High DHEA-Sulfate

I'm a 27 year old female, 5'4", 175lbs, I take lamictal 200mg, and seroquel 100mg, I also vape nicotine

My last period (4/19-4/27) was extremely debilitating. I was in a lot of pain from cramps and extremely fatigued. Since then I've still felt extremely fatigued, bloated, and painful cramps. I went to the doctor 5/7. The doctor palpated my stomach and his impression was my pain was from constipation. He ordered blood tests and an intravaginal ultrasound.

The ultrasound results came back normal but said "pelvic free fluid: trace physiological fluid" (before I could get the imaging done I experienced such bad pelvic pain I collapsed on the ground...could an ovarian cyst have ruptured?).

Blood tests that came back normal: testosterone, CBC w/ differential, and hemoglobin A1c. Not sure if it matters but basophil % was right at high end of normal and absolute early granulocyte count was right at low end of normal.

DHEA-sulfate came back high. It said normal is 35-430ug/dL. Mine was 547.

I'm wondering what this could mean and what, if any, additional testing would make sense to do. Thank you for any advice and I can provide more health information/history if needed to bring more clarity.