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Old 06-17-2005, 05:39 PM   #1 (permalink)
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Unhappy LH:FSH- Please help

I am HYPOThyroid and 24. I was always regular in my periods(10years) except for last one year which my doctors think was due to thyroid. I did a bloodtest to rule out PCOS last year in an anovulatory cycle (cd 50) and here are my results. I dont know whether the LH greater on an anovulatory cycle contributes to PCOS. At that time my gyn said I dont have PCOS. But I am still concerned about LH >FSH. Is a test taken on day50 valid or they need to take one in cd3. I dont cyst on my ovaries.

I am seeing an RE now and she was also not concerned about higher LH. I was on clomid cycle last cycle 50mg and developed 3 follicles. Got LH Surge on cd15, Ovulated with p4-34 and resulted in a cyst of 3cm. Now I have to wait one month.



Blood Test
*********** Glucose,fasting - 82(normal-65-99mg/dl)
FSH - 6.5
LSH - 14.5
Insulin - 11 (normal less than 17)
Prolactin - 9.5
Testosterone - 55(Normal 20-76)
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Old 06-17-2005, 06:53 PM   #2 (permalink)
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You really should have your LH:FSH ratio tested on CD3 to check for PCOS. Your hormones are relatively stable at the start of your cycle, but fluctuate a lot later on - even if you don't ovulate. Most people with PCOS tend to have much higher LH:FSH ratios - at least 2:1, and often 3:1. And you can have PCOS w/o ovarian cysts too.

Was your insulin level checked when fasting? If so, it looks like it may be slightly high. Although within normal lab ranges, anything over 10 can indicate a potential issue. Your testosterone could be a bit high too. Again, though within normal lab ranges, anything above 50 is suspect. Testosterone and insulin can be drawn at any time to be valid.

Hope this helps.
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