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  #1  
Old 06-30-2010, 08:55 PM
docswife1 docswife1 is offline
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Posts: 310
Who knows how to interpret Cycle Day 3 labs? LH, FSH, ESTRADIOL?

I got my CD3 labs back today and I have NO CLUE how to interpret these...

HELP!!!

LH = 13.5
****LH Reference Range

Follicular Phase 1.9- 12.5
Mid-cycle Peak 8.7- 76.3
Luteal Phase 0.5- 16.9
Postmenopausal 15.9- 54.0


FSH = 3.5
****FSH Reference Range

Follicular Phase 2.5-10.2
Mid-cycle Peak 3.1-17.7
Luteal Phase 1.5- 9.1
Postmenopausal 23.0-116.3

ESTRADIOL = 68
****ESTRADIOL Reference Range
Follicular Phase: 11-212
Mid-Cycle: 18-480
Luteal Phase: < or = 247
Post-Menopausal: < or = 27

I know these numbers mean something even though they're in range... even if it's not in the right time of my cycle range... but I have heard something about an LH/FSH ratio that is looked at... so anyone know??

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  #2  
Old 07-01-2010, 09:36 AM
ahhny ahhny is offline
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Join Date: Feb 2010
Posts: 3,673
Quote:
Originally Posted by docswife1
I got my CD3 labs back today and I have NO CLUE how to interpret these...

HELP!!!

LH = 13.5
****LH Reference Range

Follicular Phase 1.9- 12.5
Mid-cycle Peak 8.7- 76.3
Luteal Phase 0.5- 16.9
Postmenopausal 15.9- 54.0


FSH = 3.5
****FSH Reference Range

Follicular Phase 2.5-10.2
Mid-cycle Peak 3.1-17.7
Luteal Phase 1.5- 9.1
Postmenopausal 23.0-116.3

ESTRADIOL = 68
****ESTRADIOL Reference Range
Follicular Phase: 11-212
Mid-Cycle: 18-480
Luteal Phase: < or = 247
Post-Menopausal: < or = 27

I know these numbers mean something even though they're in range... even if it's not in the right time of my cycle range... but I have heard something about an LH/FSH ratio that is looked at... so anyone know??


I wish I could tell you, but I am as clueless as you. I would PM Crelalis as I know she will be able to tell you exactly what they mean.

I do know that based on your references and that these are taken on CD 3--you are in the follicular phase and your LH is high which is not good. It is an indication of PCOS. Your Estadiol also looks high to me for the fllicular phase even though the reference says it is in range, but that is just my instinct not a scientific analysis. Also, the reference range says that the mid-phase is normal from 18-480 and I know that is not correct as mine has been a 20 and the Doc said that is way too low for someone trying to conceive (normal is 300 for an 18yo) (20 is normal too, but only if you are 80 yo). Therefore, we can conclude that although you seem to be within normal ranges on your FSH and Estradiol you may not be where you should be for you age and desire to conceive.

You probably already know all of that though. Again I would just PM crelalis or just call and ask your RE what they like to see for CD 3.
__________________
ME: 38, PCO, elevated Prolactin & TSH
DH: 40, Vas.Reversal, Antisperm Antibodies

3 Boys (20, 15, 13)

TTC since 2009: 12 stimmed cycles w/OBGyn, Ovarian drilling
Dec.2011: RE recommends IVF w/ICSI

Sept 2012 IVF w/ICSI @ WR
8/1-9/8: BCP's
9/7: Baseline
9/11:
Start Lupron
9/12:
AF, Start Gonal f & Menopur
9/22:
Day11 E2=1426, lining 17, 12 follicles btwn 14-21mm, Trigger
9/24:
ER= 9 eggs, 7 mature, 6 fertilized
9/29:
5dt of 1 blast & 1 early blast, none frozen
10/9:
Beta=89
10/11:
Beta=193
11/1:
Ultrasound shows one healthy baby measuring 7wks 1 day with heartbeat at 156
12/27:
16wk Ultrasound says GIRL!
1/15:
MFM says girl too and Cell Free DNA blood test shows we are for sure FINALLY--TEAM PINK

May 17, 2013: born at 35wks 4days Ember Serenity Grace 6lbs 10oz. 19in.

Last edited by ahhny : 07-01-2010 at 09:43 AM.
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  #3  
Old 07-01-2010, 11:38 AM
Gambler's Avatar
Gambler Gambler is offline
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Posts: 693
Based on what I've read

I can tell you about the FSH and E2/Estradiol levels. I read on FertilityPlus.com (I believe) that day 3 levels are as follows:

FSH Levels are normal between 3-20. However, if the numbers are between 6-9 = Excellent, 9-10 = Fair, 10-13 = Diminished, and 13+ Hard to Stimulate. Now your levels are 3.5 so I'm thinking that is beyond excellent.

Estradiol levels on the lower end tend to be better for stimulating. Normal levels are between 25-75.

I hope this helps. I just got my blood taken today to get my FSH and Estradiol levels and will have them taken again in 6 days for the Clomid Challenge, although this is my 3rd round of Clomid.
__________________
Me - 37 & low progesterone levels, DH - 38 & Azoo (found out 3/06), Married 16 yrs
May 2010 - 1st IUI, Clomid 100 mgs, progest-6.4
June 2010 - 2nd IUI, Clomid 200 mgs, progest-17.1
Aug 2010 - 3rd IUI B2Bs, Clomid 200 mgs, progest-5
8/17/10 - 14 dpiui & spotting
8/19/10 - 1st Beta = 17
8/23/10 - 2nd Beta = 236
8/26/10 - 3rd Beta = 510
8/30/10 - 4th Beta due to bleeding=300's
9/9/10 - 5th and final beta 2.2 = The end
Oct 2010 - 4th IUI B2Bs, 200 mgs of Clomid, progest-29, Endometrin 2xs/day during 2ww
Dec 2010 - 2nd HSG after 4 yrs, all clear.
January 2011 - 5th IUI, 200 mgs Clomid
1/21 & 1/22 - CD19 & CD20 B2B IUIs
2/3/11 - 12dpiui Beta 37 =
2/7/11 - 16dpiui Beta 195
2/14/11 - 23dpiui Beta = 3,187
2/21/11 - 1st U/S @ 6w3d - 1 flickering heartbeat
3/7/11 - 2nd U/S @ 8w3d - Bigger baby and a hb
3/14/11 - 3rd U/S @ 9w3d - We saw our baby move
3/21/11 - 1st Ob/gyn appointment and another U/S
10/6/11 - Baby Girl born, 6lbs 14ozs and 19.5 inches long
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  #4  
Old 07-01-2010, 02:14 PM
lynde lynde is offline
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Join Date: Jun 2010
Posts: 1,362
LH:FSH ratio 2:1 or greater is a sign of PCOS. You are almost 4:1. Interestingly I was about there a few years ago and am now 1:1 without really doing anything.
__________________
Me: 37, PCOS?
DH: 47, mild male factor
adopted DDs 8 and 10
DS 11 months

6-10 to 8-10 Clomid and Menopur IUI

9-17-10 visit 0 for NH study - accepted
10-5-10 visit 1 Drew mini arm
11-7-10 ER - 2 eggs -> 2 snowbabies
12-20-10 - sFET
12-24-10
4-12-11 anatomy scan -boy
9-2-11 Eli Robert is here by C-sec at 39 wks, 2 days

5-26-12 Start FET#2
6-21-12 sFET
6-25-12 4dp5dt beta 14.7
10-21-12 anatomy scan, Lucas Benjamin
Make a pregnancy ticker
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  #5  
Old 07-01-2010, 09:32 PM
kimberf kimberf is offline
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Join Date: Jan 2010
Posts: 1,793
Here are a couple of the sites I used when I got mine back:
Hormone Levels & Fertility Bloodwork - Fertility Plus
Day 3 FSH Fertility Test of Ovarian Reserve (FSH and estradiol only)

Your estradiol level seems a tiny bit high, but not horrible. Mine was 29, for comparison's sake. It could be due to a functional cyst.

Your FSH level does look good, though it may be suppressed a little bit due to the estradiol level being higher.

And lynde is right, that FSH/LH ratio is an indicator of PCOS (which I know from other discussions that you already have plenty of indicators of that, so shouldn't be much of a surprise there.)
__________________
Working on #2.
me = 39, irregular periods, Sjogren's
DH = 40, all good
03/08 - DS born (IUGR, healthy otherwise)
03/03 - D&C @ 8w (chromosomal)

08/13 - D&E @ 14w (chromosomal + fluid leak)

IVF (long lupron) / PGD / FET

11/18 - start stims (150 iU Menopur/300 iU Gonal F)
11/22 - US: 8 follies/4>12mm+ (a couple at 15!!): halved stims
11/28 - ER - 11 eggs/9 fert
12/3 - 7 blasts - 3 CGH normals, 1 no result (freeze all)
-- WAIT FOR FET --
2/09 - FET (1 blast)
2/17 - beta (13dpo) - 108 2/21 - beta (17dpo) - 621 2/23 - beta (19dpo) - 1341
3/8 - US w/heartbeat (126 bpm)
4/25 - NT scan
6/7 - anatomy scan all good
10/13 - DD is here!
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