Card Set Information
infertility hormone levels
FSH Day 3
FSH is often used as a gauge of?
FSH under 6 on Day 3 is?
FSH level 6-9 on Day 3?
FSH level 9-10 on Day 3?
FSH level 10-13 on Day 3?
FSH level 13+ on Day 3?
very hard to stimulate
LH:FSH ratio may be used in the diagnosis of what?
The LH:FSH ratio is usually close to 1:1, but if the LH is higher?
it is one indication of PCOS.
Estradiol Day 3
lower levels better for stimulating
Abnormally high levels on day 3 may indicate?
a functional cyst or diminished ovarian reserve
Estradiol Day 4-5 of meds?
100+ pg/ml or 2x Day 3
doubling in E2 from the level taken on?
cycle day 3
Estradiol level Surge/hCG day?
200 + pg/ml
levels should be 200-600 per mature (18 mm) follicle
levels are sometimes lower in overweight women.
LH level Day 3?
< 7 mIU/ml
A normal LH level is similar to FSH?
LH higher than FSH is indication of PCOS
LH Surge Day
> 20 mIU/ml
LH surge leads to ovulation within?
Prolactin level Day 3
< 24 ng/ml
Increased prolactin levels can interfere with?
Increased prolactin levels indicate further testing (MRI) should be done to check for?
Some women with PCOS also have?
Progesterone level on Day 3?
< 1.5 ng/ml
follicular phase level
An elevated P4 level on day 3 may indicate a lower ?
Progesterone level 7 dpo
> 15 ng/ml
A progesterone test is done to confirm ovulation.
When a follicle releases its egg?
it becomes a corpus luteum and produces progesterone
A P4 level over 10 in a natural cycle indicates
P4 level on a medicated cycle indicates ovulation?
Thyroid Stimulating Hormone (TSH)Day 3
TSH Mid-range normal in most labs is about
A high TSH combined with a low or normal T4 level generally indicates?
hypothyroidism, which can have an effect on fertility.
Free Triiodothyronine (T3)Day 3
diseased thyroid gland will start producing high levels of T3 but still produce normal levels of T4?
so measurement of both hormones provides a more accurate evaluation of thyroid function.
Free Thyroxine T4 level on Day 3?
A low level of T4 may indicate ?
diseased thyroid gland or
non-functioning pituitary gland which is not stimulating thyroid to produce T4
If the T4 is low and the TSH is normal?
may indicate problem with the pituitary
Total Testosterone level on Day 3?
Testosterone is secreted from?
adrenal gland and ovaries.
Testosterone level above 50 ?
Free Testosterone Day 3
Dehydroepiandrosterone Sulfate(DHEAS)level on Day 3?
An elevated DHEAS level may be improved by what meds?
dexamethasone, prednisone, or insulin-sensiting medications.
Androstenedione level on Day 3?
Sex Hormone Binding Globulin (SHBG)level on Day 3?
Increased androgen production often leads to lower?
17 Hydroxyprogesterone level on Day 3?
Mid-cycle peak 17 Hydroxperogesterone
luteal phase 100-500 ng/dl
Fasting Insulin 8-16 hours fasting
< 30 mIU/ml