Hi — I understand how distressing this must feel. You’ve done the right thing by checking your hormone profile. Let’s break this down clearly so you know what’s going on and how to fix it
What your report means
Your DHEA-S (638 µg/dL) is above normal, and since
FSH &
LH are normal, this points away from PCOS and more toward adrenal overactivity (mild adrenal hyperfunction).
DHEA-S is made in the adrenal glands, not the ovaries — so if it’s elevated, we look at possible causes like:
Chronic stress or anxiety (increases adrenal output)
Excess caffeine / poor sleep / prolonged fatigue
Subclinical adrenal hyperplasia (a mild hormonal imbalance)
Thyroid or cortisol dysregulation
Your constant anxiety, exhaustion, and drained feeling are classic symptoms of adrenal overdrive, where your body is producing excess stress hormones for too long.
Next steps for confirmation
Before deciding treatment, please get these tests done:
1. Serum Cortisol (8 AM & 4 PM) – to assess adrenal rhythm.
2. 17-Hydroxyprogesterone – to rule out mild congenital adrenal hyperplasia.
3. Free
Testosterone & SHBG – to check if DHEA-S is converting to active androgens.
4. Thyroid profile (
TSH, fT3, fT4) – since adrenal and thyroid imbalance often coexist.
5.
Vitamin D &
B12 levels – low levels worsen fatigue and anxiety.
Initial management plan (to begin now)
Ashwagandha 500 mg once at night (reduces adrenal stress naturally).
Magnesium glycinate 200–400 mg/day – calms nerves and balances cortisol.
Ensure 7–8 hours of sleep, avoid caffeine and energy drinks completely.
Include healthy fats (nuts, seeds, olive oil) and reduce refined carbs/
sugar.
20–30 minutes of light daily exercise or walking — helps rebalance cortisol levels naturally.
Reassurance
This is not dangerous and can be corrected — your adrenal system just needs proper regulation. Once your cortisol and DHEA-S are balanced, your anxiety, energy, and mood will improve significantly within weeks.
I’ll help you personalize the recovery plan after reviewing your hormone and cortisol reports — including dietary correction, supplements, and if needed, short-term medical options to reset your stress-hormone axis safely.
You can message me directly on WhatsApp at nine three two six zero two zero five three six — send your lab reports and daily symptoms. I’ll prepare a customized hormone-balancing plan for you so you can feel calm, energetic, and normal again soon.