Test Detail
Understanding the Test
Interpreting Results
FAQ's
Other Tests
Content created by
Written by
Dr. Betina Chandolia
BDS, MDS - Oral Pathology and Microbiology
Reviewed by
Dr. Ashish Ranjan
MBBS, MD (Pharmacology)
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E2 (Estradiol)

Also known as Oestradiol, Estrogen E2
You need to provide
Blood
This test is for
Male, Female
Test Preparation
  1. No special preparation required

Understanding E2 (Estradiol)


What is E2 (Estradiol)?

An estradiol test measures the amount of the hormone estradiol in your blood. Estradiol is primarily a female sex hormone which is produced by the ovaries, breasts, and adrenal glands. Doctors may order an estradiol test in relation to a person’s fertility, puberty and menopause in females. During their reproductive years, women usually have their highest levels of estradiol. This hormone is considered to be one of the best markers for ovarian function.

An estradiol test alone cannot diagnose a specific disease. If the test results show low or high levels of estradiol, a doctor may recommend further tests to help pinpoint a diagnosis.

What is E2 (Estradiol) used for?

  • To diagnose hypogonadism (production of fewer sex hormones) in females

  • To evaluate the cause of oligomenorrhea (infrequent menstruation) and irregular menstruation in females

  • To evaluate the cause of feminization in males like gynecomastia (enlarged breasts)

  • To evaluate the cause of precocious (early) and delayed puberty in females

  • To evaluate the symptoms of menopause like abnormal vaginal bleeding

  • To monitor follicle development in case of infertility in women

  • To monitor treatment in case of hormone replacement therapy taken by women after menopause

  • To evaluate the lack of secondary sexual features, lack of muscle mass, delayed puberty in males

Interpreting E2 (Estradiol) results


Interpretations

       

High levels of Estradiol may indicate:

  • Puberty before time (precocious puberty) in girls

  • Ovarian tumors in females

  • Tumors of adrenal glands in men and women

  • Gynecomastia (enlarged breasts) in men

  • Testicular tumors

  • Delayed puberty in males

  • Hyperthyroidism in men and women

  • Cirrhosis in men and women

 

Low levels of Estradiol may indicate:

  • Hypopituitarism

  • Hypogonadism in females (the abnormal function of ovaries)

  • Following menopause

  • Conditions in which female sexual characteristics are underdeveloped like Turner’s Syndrome

Answers to Patient Concerns & Frequently Asked Questions (FAQs) about E2 (Estradiol)


Frequently Asked Questions about E2 (Estradiol)

Q. Is there any preparation required before the test?

Inform the doctor about the medications you may be taking. No other specific preparations are usually required before this test.

Q. Is there any risk associated with this test?

There is no risk associated with the test. However, since this test involves a needle prick to withdraw the blood sample, in very rare cases, a patient may experience increased bleeding, hematoma formation (blood collection under the skin), bruising or infection at the site of needle prick.

Q. Any additional information I should know about the estradiol test?

Apart from the blood sample, Estradiol is tested on urine sample as well but the results of both cannot be interchanged.

Q. Do any medicines have an effect on the level of estradiol?

Yes, certain medicines can decrease the levels of estradiol like oral contraceptives and clomiphene. Drugs which can increase the levels of estradiol include drugs which contain estrogen, glucocorticosteroids, phenothiazines, ampicillin, tetracyclines. Apart from medicines, certain conditions like anemia, high blood pressure, dysfunction in kidney and liver can affect the levels of estradiol.

Q. What other tests might be required if estradiol test results are not normal?

Other tests which your doctor may advise you include: Follicle stimulating test (FSH) and Luteinizing hormone test (LH) for treatment of menopausal problems; FSH, Thyroid stimulating hormone (TSH) or Free thyroxine (T4) along with Prolactin test for lack of menstrual cycle; FSH test and LH test for precocious (early) puberty; TSH test, FSH test, Prolactin test and LH test for infertility issues in men and women.
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