Gender Dysphoria Organization

contact: Janet Lynn Thomas

Medical Links

Hormone Replacement Therapy (HRT)

Lab Values for HRT

Sex Reassignment Surgery (SRS)

Gender Identity Disorder

Relevant Links

Laboratory Test Results

These are approximate adult values that are intended as a guide to students and those interested, they are not a substitute for medical advice.

Category Test Low High Unit Comments

CLINICAL BIOCHEMISTRY

Electrolytes and Metabolites[1]

Sodium (Na) 136 145 mmol/L
Potassium (K) 3.5 4.5 mmol/L
Urea 2.5 6.4 mmol/L BUN - blood urea nitrogen
Urea 7 18 mg/dL
Creatinine - male 62 115 µmol/L
Creatinine - female 53 97 µmol/L
Creatinine - male 0.7 1.3 mg/dL
Creatinine - female 0.6 1.1 mg/dL
Glucose (fasting) 3.9 5.8 mmol/L See also glycosylated hemoglobin
Glucose (fasting) 70 105 mg/dL

Liver function tests

Total Protein 60 80 g/L
Albumin 35[2] 50 g/L
Total Bilirubin 2 14 µmol/L
Direct Bilirubin 0 4 µmol/L
Alanine transaminase (ALT) 8 40 U/L Also called serum glutamic pyruvic transaminase (SGPT)
Alkaline phosphatase (ALP) 40 130 U/L Higher in children and pregnant women.
Gamma glutamyl transferase n/a 50 U/L

Other enzymes and proteins

Creatine kinase (CK) - male 24[3] 195 U/L
Creatine kinase (CK) - female 24[4] 170 U/L
Aspartate transaminase (AST) 8 35 U/L Also called serum glutamic oxatoacetic transaminase (SGOT)
Lactate dehydrogenase (LDH) 85 285 U/L
Amylase n/a 120[5] U/L
C-reactive protein (CRP) n/a 5[6] mg/L
D-dimer n/a 500 ng/mL

Other ions and trace metals

Ionised calcium (Ca) 1.15 1.29 mmol/L Some calcium is bound to albumin, thus not measured by certain techniques.
Total calcium (Ca) 2.05 2.55 mmol/L
Copper (Cu) 11[7] 24 µmol/L
Zinc (Zn) 10 17 µmol/L

Lipids

Triglycerides 0.4 2 mmol/L
Total cholesterol 3 5.0[8] mmol/L
HDL cholesterol (male) 0.7 1.9 mmol/L
(female) 0.9 2.4 mmol/L
LDL cholesterol 2.4 3[8] mmol/L Not valid when triglycerides >5.0 mmol/L.

Tumour markers

Alpha fetoprotein (AFP) n/a 10 kU/l
Beta Human chorionic gonadotrophin (bHCG) n/a 5 IU/l
CA-125 (also CA12.5) n/a 35 U/ml
CA15.3 n/a 28 U/ml
CA19.9 n/a 40[9] U/ml
Carcinoembryonic antigen (CEA) - non-smokers n/a 3 µg/l
Carcinoembryonic antigen (CEA) - smokers n/a 5 µg/l
Prostate specific antigen (PSA) n/a 4 µg/L

Hormones

Thyroid stimulating hormone (TSH) 0.4 4.7 mIU/L Also called: Thyrotropin
Free thyroxine (FT4) 9 24 pmol/L
Free triiodothyronine (FT3) 2.5 5.3 pmol/L
Adrenocorticotropic hormone (ACTH) 1.3 15 pmol/L
Cortisol (0830 h) 250 850 nmol/L Cortisol levels are higher in the morning than at night.
Cortisol (1630 h) 110 390 nmol/L
Prolactin (male) n/a 450 mIU/L
(female) n/a 580 mIU/L
Testosterone (male) 8 38 nmol/L
(male prepuberty) 0.1 0.5 nmol/L
(female) 0.3 2.5 nmol/L

HEMATOLOGY

Red blood cells

Haemoglobin (Hb) (male) 140 180 g/L Higher in neonates, lower in children.
(female) 115 160 g/L Sex difference negligible until adulthood.
Haematocrit (Hct) (male) 0.38 0.52
(female) 0.35 0.47
Mean cell volume (MCV) 80 98 fL Cells are larger in neonates, though smaller in other children.
Mean cell haemoglobin (MCH) 26 34 pg
Red cell count (male) 4.5 6.5 x1012/L
(female) 3.8 5.8 x1012/L
Reticulocytes 10 100 x109/L
erythrocyte sedimentation rate (ESR) n/a 20 mm/hr Females tend to have a higher ESR. ESR increases with age.

White blood cells

The Total white blood cells 4 11 x109/L Higher in neonates and infants.
Neutrophil granulocytes 2 7.5 x109/L 45-74%. Also known as granulocytes (grans), polys, PMNs, or segs.
Lymphocytes 1.3 4 x109/L 16-45%
Monocytes 0.2 0.8 x109/L 4.0-10%
Eosinophil granulocytes 0.04 0.4 x109/L 0.0-7.0%
Basophil granulocytes 0.01 0.1 x109/L 0.0-2.0%

Coagulation

Platelets 150 400 x109/L Platelets are part of the formation of blood clots
Prothrombin time (PT) 7 10 s PT reference varies between laboratory kits - INR is standardised
INR 0.9 1.2 The INR is a corrected ratio of a patients PT to normal
Activated partial thromboplastin time (APTT) 29 41 s
Thrombin clotting time (TCT) 11 18 s
Fibrinogen 1.8 4 g/L
Bleeding time 2 9 minutes

IMMUNOLOGY

Acute phase protein markers of Inflammation

Erythrocyte sedimentation rate (ESR) 0 (Age, +10 if female)/2 mm/hr
C-reactive protein (CRP) 0 6 mg/L

Autoantibodies

Antinuclear antibodies (ANA)
Extractable nuclear antigen (ENA)
Rheumatoid factor (RF) 0 20 IU/mL High levels not specific for Rheumatoid Arthritis alone.

Serology

Antistreptolysin O titre (ASOT) - preschoolers n/a 100 units/mL
Antistreptolysin O titre (ASOT) - others n/a 200 units/mL
Gender Dysphoria Organization