Can anybody tell me what these results mean, they are from last year i have just had new ones done but have not got the results yet. If i can understand these it would help to understand they newer ones better
Androgen levels suggestive of P.C.O
R Gynae Hormone Profile
(ABC) -see ps
Serum FSH level 5.6 iu/L
Serum LH level 8.5 iu.L
Serum Prolactin level 151 miu/L (83-527)
Free androgen index
(ABC) -see ps
Free androgen index HI 11.1 (0 -7.5)
R Progesterone:
(ABC) -see ps
Serum progesterone 14 nmol/L
R Cycle Day 21
Serum testosterone
Serum testosterone HI 3.0 nmol/L (0 -2.4)
R Sex Hormone Binding Globulin
serum sex hormone binding glob 27 nmolL (20-110)
Serum androstenedione
(ABC) -f
serum androstenedione HI 17.7 nmol/L (1.4-9.5)
Any help in trying to decipher this would be fantastic, i have tried looking in your guide to understanding lab results but it looks alien to me. I have also posted this in the newbie section
I probably won't be much use here but the only things I could say are that your LH/FSH ratio should be 1:1 i.e. both figures should be around the same. Now yours aren't the same, but they are similar. For example, my LH/FSH ratio was 2:1 (LH was 17, FSH was 7 so there's more than twice as much LH to FSH kwim???).
Yours are 8.5 + 5.6 so i don't think these appear too bad.
Also, the FSH is an indication of your ovarian reserve (eggs) and anything below 6 is excellent so you score extremely well there!!
From your day 21 progesterone results it appears that you ovulate. Is that correct? Anything above a 10 on an unmedicated cycle is ovulation, yours was 14!!
Your testosterone looks a little high but I've seen higher.
Sorry I couldn't halp you more but I would say that for PCOS they don't look too bad. it will be interesting to see what the new ones are. Have you done any treatment that will have improved them e.g. Met???
Hope this helped a little!!
Andrea.
__________________ Andrea (29) Stuart (31)
PCOS + Hypothyroid.
Thanks for replying, and thankyou for explaining them to me, i wasnt sure what they meant and what was normal. About the progesterone my doctor said i wasnt ovulating with my level being at 14?????
I am currently not on any medication but i am seeing the endo on thursday so hopefully i will start then but he might not start me on anything until i have had my gallbladder out (next 2 months i hope) or he might be reffering me to a PCOS specialist (who knows lol....) i hope not because its a 2 month waiting list just to see the endo . i will ask for a copy of my new blood test results and see what they are like, the last one is from about a yr ago. Thankyou for the help and if i get my results i will post them and see if they have changed much
What??? Your Dr says you're not ovulating with a prog result of 14 on CD21????? That's silly! A level of 5 indicates some form of ovulation albeit very weak and they expect a level of 10 on an unmedicated cycle and a level of 15 on a medicated cycle e.g. Clomid.
That's slightly worrying that he doesn't know this!! Do you have regular cycles? if you have regular cycles then he should know that you're more than likely ovulating anyway. Maybe not every month but most of the time!!
I'm really surprised at this!
Anyway, I hope you get some answers soon. At least if you're ovulating then you hae a shot at getting pregnant on your own.
May I ask how long you've been ttc and what problems you've experienced? I'm not being nosey, I may be able to help!!!!
Andrea.
__________________ Andrea (29) Stuart (31)
PCOS + Hypothyroid.
My doc said i wasnt ovulating although i had a regular 28 day cycle...... i am confused
we were trying for another baby last year although had not been using contraception since aug 2000 so if it had happened it would not have been a bad thing, i went to the doc to see what was wrong, he did the blood test and these were the results, due to other reasons i didnt follow it up and when i was late this year i went to see if i was pg, i wasnt, so then he told me about PCOS and that i needed an ultrasound (confirmed cysts), was then referred to endo and here i am.
My AF is now every 29 days and very light, it lasts 2-3 days usually lots of clots and very painful, i just wish it could all be sorted. Before i had my son i had been sleeping with my partner for 18 months without contraception and then i went on the progesterone only pill, took it for just over a week and had to stop, the next month i was pregnant. after my son was born i had the contraceptive injection and then didnt get my periods back until dec 2001. i dont really understand it all
If you're having 29 day cycles then I'm pretty certain you *are* ovulating. The prog level was fine and I really don't understand why your Dr would tell you you're not ovulating when it's obvious you are.
So, if you *are* ovulating then I wonder why you aren't getting pregnant.
It may be worth you starting recording your BBT (Basal Body Temperature). This may help you pin point which cycle day you are ovulating on. Maybe it's just a case of timing BD better. If you're cycles are 29 days then you will be ovulating somewhere between CD13-15. This would give you a luteal phase of 14-16 days which is normal.
If you are interested in doing your BBT it's very easy and gives you lots of invaluable info about your cycle. It takes a while to get used to it but within a couple of months you'll be a whizz!
You can do what I did and go to www.fertilityfriend.com and set up a 'basic' account - this is free, you pay for the VIP service. Then, buy a digital thermometer from Boots or somewhere. They actually do BBT thermometers, which is what I have, they are more accurate.
Then, every morning you need to take your temp at the same time. Set the alarm near to when you usually wake up. Don't move around, just get the thermometer and take the temp and record it. What you are expecting to see is a dip in temp at the time of ovulation and a rise in the temp following ovulation. Fertility Friend works out which day you ovulated for you. if you read all the info they give you on charting you will be able to do it.
You may not be interested in this, I wasn't at first but I do it now. Take this cycle for instance, the Clomid didn't make me ovulate (for some reason) but if I hadn't been charting I would have spent 2 whole weeks thinking it had worked and that i could be pregnant. At least i can see from my chart that I didn't ovulate so it saved me that heartache and time wasted.
I hope this helps a little. I'm not sure what the problem could be if you are ovulating regularly. Like I say, maybe you just need to time it better?? Also, there is a drug called Metformin which tackles the root of PCOS (Insulin resistance) and this is supposed to help with egg quality (sometimes the hormone imbalances can cause the eggs not to be as healthy, meaning they are less likely to be fertilised). Maybe this is an option for you at some point.
Please feel free to ask any questions. I'm no expert but I've learnt a lot the last 4 years dealing with infertility etc.
Andrea.
__________________ Andrea (29) Stuart (31)
PCOS + Hypothyroid.
I am going to see the endo in the morning so i am going to ask about this ovulation problem and ask for met and maybe clomid
i will have a look into the temperature tommorow, thankyou for all your advice you have been fantastic, i have so many questions just dont know where to start lol, i am just trying to tackle 1 problem at a time and letting that sink in lol
Let you know how it goes tommorow and thanks again
Although i know my overall levels are ok he says he thinks i have a thyroid problem (underactive) and he wont treat me until some new tests have been done, another 2 months waiting for these results and then he is referring me to another specialist so another 2 months at least. so i am looking at 4 months before i get any treatment, i am so angry And i asked if i was ovulating and he said he dosent know and has ordered more bloods for this. I give up
It does look like your TSH is hign (range is .4-4, normal is around 1.7). As for the Free T4, the normal ranges are 0.8-2 so I can't see where your 17.6 comes in. Could it be 1.76??????
It's quite disappointing really. An Endo should easily enough be able to diagnose you with a thyroid problem. After all, they are supposed to treat hormone problems (Duh!). If I were you 9and i know it's frustrating) I would go back to your GP. Is there a nice Dr there??? Tell them that you have been told you more than likely have an underactive thyroid. This has implications on your fertility and you feel it should be treated right away. Don't understand why they're making out it's a major deal to diagnose it because all they have to do is look at the results!!
I know for a fact that a GP can diagnose a thyroid condition and treat you because my Dr diagnosed and treated me for it (I also have an underactive thyroid).
Honestly, if you have an underactive thyroid then it needs treating. That's all their is to it.
I would go to your GP and get the thyroid thing sorted out and then start temping and finding out if you definitely are ovulating and when. You can do this whilst waiting for other appointments/results.
Did they have any idea why you're not falling pregnant????
Hope this helps a little. Don't worry, we'll figure something out
Andrea.
__________________ Andrea (29) Stuart (31)
PCOS + Hypothyroid.
Thanks for explaining, there is so much to take in. I am going to see my GP as soon as the results come in and see what he suggests, he is great. I really hope this gets sorted soon im getting really frustrated, the endo is doing tests to see if i am ovulating. i am going to have a look at fertility friend later and start temping as soon as i AF, if i have any problems can i PM you?
Where abouts in Mancheser are you from? i was born in oldham but i am now living in Blackpool.
Yes, you can PM me if you have any problems, although I only know the basics myself :o I think the temping would be a good idea because a lot of Dr's ask you to do this anyway so you'd be giving yourself a head start.
I know there's a lot to take in but don't worry, there are plenty of people to answer your questions on this site, someone always knows the answer!
I hope your GP can shed some light on it for you. Don't be afraid to ask questions!
BTW. I'm from North Manchester (Urmston to be precise). So do you prefer Blackpool to Oldham then?!!
Take care,
Andrea.
__________________ Andrea (29) Stuart (31)
PCOS + Hypothyroid.
I am just waiting for the results to be sent to my GP and then i am going to see him, hes a great doctor. He will tell me what i need to do but i will go armed with lots of info (just in case lol) I am going to start temping as soon as AF starts.
Thanks for all your help and i hope you concieve soon
Can anybody interpret these for me please? 
. i will ask for a copy of my new blood test results and see what they are like, the last one is from about a yr ago. Thankyou for the help and if i get my results i will post them and see if they have changed much
And i asked if i was ovulating and he said he dosent know and has ordered more bloods for this. I give up
