Estrogen excess
ICD-10 E28.0 is a billable code used to indicate a diagnosis of estrogen excess.
Estrogen excess, also known as estrogen dominance, refers to a condition characterized by an imbalance in the levels of estrogen relative to other hormones, particularly progesterone. This condition can arise from various factors including hormonal disorders, certain medications, obesity, and environmental factors. Estrogen excess can lead to a range of symptoms and health issues, including menstrual irregularities, weight gain, mood swings, and increased risk of certain cancers, particularly breast and endometrial cancer. In the context of endocrine disorders, estrogen excess may be associated with dysfunctions of the pituitary gland, which regulates hormone production, and the adrenal glands, which produce steroid hormones. Additionally, parathyroid disorders can indirectly influence estrogen metabolism and balance. Accurate diagnosis often requires a comprehensive evaluation of hormone levels, including estrogen, progesterone, and other related hormones, alongside clinical assessments of symptoms. Treatment may involve lifestyle modifications, hormone therapy, or addressing underlying conditions contributing to the hormonal imbalance.
Detailed hormone level tests, clinical symptoms, and treatment plans.
Patients presenting with menstrual irregularities, weight gain, or mood changes.
Ensure comprehensive documentation of all hormone levels and related symptoms.
Menstrual history, physical examination findings, and treatment response.
Women experiencing heavy menstrual bleeding or symptoms of PMS.
Document any gynecological examinations and findings related to estrogen excess.
Used to evaluate estrogen levels in patients suspected of having estrogen excess.
Document the reason for testing and the patient's symptoms.
Endocrinologists should ensure comprehensive hormone panels are ordered.
Common symptoms include heavy menstrual bleeding, mood swings, weight gain, breast tenderness, and increased risk of endometrial hyperplasia.
Diagnosis typically involves hormone level testing, clinical evaluations of symptoms, and consideration of any underlying endocrine disorders.
