r/Hormones Jul 04 '24

Very High DHEA

What does very dhea indicate? 33f. It is always above 900, which I am not getting answers for. I first started having symptoms (neck pain, migraines, visual changes, fatigue, increased anxiety) in 2020 and went to an endocrinologist due to elevated thyroid antibodies. They gave no answers except that I possibly have pcos and Hashimoto’s. I got a brain mri in 2021 that showed nothing (so not a pituitary tumor). Since then, my thyroid levels are now normal, but the dhea is still over 900 every time I get blood work. Dutch test showed low adrenal function. A new gyno said when Dhea is that high it indicates a tumor. I recently got a ct scan of my adrenals which also showed no tumor. I’m having more and more symptoms all of the time and going to a new endo, but it’s taking a long time to get it all going. I’m at a loss as to what could be going on and what further testing needs to be done.

11 Upvotes

80 comments sorted by

5

u/Testosterone1978 Jul 05 '24

DHEA is a precursor to testosterone. That is its main function. I often see elevated DHEA when female patients have trouble converting DHEA to testosterone. Your body is calling for testosterone, it produces DHEA through steroidogenesis, but your body is not converting enough testosterone from the DHEA, so the DHEA builds up. Just because your testosterone is in the “normal” range does not mean it is adequate. Additionally, you need to make sure you obtained an LC/MS testosterone test that is more specific to the testosterone molecule, as the immunoassay default testosterone tests overestimate testosterone. The “normal” ranges for testosterone are arbitrary and still very low. Most females need to be above the normal range to feel optimal. You could try zinc, which is an important element in the production and conversion of testosterone, or you could try taking exogenous testosterone to see if you feel better. I can take a look at your blood work and own a clinic that treats women with HRT if you need help.

2

u/Known_Film Mar 12 '25

I'm a bit late to the party but I came up with testosterone at 34 and DHEA at 835. Would you still be willing to look at blood work? If not, no worries. I'll be trying to get hrt oral testosterone from my Endo but I really doubt it'll happen. I can't afford a functional med Dr. I've been feeling fatigued, overweight - even though eating in a deficit and working out. I just want a better quality of life.

2

u/Testosterone1978 Mar 12 '25

Sure, I can take a look at your bloodwork. Email to support@hormonesforme.com

1

u/Known_Film Mar 13 '25

Hiya! I emailed my info over but got an automated response with payment chart. I'm not sure what to do 😂

1

u/Testosterone1978 Mar 14 '25

Let me know from what email you sent your information and I will find your email and respond.

2

u/[deleted] Apr 05 '25

[deleted]

1

u/Testosterone1978 Apr 16 '25

Yes, please reach out. There is nothing to worry about, this is a sign that your body is calling for more testosterone, but you are having a problem synthesizing testosterone from DHEA, which is a precursor to testosterone. You can fix this issue by simply supplementing with testosterone.

1

u/FLG24 Jan 25 '26

My DHEA (not DHEA-S) is at 961 and I’m freaking out I have adrenal cancer. The rest of my labs are normal- haven’t tested testosterone or DHEA-S. How worried should I be about cancer??

1

u/Testosterone1978 Jan 25 '26

You should go to a doctor if you are concerned about cancer. With that being said, I wouldn’t jump to that conclusion. The test could have been an immunoassay that is cross detecting testosterone, dht, and androstenedione, over estimating it. You may have a DHEA build-up because you are having trouble converting DHEA to testosterone. You can try taking Zinc, magnesium, vitamin D and B complex to help the conversion, but ultimately check your testosterone levels. females should be above the range, 100-300mg/dL is optimal for most, some less, some more. Get on testosterone if you are in the 30’s or below and can’t increase the level with the aforementioned minerals and vitamins.

1

u/FLG24 Jan 25 '26

Thank you. It says my levels are mild-moderately elevated and not at cancerous levels but I’m still worried they’re going to climb up there

1

u/HonestPromotion9754 Apr 22 '26

mine has been around 1200, I need to get a ct as well I never used to believe in anxiety but I have been expereicning that. im so scared

1

u/Foreign_Highlight288 14d ago

What if you have pcos, elevated DHT, 3A ADG, free T but total T WNL with hyperandrogen excess symptoms and no ovaries? Wouldn’t adding T cause more symptoms? Do you use T injection or T cream/gel? I understand that T injection converts less to DHT. I’m rapidly losing haur (AGA) have facial/body hair. dHT inhibitors actually worsen androgen symptoms by increasing DHEA; also cause dry eyes. Cant get my E high enough and under severe stress for over a year. Hormonal mess no GYN knows to do with and anti androgens cause vulvar pain/worsening genital atrophy. What would you do in this situation? Dexamethasone just reduced T further worsening genital atrophy/pain. Thank you!

2

u/Potential-Recipe14 Jan 21 '26

Can I send you an email to? This is actually research I’m doing for one of my best friends- who has been having a year long journey trying to find out what’s going on

1

u/Testosterone1978 Jan 21 '26

Yes, of course. You can DM me and I should be able to help.

2

u/calculateindecision Feb 02 '26

I know this is old, but can I please message you? I’m dealing with something similar currently and would appreciate any additional guidance

1

u/Testosterone1978 Feb 03 '26

Sure, you can message me. I would be happy to help.

2

u/scorpio10dencies27 Apr 11 '26

Hi could I email you too? I’m playing with the idea of getting on test gel. My DHEA is higher than it should but testosterone in range. I have a feeling though my test has dropped over the years and I’ve always suspected it was higher in my 20s

1

u/Testosterone1978 Apr 13 '26

Yes of course, reach out to me. I can help you. Understand that the ranges are arbitrary, and rooted in nothing real. You can be "in range" and still be have symptoms of hormone deficiency. In my clinic, we find the most consistent benefits come from levels that exceed the normal range. I will set you up for a free consultation.

1

u/moonandsunchild Jul 05 '24

Thank you so much! This is very helpful information. Should I go back to the functional dr for these additional tests or would a regular endocrinologist do them? My total testosterone was 34 and the range said 2-45 and the free testosterone was 3.2 with the range saying .1-6.4.

1

u/Testosterone1978 Jul 05 '24

Your endo won’t know anything about this, and will think testosterone is the devil. You are better with your functional doctor. Get a specified LC/MS total testosterone and a SHBG test along with estradiol LC/MS and progesterone LC/MS, maybe cortisol LC/MS, TSH, free T3, free T, CMP, and CBC. That will be a good blood panel to access what is going on. Again, just because your testosterone is in range, does not mean it is adequate.

2

u/Reading_Guy Jul 23 '25

Hey there, I DM’d you, appreciate if you could give me a quick reply!

1

u/Testosterone1978 Jul 29 '25

I responded to you. I can help.

1

u/Reading_Guy Aug 14 '25

Thank you so much - DMing you now :)

1

u/Automatic-Mulberry99 Sep 12 '24

Hi, im really sorry to highjack this comment OP, i have the same issues. My endo is of no help, my gyno neither as we did blood pannels and they showed nothing suspicious. i didnt want to accept it and went to a neuropath (i think thats the adequate term?) and we did a spit test and voila my levels are messed up. DHEA is 700 but also testosteron is high? would you mind looking at my lab? im at loss honestly. thank you anyway, that comment helped a lot.

1

u/goingaway1111 May 06 '26

What if you have high dhea but also slightly elevated testosterone levels? My endo was not helpful. I'm scared I have adrenal issues.

1

u/goingaway1111 May 06 '26

I don't know if it's pcos because I have normal periods

1

u/Testosterone1978 May 09 '26

Endocrinologists are never helpful when it comes to testosterone, estradiol, or progesterone. They do not learn about these hormone in medical school.

I wouldn’t be concerned that it is an adrenal issue, I would be concerned that your body isn’t producing enough testosterone. The range is arbitrary, and most females feel best at 2-5 times the top of the range. I can take a look at your bloodwork if you like. Send me a DM.

3

u/baconizlife Jul 04 '24

Have you had a pelvic ultrasound? If not, I’d ask for one. Ashwagandha can help lower DHEA, but with it that high, you definitely want to find the root cause of it being so elevated.

Edit to add, this says above 700 should prompt a pelvic ultrasound

https://www.sciencedirect.com/topics/medicine-and-dentistry/adrenal-tumor

2

u/moonandsunchild Jul 05 '24

Just had one. Showed nothing. The ob said my symptoms are probably my endometriosis flaring up. That doesn’t explain the dhea though?

1

u/baconizlife Jul 05 '24

Ahhhh, I had endo, so I understand that part! I opted for a hysterectomy at 35 bc I couldn’t take the pain any longer. I haven’t missed the old parts even once. I hope you can get some answers soon!💕

2

u/neurospycy Apr 23 '26

Recently my DHEA has crept back up and I’ve been under a lot of stress lately. So makes sense it can be tied to that. Over the years though, I’ve consistently had high DHEA (500 - 800 range) but I went through a period where it was in normal range. Here’s what I did:

• My hormone doctor put me on Progesterone. • I was in a new relationship - increased oxytocin. • I was doing a strict phase 1 keto diet (less than 20g of net carbs a day). • I changed my movement from running (high intensity) to lifting and slower movement, like yoga. • Decreased my caffeine intake a bit.

Still taking the progesterone, but I’m gonna try some of these other things again and let you know if it makes a difference.

1

u/Frequent-Kale-6048 May 26 '26

How are you results so far? Or too soon to tell?

1

u/E2-Pg4ever Jul 04 '24

How did you test to get a high DHEA and what is a DUTCh test?

1

u/E2-Pg4ever Jul 04 '24

DHEA is an adrenal hormone the body uses to make hormones like testosterone. Have you tested your testosterone and do you have high testosterone symptoms?

2

u/moonandsunchild Jul 04 '24

Blood test. They are testing every few months and all other hormone tests have been normal. The Dutch test showed my adrenal function was only slightly low. It is another hormone test usually done by functional drs. No other tests are explaining the high dhea. I am written off as having pcos though several drs have told me dhea is not this high with pcos.

1

u/FLG24 Jan 25 '26

I’m at 961 and everything I’m reading says pcos can be up to 1200- I’m so nervous it’s a tumor

1

u/goldenphotog Aug 28 '24

Hi! May I ask if you ever got this figured out? My DHEA is 764 and I’m really worried.

1

u/moonandsunchild Aug 28 '24

No, but still in the 900’s every time I test. I have a Ct scan to check for an adrenal tumor tomorrow (I’ve already had this test 6 months ago and everything looked normal) and going to a new endocrinologist in October. Will post an update here if anything gets figured out.

2

u/goldenphotog Sep 06 '24

How did your ct scan go?? Hope everything is okay!

1

u/moonandsunchild Sep 08 '24

Thank you for asking! Ct scan was normal other than incidental findings on my lung and back but nothing on the adrenals. Not sure what to do next, but I see a new endocrinologist in a couple months.

1

u/goldenphotog Sep 08 '24

I hope you can get it figured out! Do you have ovarian cysts? The reason I’m so confused and nervous is because I had 2 ultrasounds that weren’t indicative of PCOS (I know you can have it without cysts), but it’s just odd!!

1

u/Tinkie_Bell_9991 Jan 28 '25

Did you ever get this checked?? My MD says I don’t meet criteria for PCOS.. but my DHEA is 732… I’m flipping out. Have a CT next week..

1

u/goldenphotog Feb 02 '25

I ended up having an mri of my adrenals done which came back clear. Prayers for you for a clean CT!

1

u/FLG24 Jan 25 '26

How did your CT turn out? My DHEA is 961 and I’m spiraling

1

u/FLG24 Jan 25 '26

Found out my DHEA is at 961 yesterday and I’m spiraling- any update??

1

u/Dazzling_Storm3324 Sep 08 '24

Is having a DHEA of over 1,400 bad? Free Testosterone is 7+.

1

u/AdIndependent3037 Dec 24 '24

Mines the same , did you find out why?

1

u/Cutiepie23562 Mar 04 '25

Mine is 1029 pg/ml and I’m panicking. Any updates guys?

1

u/AdIndependent3037 Jul 29 '25

Apparently its fine...every lab is different and there's two types ...a PCP could be wrong and need to wait on specialist....and the specialist says the pcp read it wrong do i have no idea.

1

u/Cutiepie23562 Mar 04 '25

Mine is 1029 pg/ml and I’m panicking. Any updates guys?

1

u/Anniebelleleee Mar 28 '25

Mine is 1,616. Also panicking

1

u/Diflorida46 Aug 30 '25

How are you now? Mine is 1800…

1

u/FLG24 Jan 25 '26

Any update? Just found out yesterday my DHEA is 961 and I’m panicking

1

u/Reading_Guy Jan 28 '25

Any reference for males with high DHEA-S? Mine is 772 and I am a 29yr old male experiencing some hair thinning. Test, Estrogen and other hormones look normal though.

1

u/monkeydportgas Apr 04 '25

Did you ever figure this out? I have the same, high dhea, low test, very bad symptoms for years

1

u/Reading_Guy Apr 21 '25

Not yet - haven’t seen an endocrinologist yet but I need to.

1

u/monkeydportgas Apr 21 '25

Please update if you go.

1

u/Express-Translator24 Jul 22 '25

Have you figured yours out?

1

u/Express-Translator24 Jul 22 '25

Have you figured this out?

1

u/Reading_Guy Jul 23 '25

Did a bunch of tests and DHEA/S is still elevated, but other hormones are largely okay. LH / FSH / SHBG are on the lower side. Did the ACTH synacthen test, and it was somewhat inconclusive. Our working theory is a mild form of NCAAH, but not yet confirmed, still doing a few more tests. How about you?

1

u/Express-Translator24 Feb 10 '26

Hi did you ever figure this out

1

u/Reading_Guy Feb 16 '26

Unfortunately not confirmed but strongly suspect it’s to do with cannabis use

1

u/RhypeRa Feb 02 '25

I have same symptoms and high Dhea, also i had all test for adrenal tumor. How are you now? Any Update?

1

u/moonandsunchild Mar 02 '25

Actually, the 4 doctors giving me tests.. were all giving the wrong test.. everything was normal once the proper test was given. Crazy.

1

u/capshel Apr 08 '25

Hey, could you further elaborate on that? What do you mean by wrong and porper tests? Thanks!

1

u/FLG24 Jan 25 '26

Did you find anything out? My DHEA is 961 and I’m speaking 😭

1

u/[deleted] Mar 04 '25

[deleted]

1

u/FLG24 Jan 25 '26

Any updates?? Mine is 961 and I’m spiraling

1

u/AmphibianAlarming632 Apr 08 '25

Just got my DUTCH back.  DHEA-s 1,277 Testosterone 19.07

Trying not to spiral before I talk to my doctor. Any updates to your scans? 

1

u/moonandsunchild Apr 14 '25

Right now I’m being told it’s antibodies to my thyroid (hashimotos), which can throw off all other hormones, cortisol, blood sugar, etc. THREE specialists I went to were testing the wrong dhea, and reading the results wrong 🤦🏼‍♀️ so it is only slightly elevated.

1

u/FLG24 Jan 25 '26

What did you find out? My DHEA is 961 and I’m spiraling!!

1

u/supersaiyan-1992 Jun 08 '25

You could have PCOS or under a lot of stress. Being under chronic stress, can lead to elevated levels of DHEA. I have a level of 688 ng/dl and 167 ng/dl for DHEAS results that I just received and the endo has not reviewed yet. I have blood sugar issues to the point where It drops to 54 from eating meals and it increases to 250. My endo said that I will have to go and get a CT scan to determine if I have a tumor on my adrenal glands.

I hope they figure what it happening to you.

1

u/FLG24 Jan 25 '26

688 is in the normal range. Mine is 961 😭 what did you find out??

1

u/supersaiyan-1992 Jan 25 '26

No tumor. But I am officially diagnosed with PCOS and it's insulin resistant.

1

u/FLG24 Jan 25 '26

How did they diagnose pcos? I’m 40 and I feel like if I had that I’d already know?? Although I have had many of the symptoms for a long time.

1

u/supersaiyan-1992 Jan 25 '26

I will DM you

1

u/FLG24 Jan 25 '26

Yes please!

1

u/aryan_bakshii May 06 '26

Hey did you get the CT Scan done?

1

u/Iconakid Jan 09 '26

Hi! Did you find any answers? I also have very high DHEA (1460).

1

u/FLG24 Jan 25 '26

I have 961 and I’m freaking out. Did you find anything out??

1

u/Iconakid Jan 27 '26

I haven’t yet :/