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Health

Why ESR Is High In Females? ESR Levels, High ESR Symptoms, Causes, Precautions & More

Adarsh KBy Adarsh KFebruary 26, 2025No Comments5 Mins Read
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The Erythrocyte Sedimentation Rate or what many call it ESR is a test that helps in detecting inflammation in the body. This test has proven to be useful in a lot of cases but one thing that has helped us in knowing through this test is that ESR is higher in females. In this blog, we are going to discuss this point. We are going to learn why ESR is high in females. Also, we will be examining the roles of hormones, red blood cell composition, chronic conditions, and lifestyle factors that influence this important diagnostic marker. So, let’s start the blog and learn about ESR in detail. 

What Is ESR (Erythrocyte Sedimentation Rate)

ESR is a blood test that measures how quickly red blood cells settle to the bottom of a test tube. The rate is measured in millimeters per hour. With higher ESR means that the red blood cells are settling more quickly. This could also be a sign of inflation in the body. The main help that the test plays is that it helps doctors monitor the progression of a disease or the effectiveness of a treatment plan. 

Normal ESR Values:

Age GroupMale (mm/hr)Female (mm/hr)
0-15 years0-100-10
15-50 years0-150-20
Over 50 years0-200-30

ESR Level In Different Conditions

Here is a detailed table that will cover the ESR level in males and females in different conditions:

ConditionMen (ESR mm/hr)Women (ESR mm/hr)
Normal (Age <50)0-150-20
Normal (Age >50)0-200-30
Pregnancy (Third Trimester)N/A30-45
Iron-Deficiency Anemia10-2020-30
Rheumatoid Arthritis15-3020-40
Systemic Lupus Erythematosus20-4030-50
Chronic Kidney Disease15-2520-35

High ESR Symptoms in Females

Here are some symptoms that females should look out for which tell if you are facing the problem of High erythrocyte sedimentation rate:

  • Fatigue and weakness
  • Joint pain and stiffness
  • Muscle aches and tenderness
  • Fever and chills
  • Unexplained weight loss or appetite changes
  • Abdominal pain or discomfort
  • Skin rashes or lesions
  • Headaches or migraines
  • Shortness of breath or chest pain
  • Menstrual irregularities or abnormal bleeding

Reasons Why Is ESR High In Females.

Females having higher ESR can be because of a variety of reasons. Now, that you know about the symptoms of High erythrocyte sedimentation rate, here are some common causes of High erythrocyte sedimentation rate in females:

Infections

Various types of infections like viral, bacterial, or fungal infections can be common causes of High erythrocyte sedimentation rate in females. Some of the most common examples of this is tuberculosis, pneumonia, and pelvic inflammatory disease (PID).

Hormonal Differences

Another major reason for the increase in the level of ESR in females is said to be the presence of estrogen, the primary female hormone. Estrogen plays a significant role in the body of females and it helps in regulating the immune system. It also regulates the production of various proteins, including fibrinogen which can be causes for issues like blood clotting and inflammatory responses. 

Red Blood Cell Composition in Females

Next reason which many people consider to be a very major cause for ESR is the composition of red blood cells in females. The physical characteristics of red blood cells can affect how quickly they settle in a test tube as they are responsible for transporting oxygen throughout the body. One major difference between the female and male red blood cells is that female red blood cells tend to be slightly smaller and more flexible than in males. This difference results in a faster sedimentation rate and consequently, a higher ESR. 

Genetic and Lifestyle Factors

Another factor that could affect the level of ESR In females is the genetics of females. Various studies have been done and these studies have claimed that the genetic predisposition to higher ESR levels. This is most seen in the cases of an infection or an injury. 

Various lifestyle factors such as smoking, diet,  physical activity, can also influence ESR levels. Especially smoking as it is known to increase inflammation in the body which automatically increases ESR level. 

Steps For Women To Maintain ESR Levels

Here are a few steps that women can take to maintain their ESR level:

  • Keep the body hydrated.
  • Doing proper exercise
  • Do not take a lot of stress
  • Having adequate sleep
  • Taking regular ESR blood test

For a Detailed Report from the National Library of Medicine on Why ESR Is High In Females:- Click here.

Final Thoughts

Having a higher ESR level is really common in females. We hope that you were able to understand the various reasons for this through this blog. Here we have also provided you with the symptoms of high ESR in females. We hope that you were able to fully understand why ESR is high in females through this blog and were able to find the information that you have been looking for. 

(Note:  The information provided in this blog is for educational purposes only. We would not ask you to follow all the steps given here. We would always advise you to take help from an expert if you are facing any kind of issue like this.)

FAQs.

Q1. What is ESR and why is it important?

Ans. ESR is a blood test that measures the rate at which red blood cells settle, helping to detect inflammation and monitor disease progression.

Q2. What are the common symptoms of high ESR in females?

Ans. Symptoms include fatigue, joint pain, muscle aches, fever, weight loss, and menstrual irregularities.

Q3. Why is ESR higher in females compared to males?

Ans. Higher ESR in females is primarily due to hormonal differences, red blood cell composition, and genetic factors.

Q4. Can lifestyle factors influence ESR levels in females?

Ans. Yes, factors like smoking, diet, and physical activity can contribute to elevated ESR levels in females.

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Adarsh K

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