The Top 10 Hormones Worth Testing for Fertility & The EXACT Results You Want to See

6/21/2018

You know the drill when it comes to hormonal blood work; it’s a lot of poking and prodding on multiple days of your menstrual cycle. In my experience, my patients have had all the right testing done (mostly), but no one has taken the time to sit down with them and explain what the results truly mean.

The biggest pitfall of serum (blood) hormone testing is that the reference ranges are MASSIVE. Which means it is highly unlikely that your results will be deemed “abnormal” even though you know something is wrong. So that’s what this blog is for; I’m going to break it all down for you and discuss what the results mean and the REAL range you’re looking for. Note: the following reference ranges are for women and are Canadian units.

1) Estradiol
What it is: Estradiol, along with LH and FSH, stimulate follicle (egg) maturation. It’s also responsible for female sex characteristics, thickening of the endometrial lining, and bone protection. Estrogen can also be converted from fat, in both males and females, by an enzyme called aromatase.
What it means: Low estradiol is present in peri-menopause and menopause. Elevated estrogen is present in early premature ovarian insufficiency (followed by low levels), and in estrogen dominant conditions like: PMS, endometriosis, PCOS, and obesity.
Reference Range:
Follicular 77-921 pmol/L
Luteal 77-1145 pmol/L
The “real” range: The width of the above ranges is ridiculous! Estradiol should be tested on day 3 and should be lower than 200 pmol/L and higher than 80 pmol/L. A level higher than this is a sign that the body is trying too hard to stimulate egg development, and the ovaries are not responding. In this case, you will likely see elevated FSH too.

2) FSH (follicle-stimulating hormone)
What it is: The name says it all. FSH is in charge of the development and maturation of follicles.
What it means: High levels are diagnostic of menopause, ranging from 27-133 IU/L. When your body is pumping out more FSH than normal, it’s a sign that the ovaries are not responding (just like estrogen). Low levels of FSH are typically present in PCOS.
Reference Range:
Follicular 3-8 IU/L
Mid-cycle 3-22 IU/L
Luteal 1.5-5.5 IU/L
The “real” range: Higher than 8 IU/L on day 3 (that’s the 3rd day of your period) is too high and the value is only going up from there. 6 IU/L is as good as it gets on day three.

3) LH (Luteinizing hormone)
What it is: Ah, the hormone everyone knows and loves! The LH surge triggers ovulation and is measured by urine strips. LH also contributes to the maturation of eggs. You may not know that estrogen surges right before LH, which can also be used to detect ovulation.
What it means: On day 3, an LH to FSH ratio greater than 2:1 is indicative of PCOS. LH is elevated in PCOS for so many reasons I’ll need to dedicate another blog to it. Elevated LH also stimulates elevated testosterone production, and in turn estrogen production. Contrary to what you may think, high LH actually inhibits ovulation instead of stimulating it.
Reference Range:
Follicular 2-12 IU/L
Mid-cycle 8-90 IU/L
Luteal 1-14 IU/L
The “real” range: LH should be almost equivalent to FSH on day 3. 6-8 IU/L is ideal.

4) Progesterone
What it is: Most of the body’s progesterone is produced by the outer coating of the egg, called the corpus luteum. After you ovulate, progesterone levels increase to maintain the endometrial lining and prepare for embryo implantation. Progesterone also stimulates the production of a thick mucous that covers the cervix so no sperm can enter the uterus (FYI this is the basis of hormonal birth control).
What it means: A low level of mid-luteal progesterone indicates anovulation and luteal phase defect (short luteal phase) and predicts implantation failure/ early miscarriage.
Reference Range:
Luteal 4-50 nmol/L
The “real” range: On day 21 the minimum value is 10 nmol/L to have ovulated and 20 nmol/L to carry a pregnancy. Day 21 is arbitrary if you don’t ovulate on day 14. Progesterone is best-tested 7 days after you ovulate.

5) Prolactin
What it is: The main function of prolactin is to stimulate breast milk production. However, elevation can also occur due to the following: benign pituitary tumor, periods of high stress, hypothyroidism, PCOS, and certain medications.
What it means: Elevated prolactin inhibits the release of GnRH, which then inhibits the release of LH and FSH. Without LH and FSH, follicles will not develop.
Reference Range:
5-30 ug/L
The “real” range: Prolactin levels as high as 50 ug/L can inhibit ovulation, but small increases by a few points are relatively harmless. One-time elevation should be followed by repeat testing. As mentioned, stress is a major influence on this hormone.

6) DHEA
What it is: A precursor hormone to both estrogen and testosterone.
What it means: DHEA is often evaluated in PCOS, as elevations in this hormone increase androgen levels. It may be prescribed to improve ovarian reserve (but not without fun side-effects).
Reference Range: <9.8 umol/L

7) Androstenodione
What it is: Produced from DHEA, this hormone is the precursor to testosterone.
What it means: Elevated androstenedione is found in PCOS and adrenal hyperplasia. Both conditions inhibit ovulation. It may be elevated in isolation, or with testosterone.
Reference Range:
Follicular 1.2-8.7 nmol/L
Luteal 1.1-8.2 nmol/L

8) Testosterone
What it is: You know this hormone for its role as the primary male sex hormone, but it’s important for women too! In the ovaries, testosterone is produced by the stromal cells and converted to estrogen. It participates in follicle growth and development, not to mention male and female libido.
What it means: Too much is present in PCOS which is far from ideal, but too little can inhibit ovulation and egg development.
Reference Range:
Total testosterone 0.3- 1.8 nmol/L (some labs up to 4 nmol/L)
The “real” range: Testosterone is extremely tricky to test accurately. Free testosterone is a better measurement than total and the reference ranges (depending on the lab) have huge variability. In order to test free testosterone you need to test total testosterone and sex hormone binding globulin.

9) AMH (Anti-Mullerian Hormone)
What it is: It’s a hormone that can depict the female egg reserve because it is secreted by the eggs in the ovaries. The more eggs you have, the higher the value will be. Not surprisingly, AMH decreases with age. This is the only hormone test we have for predicting ovarian reserve.
What it means: A lower value for your age means you have a lower number of eggs than the average female. A much higher value for your age is indicative of PCOS, as the cystic ovaries in PCOS secrete excess AMH.
Reference Range: The numbers are averages based on age:
< 33 = 2.1 ng/mL
33-37 = 1.7 ng/mL
38-40 = 1.1 ng/mL
> 41 = 0.5 ng/mL
The “real” range: At any age, a value > 3.15 - 4.45 ng/mL warrants further testing for PCOS. A value of 6.8-10 ng/mL is diagnostic.

10) TSH (thyroid stimulating hormone) & Antibodies (anti-TPO, anti-TG, anti-TSH)
What it is: TSH is released by the anterior pituitary, which then stimulates the release of thyroid hormones (T3, T4) from the thyroid gland. TSH above the reference range with symptoms present is diagnostic of hypothyroidism, and below is hyperthyroidism. TPO and TG antibodies cause the thyroid condition known as Hashimoto’s, anti-TSH is more commonly present in Graves’.
What it means: Deficient thyroid function affects egg quality, embryo quality, and implantation rates. Combine that with thyroid antibodies, and there’s an increased risk of miscarriage.
Reference Range:
TSH 0.32-4.0 mIU/L
Antibodies should all be negative
The “real” range: TSH should be < 2.5 to prevent miscarriage. A full thyroid lab panel (with individual thyroid hormones) is certainly necessary in cases of recurrent miscarriage.

Have more questions? Meet with me!
Wondering about your own lab results? Need a little help wading through the information and finding the useful parts? I offer a free 30 min consultation to all new patients. Click below to book yours today. I look forward to seeing you soon!

Written by Dr Caleigh Sumner ND

References

Zadehmodarres S, Heidar Z, Razzaghi Z, Ebrahimi L, Soltanzadeh K, Abed F. Anti-mullerian hormon level and polycystic ovarian syndrome diagnosis. Iranian Journal of Reproductive Medicine. 2015;13(4):227-230.
Wiweko B, Maidarti M, Priangga MD, et al. Anti-mullerian hormone as a diagnostic and prognostic tool for PCOS patients. Journal of Assisted Reproduction and Genetics. 2014;31(10):1311-1316. doi:10.1007/s10815-014-0300-6.
http://tests.lifelabs.com/Laboratory_Test_Information/Search.aspx
Huhtinen K, Desai R, Ståhle M, et al. Endometrial and Endometriotic Concentrations of Estrone and Estradiol Are Determined by Local Metabolism Rather than Circulating Levels. The Journal of Clinical Endocrinology and Metabolism. 2012;97(11):4228-4235. doi:10.1210/jc.2012-1154.
Kumar P, Sait SF. Luteinizing hormone and its dilemma in ovulation induction. Journal of Human Reproductive Sciences. 2011;4(1):2-7. doi:10.4103/0974-1208.82351.

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Mandel

5/21/2022 06:53:30 am

Herpes cure Testimony I was diagnose with Genital Herpes for the past 6 years and I have been searching for cure. I have several outbreaks on my back and it really affected me morally, I read a testimony on this platform of a lady from Nevada who was cured from Diabetes with Dr Moi Usman Herbal medicine including the doctor official email address. I contacted the doctor through his email, after much discussion and few questions he prepared the Herbal medicine and asked for my address which I received the Herbal medicine days later and with his prescription I drank the Herbal medicine for 3 weeks. After concluding the herbal medicine I went for test and my IgG result was confirmed Negative with no trace of the virus on my blood. Contact Dr Moi and be cured his email: dr_moisolutiontemple@yahoo.com Whatsapp him Directly Through +254772376126
He has Herbal cure for Diabetes, Hepatitis, Heart diseases.
Hypertension, Strokes and Liver disease,Fibroid,Cancer,Asthma,Leukemia, Epilepsy,Menopause diseases

Helen Debra

6/3/2022 05:31:52 pm

Hello everyone, Now this is to everyone out there with different health challenges, as I know there are still a lot of people suffering from different health issues and are therefore looking for solution. I bring you Good news.There is a man called Dr.Ayomide a herbal practitioner who helped cure me from Genital herpes,this i had suffered from for the past 2years and i have spent so much money trying to survive from it.I got my healing by taking the herbal medicine he sent to me to drink for about 9days.3days after completion of the dosage,I went for a medical checkup and I was tested Genital Herpes NEGATIVE.I'm sharing this so that other people can know of this great healer called Dr Ayomide because I got to know him through a friend he cured from HIV.I was made to understand that he can cure several other deadly diseases and infections.Don't die in ignorance and don't let that illness take your life.Contact Dr Ayomide through his email address=ayomideherbalhome@gmail.com You can also call him or WhatsApp him on:+2348062443909 Thank you Dr. Ayomide. Be kind enough to share as you received.

Dexter Tamara

6/6/2022 03:08:03 pm

My mom was suffering from Type 2 diabetes and Lupus for over 17yrs. She tried many drugs but at last became dependent on saferoom and metformin due to the weakness and constant pains, She found that life was just sinking & there was no way of hope. Then she consulted Chief Dr Lucky for herbal treatments, Which she had been hearing so much about, After some couple of days taking this herbal medicine, Things started to change, The symptoms started to decrease and after 19 days of taking it, She became healthy and fully free from all the symptoms of Type 2 diabetes and Lupus. My mom's life is totally different now. That's why I decided to let everybody know about the wonderful healing of Chief Dr Lucky herbal, If you are having any health challenges kindly visit email chiefdrlucky@gmail.com or WhatsApp +2348132777335
Facebook page http://facebook.com/chiefdrlucky
Website https://chiefdrlucky.com/.

Gavin Wear

6/27/2022 06:22:20 pm

I am here to spread this good news to the entire world on how Dr Emu helped me solve my infertility problem and i am so happy now that i am now a mother because for over 4 years i have been trying to get pregnant and needed help, i and my husband always go for medical check up and the doctor always say that the both of us are fine and i have nowhere else to get help from and all hope was almost lost until one day i visited a friend of mine and i told her what i was passing through and she introduce me to this great spell caster called Dr Emu who helped her when she was in need of help, so i took a try to contact Dr Emu through his email and i explain all my problem to him and after we have talked he perform an infertility spell for me and after that he told me what i should do, and i followed the instruction he gave and after that he instructed to sleep with my husband and also i followed the instruction and he said that the next week i should go for medical check up and the doctor confirmed that i was 4 months pregnant and i was so happy that all my sorrows were gone for ever, i am so very happy now and also if you need any kind of help or the same line with mine, contact Dr Emu on his email: emutemple@gmail.com or call/text his whatsapp phone number +2347012841542 visit his facebook page: https://web.facebook.com/Emu-Temple- 104891335203341

Jred Hatty

7/22/2022 07:03:55 am

I TESTED POSITIVE FOR HSV-2 A FEW MONTHS AGO.
At first, Yes, I was devastated thinking I have an incurable STD for life. After doing hours of research I quickly realized genital herpes is a filthy parasite that just likes to hide in your body. Yes, There’s no “medical cure” but that doesn’t mean your body can’t get rid of it. I literally flush it out of my system with the help of Doctor Azuka, A natural herbal medicine which I ordered after doing some research. And now I’m HSV-2 negative, I never believed it until my doctor finally gave me the test results and behold I was HSV-2 free. I’m so glad that I found you, Doctor Azuka. Thanks so much for your goodness I’m grateful. You can also get your help from him through his
Email } dr.azukasolutionhome@gmail.com
WhatsApp } +2349166175418

Bianca Onclin link

7/23/2022 05:50:10 pm

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Contact grand master on Whats-app (USA) +1 (647) 660 3830

8/23/2022 07:11:17 am

Nobert Lauren

8/23/2022 11:19:11 pm

I’m very excited to inform everyone that I’m completely cured from HSV1&2 recently. I have used Oregano oil, Coconut oil, Acyclovir, Valacyclovir, Famciclovir, and some other products and it’s really help during my outbreaks but I totally got cured from HSV1&2 with a strong and .active herbal medicine ordered from a powerful herbalist called Dr Ishiaku and it completely fought the virus away my nervous system and I tested negative after 14 days of using the herbal medicine. I’m here to let everyone know that herpes virus has a complete cure, I got rid of it with the help of Dr Ishiaku and his herbal exploit. Contact him via email: ishiakuherbalcure@gmail.com or WhatsApp him at +2348180828544.

Linda sally

8/27/2022 08:12:52 am

URGENT EFFECTIVE LOVE SPELL TO GET YOUR EX BACK FAST AND TO SAVE YOUR MARRIAGE CONTACT DR ifadesolutionspellcaster@gmail.com or WhatsApp +2348151806720 / FACEBOOK PAGE https://www.facebook.com/Ifadesolutionspellcaster

Am sorry for putting this on the net but I have to. I will forever be indebted to DR,IFADE for fixing my broken marriage after my husband left me for another woman for 6 months. I never believed in spells until my friend introduced me to DR,IFADE. At first, I was skeptical about him because I heard a lot about false spell caster but I put my doubts behind me because I was desperate to get my husband back and I did according to what he instructed me to do. Now my husband is back just within 48 hours of contacting him. I'm living happily with my husband again after 6 months of broken marriage and I will not rest till he's known all over the world. He's also specialized in lottery spells, promotion spells, sickness spells E.T.C. Get connected with DR,IFADE now, his email: ifadesolutionspellcaster@gmail.com or WhatsApp number: + 2348151806720 / FACEBOOK PAGE https://www.facebook.com/Ifadesolutionspellcaster

Magret Wood

9/9/2022 06:08:38 am

WITH DR CHARLES YOUR LOTTO WINNING IS GUARANTEED
I and my family have been draining in poverty for ages i have been playing lottery for several years and unable to win. Few days ago i came across my old friend who is now swimming in wealth she introduced me to Dr Charles, with a doubt mind i took Dr Charles Email and wrote him for help and Dr Charles prepare a lotto winning spell for me, to my greatest surprise i won the lotto i have been playing for years. Am very excited and grateful to Dr Charles for helping my dreams come through, if you truly want to win big I advise you to reach out to Dr Charles he is the right person to help. His Email : drcharlselott0spell@gmail.com
website: https://drcharlesspeltempl.wixsite.com/info
WhatsApp: +1 (602) 960-97

9/12/2022 12:53:18 pm

Juwan James

11/14/2022 10:16:16 pm

Hello everyone. Dr Ishiaku herbs is a good remedy for herpes Virus , I was a carrier of herpes virus and I saw a testimony on how Dr. Ishiaku cure Herpes Virus, I decided to contact him, and he guided me. I asked him for solutions and he started t..he remedies for my health. After he finish he sent me the herbs which i took for 2 weeks before asking me to go for a check up and getting there i could not believe that i was confirm HSV 2 Negative after the test, Today i am so happy because I'm free from herpes disease with the help of Dr. Ishiaku . Thank God now everything is fine, I'm cured by Dr. Ishiaku herbal medicine, I'm very thankful to God for making it possible. you can reach him on his email, i strongly recommend him to any one out here looking for a cure to herpes or any other deadly disease...Contact Dr ishiaku via email: ishiakuherbalcure@yahoo.com or whats-app +2348180828544...

Rick Mormon

2/3/2023 04:40:01 pm

Bitcoin and other cryptocurrency scams are becoming rampant as the day goes by. One should be careful when dealing with people online especially when it has to do with your funds. Getting back your stolen bitcoins is very easy but there are also alots of fraudulent recovery firms out there so you need to be careful not to end up being defrauded again. Jamesmckaywizard is the most trusted and reliable recovery firm online. They are the best recovery firm out there now. They are very fast and efficient in the recovery of your funds. To contact them EMAIL: jamesmckaywizard@gmail.com or What's App:+1 (507) 414-7049, You can simply send an email and you will be helped to recover 100% of you lost funds- I was able to recover all of my stolen bitcoins. They provide excellent service.

The Top 10 Hormones Worth Testing for Fertility & The EXACT Results You Want to See

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