 2.20 mIU/L ref.int. 0.270-4.20

Should I be worried... 🤷

TSH is within the normal range, so the results are likely fine. Total T4 values deviate slightly, but free hormone levels (fT4) are generally more reliable indicators, so it would probably be wiser to check a combination of TSH, fT4, and T3 rather than just total T4. Are you taking any medications?

analogmarlin32 said:RBC 5.75 (4.34-5.72)
Hemoglobin 177 (138-175)
Hematocrit 0.535 (0.415-0.53)

This is fine.

WBC 13.26 (3.4-9.7)

SE 3,000 (2-13)

Eosinophils 2.1 (0-7)
Basophils 0.4 (0-1)
Neutrophils 66.7 (44-72)
Lymphocytes 27.1 (40-46)
Monocytes 3.7 (2-12)

A CRP test should be run, along with a more detailed medical history. It’s difficult to pinpoint the cause without more context, other than noting that an elevated white blood cell count isn't strictly "normal," though it isn't necessarily cause for alarm either.

Maria Fisher46 said:It would be best to check the CRP levels and get a more thorough medical history to really understand what we're looking at here. It’s hard to pinpoint the exact cause without that context, though seeing those elevated white blood cell counts means we can't exactly call the results "normal"... even if they aren't necessarily a cause for panic just yet...

Thanks for the input! 🙂

Maria Fisher46 said:Your TSH levels look pretty normal, so the results are likely fine. Total T4 is slightly off, but honestly, free hormone (fT4) is usually a much more reliable indicator—so if I were you, I’d probably want a full panel including TSH, fT4, and T3 rather than just looking at total T4. Are you currently taking any medications?

I was only given a referral for those specific tests, and I'm still waiting on an appointment for an ultrasound—probably sometime in early May. But this constant "lump in my throat" feeling won't go away. It's just... always there. I don't know, is it weird to ask my GP for an fT4 referral? I'd hate to feel like I'm trying to tell them how to do their job. Thanks for the help. 😉

Greetings,

I am seeking some clarification regarding my lab results from today.
I am in my late twenties and have been on oral contraceptives for approximately five years.

My doctor requested that I have my iron levels checked because she suspected anemia, yet my results indicate quite the opposite.

Iron - 36
UIBC - 28
TIBC - 64

Last week, I had a routine blood panel done at Quest Diagnostics, and everything appeared perfectly normal.
HB - 137

To my eyes, these iron levels seem excessively high; I would greatly appreciate any commentary or advice you might offer.

cosmicsurfer17 said:I only had a referral to get this specific test done. I likely have an ultrasound scheduled for early May—still waiting on the appointment. But this "lump in my throat" sensation won't go away. It’s constant. I’m not sure if it’s foolish to ask my primary care physician for an fT4 referral; I don't want to look like I'm trying to do his job for him. Thanks. 😉

I don't think that's necessary. The thyroid ultrasound will be much more telling. If those results come back normal, then schedule an ENT exam.

dustyorca69 said:Hi,

I need some clarification on today's lab results.
I'm in my late twenties and have been on oral contraceptives for about five years.

My doctor suspected anemia and sent me to check my iron levels, but my results show the exact opposite.

Iron - 36
UIBC - 28
TIBC - 64

Had a blood panel at KFC last week; everything was fine.
HB - 137

To me, this looks like a very high iron level. Looking for comments and advice.

The results aren't alarming. Your iron level isn't excessively high; it's just a slight deviation from the reference range. Iron concentration, when viewed as an isolated metric, isn't particularly informative. It fluctuates quite a bit based on several factors. For instance, taking oral contraceptives can raise blood iron levels. A diet high in iron can also spike concentrations if consumed shortly before the blood draw.

A more reliable indicator of your body's iron status is ferritin. If that comes back within the normal range, there is no cause for concern.