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  • "RunningMum" started this thread
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Wednesday, March 16th 2011, 6:13pm

FSH 15.8 and LH 7.3 in Day 3 Tests - Panicking

Hello

My Day 3 tests have come back with high FSH. My consultant thinks it might be due to timing inaccuracies but I'm pretty sure I got Day three and it was a 26 day cycle that month. I am completely panicking that it is an early menopause (I'm 32). She is redoing day three bloods over two more cycles then I see her again in June. Am I right to be scared?

Any advice, words of comfort would be greatly appreciated?

Thanks

RM

Beautiful boy born in January 2007
TTC second since March 2009
Luteal phase defect - 4 rounds clomid
BFP 14.2.2012 - 2 beautiful heartbeats seen EDD 22nd Oct - Its a boy and a girl!

Pootle

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Wednesday, March 16th 2011, 6:28pm

Hi Hun, sorry you're feeling so worried. I'm not a huge expert on this, but am sure Paul will be along at some point and he'll be able to fill you in on the technical side of things.

Hopefully what I can do is give you a little PMA from a personal perspective - I had a DD, tried for another baby with no luck, had various tests and to cut a long story short, my FSH came back all over the place (think I had it tested 3 times) and the highest was 17.2. There's a post somewhere on here with me in a total panic after a very brusque consultant who was treating me with clomid told me my only hope was egg donation.

Anyway, my DH and I decided to go for IVF, found ourselves at the lovely Lister, which specialises in the more mature lady or ladies with high FSH/low AMH. My lovely Lister consultant I was told that fluctuating FSH is often a sign of peri menopause and that they tend to go on the highest result as the most accurate. He said that I was peri menopausal which, as I was 34 at the time, was a bit of a shock! I didn't respond well to the drugs, which we thought would be the case and I only produced 2 eggs. However, both fertilised and were put back in and one stuck! DD2 arrived later that year and is now nearly 2 1/2. I am grateful every day, even though she's a devil!

My advice would be to have another test, maybe ask for an AMH test as this is now seen as being more accurate (I think, although some consultants still use FSH tests more it seems) and then you will have a clearer picture and can decide the way forward. My consultant told me that the clinic had seen success stories for women older than me and with higher FSH so 15.8 is not the end of your journey.

Let us know how you get on.

x






My family is complete...I am grateful every day

DD1, natural miracle, 2005
DD2, IVF miracle, 2008


Maria72

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Wednesday, March 16th 2011, 7:27pm

Hi RM, I am sorry you are worried too. I have very similar day 3 hormones to you. what I have been told is that the fsh changes every month and also that these result would mean a poor response to stimulation. Normally they ask for the estradiol as well, another hormone. I also have a very low amh. No one has told me I have early menopause, just poor response.

I hope I have reassured you a bit. I think the best option you have is to ask your consultant to explain these results.
Good luck blowkiss

  • "RunningMum" started this thread
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Thursday, March 17th 2011, 6:51am

Thank you both ladies. I don't see my consultant until the end of June now, so I'll just do my Day 3 tests as she has asked and wait and see. Thanks xx

Beautiful boy born in January 2007
TTC second since March 2009
Luteal phase defect - 4 rounds clomid
BFP 14.2.2012 - 2 beautiful heartbeats seen EDD 22nd Oct - Its a boy and a girl!

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Friday, March 18th 2011, 12:39am

Hi RM,

My apologies for the delay in getting back to you - although I don't have anything dramatically different to add to what has already been said. As you realise your FSH is above the normal for your age, this being around 7-9. It is interesting that your LH is normal, although this is a less sensitive indicator of reduced ovarian response. All results can vary from cycle to cycle even in fertile women so it is always risky making predictions from just one blood specimen. If you have a normally regular cycle then day 3 testing should have given you a valid result, however I would suggest that you opt for day 1 in the repeats, ie the first day that you are having a normal bleed all day to reduce this possible variation.

Doing an oestradiol assay is also important as the level of this influences the level of your FSH, although the effect of a raised oestradiol is to supress FSH, so a raised level would not be on your side. The AMH test is also worth doing for completeness although low levels do not prove that you will not/cannot conceive they just make it less likely that you will have a good response to IVF induction. If your results confirm a high FSH, this reduces your fertility, but it is always difficult to predict by how much, as women with raised FSH still regularly conceive and have healthy babies, as do many women clearly into early their menopause, who get pregnant without ever having had an FSH test to say they can't!

So it is far too early to panic, there is a lot more influencing your fertility as a couple than your FSH, it is simply one of the markers, but if you still have a regular cycle and are still ovulating well in those cycles, then you are still more fertile than a woman with a normal FSH but who has a very irregular, or no, cycle. Keep in touch and get your next lot of results to us when they are available.

Good luck

P
Fertility Scientist and Andrologist
Fertility Counsellor, Holistic Therapist and Hypnotherapist
Providing Fertility Information, Assessment and Enhancement.
Natural family planning teacher.

This post has been edited 1 times, last edit by "Paul Entwistle" (Mar 18th 2011, 12:42am)


  • "RunningMum" started this thread
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Friday, March 18th 2011, 8:33am

Thanks Paul, my consultant has said to aim for Day 2 for the tests. I'm going to go today as AF started last night. I don't see my consultant until the end of June, so I'm going to try and phone up and get hold of the results next week. She said if the next two sets of Day 2/3 tests come back high she'll have to refer me else where for the other tests. I'm not at the main fertility clinic yet, at a local gynae clinic which can only go so far with fertility issues.

I'm still in panic mode slightly and not sleeping/eating very well, but I am feeling better than Tuesday. I'll get my PMA back, the sun is shining and I have a day off work!

Thanks for your support

RM

Beautiful boy born in January 2007
TTC second since March 2009
Luteal phase defect - 4 rounds clomid
BFP 14.2.2012 - 2 beautiful heartbeats seen EDD 22nd Oct - Its a boy and a girl!

  • "RunningMum" started this thread
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Tuesday, March 22nd 2011, 7:42pm

Good news, repeat tests back, aimed for day 1/2 and they are FSH 6.3 LH 3.3! Yipee, fingers crossed they are the same next month!

Beautiful boy born in January 2007
TTC second since March 2009
Luteal phase defect - 4 rounds clomid
BFP 14.2.2012 - 2 beautiful heartbeats seen EDD 22nd Oct - Its a boy and a girl!

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Friday, April 15th 2011, 7:08pm

Good news again FSH 4.1 and LH 3.2! It just shows how wrong I was counting. I aimed for day 2 this time with the tests. I spot for about five days before I get what I would call full flow AF, I think the spotting is actually the start of my period as I aimed my tests for about the third day of spotting and managed to get the lower results. If you look on graphs of FSH throughout the cycle, the Day 3 tests should basically hit the minimum level and I think I've managed to do this. Only thing is now I think my luteal phase is much shorter than I thought, so I'm going to mention it to my consultant....it really isn't easy all this day counting!

Beautiful boy born in January 2007
TTC second since March 2009
Luteal phase defect - 4 rounds clomid
BFP 14.2.2012 - 2 beautiful heartbeats seen EDD 22nd Oct - Its a boy and a girl!

Maria72

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Friday, April 15th 2011, 7:14pm

That's interesting ad I am the same as you in the spotting. Next time I'll do mine a bit earlier too. X

  • "RunningMum" started this thread
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Saturday, April 16th 2011, 7:44am

It's worth trying, let me know how you get on. I think it goes against the advice of waiting for 'full flow' but as everyone is different if you have heavy periods as I do, what I call spotting others may count as period starting. good luck x

Beautiful boy born in January 2007
TTC second since March 2009
Luteal phase defect - 4 rounds clomid
BFP 14.2.2012 - 2 beautiful heartbeats seen EDD 22nd Oct - Its a boy and a girl!

Maria72

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Saturday, April 16th 2011, 9:11am

I think that's the problem. I get about 2 days of spotting. I always test on the second day of the full flow, which may be too late. I'll try next time on the second day of the spotting.




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