Fertility • March 07, 2011

About ovarian function (FSH) and ovarian capacity (AMH)

Terje Sordal

Fertility specialist dedicated to helping patients expand their family and stay informed through evidence-based insights.

We have previously received many questions about the significance of the hormones FSH and AMH. This post is for those of you who are wondering what significance these hormones have in relation to the chance of having children through assisted reproduction.

I introduce two important concepts, ovarian function (FSH) and ovarian capacity (AMH). By ovarian function (FSH) I mean the quality of the eggs. By ovarian capacity (AMH) I mean how many eggs are in the ovaries.

About FSH

Ovarian function (FSH) is most important when it comes to assessing the chance of having children, as it says something about the quality of the eggs in the ovary.

The FSH value can only be assessed when the sample is taken early in the cycle, while the estradiol value is still low (0,07, 0,10 nmol / L). If the estradiol value is higher, the assessment becomes uncertain. If it is 0,20 or higher, ovarian function cannot be assessed.

Women with impaired ovarian function experience high estradiol levels earlier in the cycle than women with normal ovarian function.

About AMH

The AMH hormone indicates the number of egg follicles in the ovaries, i.e. ovarian capacity. High values indicate that there are many egg follicles available, and that ovarian stimulation can produce many eggs, while low values indicate that there are fewer egg follicles available, and that ovarian stimulation can produce few eggs.

AMH does not say anything about the quality of the eggs. There will often be a correlation between very low AMH and reduced egg quality.

Who is most important?

Women with normal FSH early in the cycle can expect good egg quality whether AMH shows that she has many or few eggs, while women with high FSH early in the cycle can expect reduced egg quality, whether she has many or few eggs.

It is ovarian function that is the most important when it comes to assessing the chance of becoming pregnant and having children through assisted reproduction.

We always assess AMH as part of the fertility assessment.

If you take a fertility assessment at Medicus, you will receive a comprehensive assessment of your situation, including your AMH values.

COMMENTS · 619

Write a comment

Girl 29 Jun 20, 2025

Hey,

I am 29 years old. My partner and I have been trying to have a baby for 9 months. I have never had a positive pregnancy test and am starting to get impatient. I have a regular cycle of 25-28 days, I don't get what I have come to understand as positive ovulation tests very often, but physical signs indicate that it should work as normal.

I recently had a blood test on day 3 of my cycle with the following results:
Hemoglobin: 13,7 g/dL
Ferritin: 41 µg/L
HbA1c: 32 mmol/mol
TSH: 3,1 mU/L
FSH: 9 U/L
LH: 8 U/L
Prolactin: 172 mU/L
Estradiol-17beta: 0,13 nmol/L
Anti-Müller Hormone (AMH): 10,3 pmol/L

According to the doctor, the tests are normal, but I'm still unsure because of the number of months used.

My roommate has also been tested and received test results showing low progressive motility of 8% - without any further "information" from the doctor, other than low. So it made us stressed about whether this will take time or whether we should seek help.

Are you able to explain our results and advise on what we should do?

Hoping for an answer, thank you very much :-)

1 answer SVAR
- Find Tysland Johnsen Jun 24, 2025
  
  Hey!
  
  The blood test that was taken shows normal values, including a good egg reserve with an AMH of 10.3. Regarding the sperm test, it is difficult to say anything more without more information, but it may indicate red. motility. My advice would be to contact one of our clinics for a more systematic examination of both of you, including an ultrasound of you and possibly a new control sperm test of your partner. Based on this, a further plan can then be made.
  
  Sincerely,
  Finn
  
  SVAR
Emilia Jun 12, 2025

Hey,
I am 37 years old. I got pregnant on my first try in the fall, lost the fetus in a MA at week 10. I struggled a lot after the chemical abortion. I had bleeding for 4 months from both the vagina and urethra. All tests (cell samples, biopsies and CT) have been normal. I have now stopped bleeding, so we started trying to get pregnant again. I had a chemical pregnancy.

Due to my age, I asked for an examination from my GP.
The blood test was taken on day 8 of the cycle, can the measurements below still be trusted? If so, it doesn't look very promising?

S-FSH Pathological 27
S-LH 9
S-Prolactin 255
S-Estradiol-17beta 0,13
S-SHBG 76
S-Anti-Müllerian Hormone 2,7

I had a full fertility check-up less than a year ago. FSH was never measured then. But AMH was then 4,7. I was told that all anatomy was normal, and that all tests were normal. And that we should therefore have no problem getting this done the natural way.

What path forward do you recommend for us?

Partner also has reduced motility. Can't remember %. But quite a bit lower than average.

Thanks in advance for your help!

1 answer SVAR
- Find Tysland Johnsen Jun 19, 2025
  
  Hey!
  
  You have a low AMH (egg reserve). We cannot completely rely on the FSH value when it is taken on day 8, but it is probably also somewhat elevated. Based on this, as well as the findings on the sperm test, you should proceed with assisted fertilization. Contact one of our clinics, so we can plan further investigation and possible treatment.
  
  Regards
  Finn
  
  SVAR
Veronica May 26, 2025

Hi. I have the comment below. Just wanted to add that this blood test was taken during the cycle after a short pregnancy. I understand that you can have slightly elevated S-FSH after an interrupted pregnancy. Maybe that has something to do with it. The doctor also said "it's the body cleaning up" Maybe that's what she was referring to. Because the only thing she commented negatively was egg reserves that were naturally reduced due to age...

SVAR
Veronica May 26, 2025

Hi. I'll be 41 in August, and we decided last fall to try for number 3. (I already have two, ages 4 and 7)
Got pregnant on the first try. But lost at about week 7. After that, I've been pregnant twice more, but lost quite quickly. My partner is often abroad for work, so we don't always get to try as hard as we would like... ;) We feel lucky to have two, but considering that the seed has been planted, we would also like to have three. As for me getting pregnant, is there perhaps hope naturally? I've had blood tests taken, but no one has really helped me interpret them. The gynecologist wrote a message that "the hormone tests are fine. However, as expected, you have low egg reserves due to your age. This is for your information." I'm a little unsure of what this means. What do you think about our chances of having children naturally? Considering that I've been pregnant three times since November last year. But, on the other hand, I lost each time. Is it just to continue and hope for one "good egg"? I'm very ambivalent about seeking help since we have two beautiful children after all. I would rather spend time with them than in this "project"... That being said, we don't bother trying naturally without hope, and if there are small steps that can be taken, we will certainly do them.. Thank you very much! Ps. tests taken a couple of days into the cycle.

S-TSH 1,4
S-Free T4 15,5
S-Anti-TPO 37
S-FSH Pathological 34
S-LH 6
S-Estradiol-17beta 0,08
S-Testosterone 0,5
S-SHBG 44
S-Anti-Müllerian Hormone 1,7

1 answer SVAR
- Find Tysland Johnsen Jun 04, 2025
  
  Hi, sorry for the late reply!
  
  The most important factor when it comes to fertility is age. This is due to the quality of the egg and the negative impact that increasing age has on it. Egg reserve also plays a role, but has significantly less to say than age. In general, a woman aged 40-41 will have a pregnancy rate of about 8-10% per ovulation. If pregnant, the chance of miscarriage will be increased. In this sense, it takes a while to get pregnant in your age group, and for the pregnancy to develop normally, but it is by no means impossible! If FSH of 34 is real, this is an expression of reduced ovarian function, which can also negatively affect the chance of getting pregnant.
  
  Good luck!
  
  Sincerely,
  Finn
  
  SVAR
Kari May 08, 2025

Hi, we are a lesbian couple aged 31 and 37. We have had two egg retrievals on the youngest of us. We have retrieved a total of about 20 eggs, but many have been immature or have not been fertilized. There has also been some fragmentation. We only got 3 blastocysts, two ended in chemical pregnancies and one was negative.

We understand that she has reduced egg quality. Her tests before starting were: AMH 8, FSH 5.5, Estradiol 0.08, LH 2.6. Other tests well within the normal range.

Our dilemma now is whether we should try again with her eggs, or whether we should try partner donation. But then age is a factor. The oldest of us is, as I said, 37 years old, AMH 13.5, FSH 7.9, Estradiol 0.17, LH 4.6 (cycle day 2). Other tests are well within the normal range. Both have regular cycles.

Is it possible that we will get better results with partner donation, or will age mean that we should focus on the youngest of us again, despite reduced egg quality?

Thank you very much in advance for your help!

1 answer SVAR
- Find Tysland Johnsen May 22, 2025
  
  Hey!
  
  Sorry for the late reply!
  I would still recommend trying again with eggs from the youngest of you. Ask the clinic you go to for more details about what they have seen, and whether it is possible to make adjustments to the stimulation in the hope of getting more mature eggs at OPU.
  
  Good luck!
  
  Regards
  Finn
  
  SVAR
Mari May 06, 2025

Hey

Does the hormonal IUD affect the AMH value?
Have slightly irregular cycles due to hormonal IUD

Mari

2 answer SVAR
- Find Tysland Johnsen May 22, 2025
  
  Hey!
  
  Sorry for the late reply! The hormonal IUD does not affect the AMH value.
  
  Regards
  Finn
  
  SVAR
- LINE Jun 10, 2025
  
  Hi! I am 38 years old and have been trying to get pregnant for about 9 months. I took blood tests in March last year which showed an AMH of 11.6 and FSH of 6.6. The tests were taken on day 6. Now I have just taken another blood test (on day 8) and AMH showed 3. Is it really possible that AMH can drop so drastically in 15 months? The gynecologist the first time said she could just as easily have looked at a woman 10 years younger and that I had many eggs when she did the ultrasound. When I had an ultrasound recently the gynecologist said that the eggs are starting to decrease, but that I still have some left and that it is definitely possible to get pregnant. I am very confused
  
  1 answer SVAR
  - Find Tysland Johnsen Jun 19, 2025
    
    Hey!
    
    AMH can vary somewhat between cycles, and also gradually drops over time, but I agree that such a drop in AMH was unusual. Given your age, as well as findings on blood tests, you should consider assisted fertilization anyway. Contact one of our clinics, and we will help you further plan a more accurate assessment, and possibly also treatment.
    
    Regards
    Finn
    
    SVAR
Felicia April 10, 2025

Hi! I got my blood tests back for cycle day 3 today:

FSH:3
Contact: 3
Estradiol: 0,7
AMH: 61,6

I stopped taking the pill in November but haven't been able to get pregnant yet. Since then I've had two regular periods (25 day cycle), then a very strange and light period before I had a 50 day cycle until now where I've had a very heavy period. Do my results indicate pcos or is it because I stopped taking the pill??? I'm 25 years old. Could it be difficult to get pregnant??

1 answer SVAR
- Find Tysland Johnsen April 10, 2025
  
  Hey!
  
  Based on these blood tests alone, one cannot conclude that you have PCOS. However, you have high AMH (egg reserve) which is often associated with PCOS. You also describe oligomenorrhea (infrequent cycles) which is also seen in PCOS. My advice would be that you contact a gynecologist who can do an ultrasound and look at your ovaries. If you experience persistently infrequent cycles, so-called Letrozole/Femar stimulation will be appropriate to help with egg maturation. This is something you can talk to your gynecologist about.
  
  Good luck!
  
  SVAR
S November 20, 2024

Hey,

I am 26 years old and have been trying to get pregnant for 8 months. I have a normal cycle. Blood tests were taken on days 3 and 11. I see that I have a slightly elevated TSH, and low AMH. I now feel that I have a very bad period. My partner's semen sample was normal. Are you able to explain the results and give me advice on what I should do?

Would it be helpful to test progesterone after ovulation? Is there anything I should do considering that I have too high a TSH? How long can we keep trying before we should consider IVF?

Blood samples taken on day 3:
S-HbA1c: 34
S-TSH: 4,3
S-Free T4: 17,0
S-FSH: 7
S-LH: 4
S-Prolactin: 542
S-Estradiol-17beta: 0,28
S-Testosterone: 0,7
S-SHBG: 61
S-Anti-Müllerian Hormone: 5,8

Day 11:
S-HbA1c: 34
S-TSH: 3,5
S-Free T4: 16,3
S-Anti-TPO: 38
S-FSH: 5
S-LH: 7
S-Prolactin: 214
S-Estradiol-17beta: 0,71
S-Progesterone: <3
S-Testosterone: 0,7
S-SHBG: 48
S-Anti-Müllerian Hormone: 6,8

1 answer SVAR
- Find Tysland Johnsen November 21, 2024
  
  Hey!
  
  When it comes to fertility, the age of the woman is the absolute most important factor. Egg reserve (AMH) should also be included in the assessment, but is less important than age. Your AMH values are low for your age. Based on this, and the fact that you have already been trying to get pregnant for 8 months, it may now be sensible to contact a fertility clinic to discuss further strategy. IVF may be an option, also to possibly freeze embryos for future use. TSH is borderline high and should probably be corrected somewhat, the fertility doctor will probably make an assessment of that as well. Measuring progesterone in the luteal phase will not provide any useful additional information.
  
  Good luck!
  
  Regards
  Finn
  
  SVAR
Lise October 03, 2024

Hi. I am 36 years old and my partner and I have been trying to get pregnant with number 2 for six months without success. Earlier in my life my cycles were completely regular, but since January this year (2024) they have been irregular (ranging from 25 to 35 days in duration).

I have had blood tests and got the following values:

Blood sample taken 8 days after a positive ovulation test:

S-Progesterone: 5 nmol/L

Blood samples taken on day 2 of the cycle:

S-FSH: 5 U/L
S-LH: 5 U/L
S-Prolactin: 149 mU/L
S-Estradiol-17beta: 0,19 nmol/L
S-Testosterone: 0,8 nmol/L
S-SHBG: 71 nmol/L
S-Anti-Müller Hormone: 21,7 pmol/L

The gynecologist said everything looked fine, but that low progesterone indicates that I am not ovulating. I get a strong positive ovulation test every month, and many symptoms. But have a short luteal phase (9 - 10 days). I will start Letrozole 2,5 mg next cycle, but wonder if progesterone supplementation could also be helpful. Any thoughts on whether this is a sensible approach, or is there something else that should be tried?

1 answer SVAR
- Find Tysland Johnsen October 04, 2024
  
  Hey!
  
  Based on what you're saying, progesterone support in the luteal phase can definitely be considered.
  
  Good luck!
  
  Regards
  Finn
  
  1 answer SVAR
  - Lise October 08, 2024
    
    Thanks for the answer! Do you think it is correct that the progesterone result indicates no ovulation? And is it appropriate to try Letrozole first, or should we go directly to IVF considering age?
    
    1 answer SVAR
    - Find Tysland Johnsen October 15, 2024
      
      Hey!
      
      I think that progesterone values indicate that you have ovulated, but that the value has started to fall / is at the very end of the luteal phase. (The sample was taken 8 days after the positive test). I would recommend a few rounds of Letrozole + progesterone support in the luteal phase before possibly IVF.
      
      Regards
      Finn
      
      SVAR
Trying again September 25, 2024

Hi, I was pregnant from April to July. Had to terminate after finding a chromosomal abnormality. But I got pregnant on the first try. I have PKU and therefore have to get the all-clear from the National Hospital, and probably got pregnant the same day, had a positive test a week and a half later, so never had time to test after ovulation. Had a long abortion process, first medical, then remnants were found. Removed with hysteroscopy almost 2 months later. At the one check-up I had at Ullevål before they found the remnants, the doctor wrote that she saw 6 follicles on one side and 8 on the other, which I have understood is normal. At the second check-up where they finally found remnants, she wrote "the ovaries have a polycystic appearance, but are not enlarged", went to a private gynecologist after I stopped bleeding after removing the remnants to find out where I was in my cycle, she said she saw a few eggs and therefore took blood tests. I have no other symptoms of PCOS, so she didn't really think it was. It says in the comments that the tests are normal, but I read on their site that FSH cannot be interpreted if estradiol is above 0,20? My estradiol is 0,32? Can I still trust that they are normal? I am 28 years old. Tests taken on CD 5.
"S-Vitamin B12"
Pathological" 679 * 170 - 650
P-Homocysteine 5,7 5,0 - 15,0
S-Methylmalonic acid 0,14 <0,30
B-HbA1c 32 28 - 41
S-TSH 1,1 0,20 - 4,0
S-Free T4 15,0 11,0 - 23,0
S-Free T3 5,1 3,5 - 6,5
S-Anti-TPO <34 <100
S-FSH 7 1-13, early follicular phase
S-LH 9 1-13, tidl follicle phase
S-Prolactin 200 <700
"S-Estradiol-17beta
Pathological" 0,32 * 0-0,30, early follicular phase
S-Testosterone 0,8 <3,0
S-SHBG 58 23 - 150

1 answer SVAR
- Find Tysland Johnsen September 26, 2024
  
  Hey!
  There is nothing in the blood test that should indicate PCOS. Estradiol of 0,32 is not unusual at sd 5, and usually a sign that a new follicle / egg sac has begun to mature. You can have "many eggs" on ultrasound without having PCOS, then more criteria are required in addition. The most common is oligomenorrhea (long time between cycles).
  
  Regards
  Finn
  
  SVAR
Ellen Aug 20, 2024

Hey,

I am 31 years old and we have been trying for 7 cycles without success. My partner's sperm test came back normal. I have a 24 day cycle with ovulation on day 13. Tested on day 4 of the cycle with very low AMH:

S-TSH: 1,5
S-Free T4: 13,8
S-Anti-TPO: <34
S-FSH: 6
S-LH: 2
S-Prolactin: 322
S-Estradiol-17beta: 0,17
S-Anti-Müllerian Hormone: 4,6

There were 7 follicles on the ultrasound, one of which was larger. Because one ovary was located a little "behind" the uterus, they also tested the fallopian tube, and on one side there had been blockages even though the contrast fluid came out "eventually". The gynecologist described it as if there was not a highway there, but a country road. Completely open in the other fallopian tube.
We were advised to continue trying naturally and then consider IVF after 1 year. With such a low AMH, it makes me a little nervous, I notice. We really want more children and have none now. I have never been pregnant. Do you also think we should wait or is it too risky because of both low AMH and a slight blockage in one fallopian tube?

Thank you very much for your answer!

1 answer SVAR
- Find Tysland Johnsen Aug 22, 2024
  
  Hey!
  
  With such an answer, I would probably contact a fertility clinic to make a further plan for IVF, yes.
  
  Regards
  Finn
  
  SVAR
Ellen Aug 19, 2024

Hi :) I am 31 years old and have been trying to get pregnant for 7 cycles without success. My blood tests (taken on day 4 of the cycle) showed, among other things, low AMH:

S-TSH: 1,5
S-Free T4: 13,8
S-Anti-TPO: <34
S-FSH: 6
S-LH: 2
S-Prolactin: 322
S-Estradiol-17beta: 0,17
S-Anti-Müllerian Hormone: 4,6

On ultrasound, the gynecologist saw 7 egg sacs and one dominant one. She also saw that one ovary was a little "behind" the uterus and therefore took a contrast test, which showed that there were some blockages in the fallopian tubes on that side, although the contrast fluid came out "eventually". On the other side, it was completely open.

I have a 24-day cycle (but there are 11 days between ovulation and my period), so for the record I was given vaginal progesterone pills starting 3 days after ovulation.

We were told to continue trying naturally until 1 year had passed and then possibly try IVF. Would you do the same, or do you think we should go straight to IVF?

SVAR
K Aug 13, 2024

Hi, we are two women who want children. I still have a hormonal IUD, inserted about 8 years ago. Will it affect the results of hormone tests such as AMH/FSH etc.?
If so, how long should you wait after removal before you get real results? I am not going to get pregnant and have therefore not stressed about removing the IUD, but we are considering partner donation and I therefore want to check my values.

1 answer SVAR
- Find Tysland Johnsen Aug 14, 2024
  
  Hey!
  
  A hormonal IUD will usually not affect hormone levels (AMH, etc.). If partner donation is planned, the donor can be stimulated without the IUD needing to be removed first.
  
  Regards
  Finn
  
  SVAR
Kjersti Aug 12, 2024

Hi! I am 32 years old and received the following test results on day 21:

β-Estradiol 0.32 0,20 - 0,75
P-TSH 1.3 0,3 - 4,5
P-T4, free 15 10 - 22
P-LH 1.6 < 12
P-Progesterone 27 19 - 85
P-Sex hormone-binding globulin (SHBG) 49 11,0 - 180,0
P-Testosterone 0.6 0,4 - 2,1
P-FSH 2.3 < 12
P-Prolactin 123 < 650
P-Free testosterone index 0.1 <1,0
P-hCG+beta chain < 2 <5

Can you tell me if this is normal? Do you think FSH will be normal early in the cycle also with this value?

1 answer SVAR
- Find Tysland Johnsen Aug 14, 2024
  
  Hey!
  
  The test shows that you have ovulated (progesterone at 27), estradiol and FSH are also as expected based on when they were taken (luteal phase). I can't see that AMH (egg reserve) is included. The test shows normal values based on when in the cycle they were taken. One cannot say for sure from this what basal FSH will be, but in general most women at 32 years old have normal values at the start of a cycle.
  
  Regards
  Finn
  
  SVAR
Janet May 15, 2024

Hey

I am 38 years old and have a 3 year old child that took almost a year to get pregnant with, and we want another child. I took a blood test on day 1 of my cycle and it showed:

FSH: 9,7 IU/L
LH: 4,3 lU/L
Prolactin: 156 mlU/L
SHBG: 45 nmol/L
AMH: 11,5 pmol/L
Estradiol 76 pmol/L
Testosterone: 0,51 nmol/L

What does this say about my fertility? Can I expect to get pregnant without help?

1 answer SVAR
- Find Tysland Johnsen May 15, 2024
  
  Hey!
  
  The blood test shows normal values for your age. Due to your age, I would still recommend further investigation/treatment at a Fertility Clinic if you do not spontaneously become pregnant within six months of trying on your own.
  
  Good luck!
  
  SVAR
Ary May 09, 2024

Hi! I am 32 years old and due to irregular and missed periods, in addition to the onset of hot flashes, I took hormone tests at the gynecologist. The results were:

P-hCG+beta chain: 2,0
P-TSH: 1,2
P-T4, free: 13,6
P-FSH: 75
P-LH: 28
P-Prolactin: 235
β-Estradiol: 0,22
P-Progesterone: <1,5
P-testosterone: 0,71
P-Antimullerian hormone: 0,5
P-CA125: 6

Can you tell me what this means? Am I in early menopause?
I had an FSH of 6,3 six months ago.

Thanks in advance. Regards Ary

1 answer SVAR
- Find Tysland Johnsen May 15, 2024
  
  Hey!
  
  Your blood test results are consistent with premature ovarian failure / perimenopause with high FSH and very low egg reserve with AMH of 0.5. You do not write anything about wanting children, but the chance of having children with your own eggs is very small. I would recommend that you contact a fertility clinic for further investigation and possible treatment / measures.
  
  Good luck!
  
  SVAR
Randi April 09, 2024

Hi. I am 31 years old and in October 2023 I was diagnosed with an AMH of 0,2 and at a check-up a month later it was 0,3. The blood tests were taken when I still had a hormonal spiral, so I don't know where in the cycle I was at the time the blood tests were taken. My partner and I were told by the gynecologist to try for 6 months and contact them again if it didn't work. We have now been actively trying since November and have not become pregnant. I have also only had a positive ovulation test, this was on cycle day 20 of 34. My cycle has been irregular (20-35 days). Now I am on cycle day 38 and still haven't had my period, but I have also been in a period now with high intensity training. Incidentally, my gynecologist also hasn't found the right ovary on ultrasound, but said that it is not always that easy. I have another appointment there at the end of the month.

The answers to the other tests looked like this:
FSH 6,3
Progesterone <1.5
Prolactin 436
Androstenedione 1,7
LH 1,9
Estradiol 0,60

Can you tell me how you see these results and my chances of getting pregnant? What, if any, is the way forward?

1 answer SVAR
- Find Tysland Johnsen April 10, 2024
  
  Hey!
  AMH of 0.2 and 0.3 are very low values, and indicate that you should not postpone any assisted fertilization any longer. You should contact a fertility clinic for further investigation so that you can best plan your further strategy.
  Good luck!
  
  1 answer SVAR
  - Hannah May 13, 2024
    
    Hello.
    
    I've received results from some tests, which I would like to have a little more information about. I'm worried about my chances of getting pregnant both naturally and with assistance.
    Taken on cycle day 1 or 2.
    
    PT4 free: 13.9
    PT3 free: 4,7
    TSH: 0,89 (this was taken another time and at a different point in the cycle, I see it was forgotten now, so I'm adding this one from March)
    Contact: 3,4
    
    AMH: 16
    
    P FSH: 7
    P estradiol: <0,1
    Progesterone: 1
    P prolactin: 211
    P testosterone: 0,86
    SHBG: 17,6
    P free testosterone index: 0,5
    
    I am aware that SHBG is just below the reference of 19.8-155,2 and that free testosterone is above when it should be below 0,3.
    
    Some relevant information:
    28 years.
    Inserted a hormonal coil in 2017, then lost my period. Removed it after 2 years and my period never returned properly. Probably due to PCOS and severe obesity with steady weight gain (due to binge eating disorder) which stopped with a BMI of 47 in 2021.
    Then I was told about PCOS.
    due to increased testosterone and increased hair growth. No special findings on internal ultrasound.
    Took provera once in fall 1 to get bleeding
    I now have a BMI of 34 and a cycle of 28-36 days each month. I've had it for over a year.
    
    I hope you can give me some clarification on what these samples look like.
    
    2 answer SVAR
    - Find Tysland Johnsen May 15, 2024
      
      Hey!
      
      The tests now look fine with normal egg reserve (AMH of 16) and normal tests otherwise. The tests do not fit with PCOS. You also state a relatively regular cycle which indicates regular ovulation. Thus, there will be good possibilities for spontaneous pregnancy if desired.
      
      Regards
      Finn
      
      1 answer SVAR
      - Hannah May 17, 2024
        
        Thank you very much for your answer.
        It was very reassuring.
        .
        Don't you think that increased testosterone and increased hair growth as well as low SHBG levels are caused by PCOS?
        Is that why they made that diagnosis and missed periods, but it has returned after the weight has decreased significantly. However, I still struggle a lot with increased hair growth, which also started at the same time as the weight gain, missed periods and increased testosterone. I think maybe these symptoms have come about due to being overweight, and not PCOS. What do you think about that?
        
        1 answer SVAR
        
        Find Tysland Johnsen May 21, 2024
        
        Hello again!
        
        To diagnose PCOS, at least 2 of 3 criteria are required:
        1: PCO ovaries on ultrasound (I don't have any info about that for you, but AMH of 16 speaks against this)
        2: Oligomenorrhea, i.e. cycle length of at least 35 days
        3: Hyperandrogenism (increased testosterone, acne, hair growth, etc.)
        
        If you only meet 1 criterion, you do not have PCOS. If you previously met several criteria, it was PCOS. In any case, weight loss (as you have done) is often very effective in restoring regular cycles, which is after all the most important thing when it comes to fertility and the desire to have children. Increased hairiness can also have a significant genetic component. I think that it will be important for you to have good weight control so that your menstrual cycle remains stable and regular. You are 28 years old and have a normal egg reserve, and therefore still have plenty of time with regard to future pregnancy.
        
        1 answer SVAR
        
        Hannah May 24, 2024
        
        Hello again and thanks for your reply.
        
        I look at my cycle and last summer I had a 38 day cycle, but I'm usually within that. It has fluctuated from 21-38 in the last year, but it hasn't fluctuated like that every month. The last few cycles have been 37 - 35 - 31.
        
        I don't have any special findings on ultrasound. But all these problems occurred at the same time as the weight gain. But I still meet the requirements for PCOS. I have also been told that it is not possible to get rid of PCOS, but that the symptoms can be milder by, for example, losing weight.
        
        Regardless, it was most important for me now to check the possibility of pregnancy as I know that can be challenging with PCOS.
        
        So thank you very much for your answer.
        
        SVAR
    - Hannah May 21, 2024
      
      Thank you very much for your answer. It was reassuring to hear that the chance of spontaneous pregnancy is present. Do you think that the tests there are so normal that I don't have a bad time?
      I don't want children for a few years at the earliest.
      
      Regarding PCOS, I was told about it when the testosterone and SHBG tests were abnormal, overweight, hair that continued to increase and missed periods. But my periods have returned relatively stably over the past year with periods every month. I still have increased hair that seems to continue to develop by increasing. Especially on the face/neck and stomach. Otherwise just a little extra on the arms and legs and more down otherwise. What do you think these tests and symptoms mean? Could an imbalance have developed because I gained quite a bit of weight over a few years? And previously been quite underweight/my weight has fluctuated a lot before it only went up from 2016-2022 with extreme increase. As written, I have now lost quite a lot in recent years and been stable for 1 year. I think I will lose more weight, but now I am working more on maintaining the underlying cause of obesity (overeating), so it will continue to go down naturally.
      
      SVAR
Ing-k Dec 17, 2023

Hi, I am 32 years old, healthy and otherwise fine. After 6 months of trying, I took blood tests at Hausken to check that everything was ok. The tests showed an AMH value of 6,6. The test was taken on the day or the day after ovulation. FSH was not measured, I don't know why. The man's sperm values were normal.

During the consultation I had an internal ultrasound which showed 6+8 egg sacs. I was told that we will probably get pregnant on our own and that we should continue with it for another six months before we possibly start assisted fertilization. But I feel that the AMH value is stressing me out a bit, and in any case since I don't know anything about egg quality/FSH. Is it likely that there is some connection between the two values and that I should therefore check it too before I settle down to try on my own? If so, is there a test I can take at my GP? I don't have any children and want two of us.

1 answer SVAR
- Find Tysland Johnsen Dec 22, 2023
  
  Hey!
  The AMH value can vary somewhat depending on when it is taken in the cycle, so I would initially rather take a new AMH at the beginning of a cycle. FSH taken mid-cycle does not provide any particular information, here too you get the most information if it is taken at the beginning of a cycle. In principle, the egg quality in an otherwise healthy woman of 32 years is good, with a high proportion of genetically normal eggs. Take new blood tests initially, at the beginning of a menstrual cycle. If the values are normal, I agree that you should try on your own for a while longer.
  
  Good luck!
  
  SVAR
Paulina September 04, 2023

Hey!

I am 26 years old and my partner and I want to have children. I stopped taking birth control pills in October 22. It took 4 months to get my period back, the first month it was relatively regular, then I had a break of almost 2 months and a subsequent break of 4 months. When I got it back it was short-lived (2 days), and there was abnormally little bleeding. During the latter break I went to the GP about this, and blood tests were taken, these were taken 11 days before I got my period.

Metabolism ua
FSH 5 U/L
LH 1 U/L
Prolactin 106 mU/L
Estradiol-17beta 0,39 nmol/L
Progesterone <3 nmol/L
SHGB 72 nmol/L
AMH 9,2 pmol/L

The GP thinks that this is a normal lab, and that it is not necessary to investigate at this time. Shouldn't the samples be taken on other days of the cycle to be able to give that answer? Isn't my AMH completely in the lower limit for my age? I also went to a gynecologist when I stopped taking birth control pills, but ifb with a pap smear, then did an ultrasound of the uterus + ovaries, which was then unremarkable according to her. I can also add that I have type 1 diabetes which is well regulated.

Hoping for answers and possible advice. Thank you very much 😊

1 answer SVAR
- Find Tysland Johnsen September 05, 2023
  
  Hey!
  
  The blood test result does not quite match what would have been expected 11 days before a period, so it is possible that the bleeding you experienced was not menstrual bleeding. If it had been a real period, I would have expected elevated progesterone (as a sign of recent ovulation). FSH and LH should not have been so low either. You are right that the AMH value is low for your age group, but this value can vary somewhat, and also be falsely low if the cycle has not been re-established. My advice would be that you contact a Fertility Clinic, preferably Medicus, for a more detailed review, ultrasound and possibly new blood tests.
  
  Regards
  Finn
  
  1 answer SVAR
  - Paulina September 07, 2023
    
    Thanks for the answer, I will do that. However, I had signs of ovulation maybe the day/days after the blood tests were taken, ovulation pain and swollen and sore breasts. Sorry but I'm a little confused, I know I experienced signs of ovulation but it wasn't a real period, what is the reason for that?
    
    1 answer SVAR
    - Find Tysland Johnsen September 08, 2023
      
      Hello again!
      
      The blood tests also do not match the time just before ovulation. Then LH (and FSH) should be significantly higher, as well as estradiol.
      
      SVAR
Hilde July 31, 2023

Hello.
I am 33, soon to be 34. We have been trying to have children for quite some time without success. No children before. I have a regular cycle of +/-26 days. So I have taken hormone blood tests to see the values.
Blood test day 1 or 2:
TSH: 1,2
P,T4- free: 14,5
AMH: 5,9
FSH: 12
Estradiol: 0,07
Contact: 5
Prolactin: 234
Progesterone: <3

Took new tests 25/7
Day 5:
TSH: 1,2
P,T4-free: 15
AMH: 6,4
FSH: 8
Estradiol: 0,22
Contact: 5
Prolactin: 163
Progesterone: <3

What can you say from the tests? Do they look normal or are we short on time?

Thank you very much in advance :)

Regards
Samples

1 answer SVAR
- Find Tysland Johnsen Aug 02, 2023
  
  Hey!
  
  Your egg reserve (AMH) is in the lower normal range for your age group. Since you have already been trying to get pregnant for quite some time without success, I would recommend that you now proceed with assisted reproduction, as it will increase the chance of success. The blood tests are otherwise normal.
  
  Please contact one of our clinics for further investigation and guidance.
  
  Good luck!
  
  SVAR
Helene Jun 27, 2023

Hello.
I am 37 years old and blood tests show early menopause. One of my ovaries has shrunk and one gynecologist tells me that the other ovary contains two cysts, while another tells me that it contains a cyst and possible egg, but it is difficult to see.
Blood tests show
AMH <0,2
FSH 15
Estradiol 266 pmol/L
LH 9,1
I already have one child, but I strongly desire more. Is there any hope for another pregnancy?

1 answer SVAR
- Find Tysland Johnsen Jun 29, 2023
  
  Hey!
  
  Your AMH value (egg reserve) is unfortunately significantly reduced, and thus matches what was described on the ultrasound. The chance of having children with your own eggs is therefore very, very low. Egg donation will probably be the only way to have more children, and my advice would be that you contact a fertility clinic for further information about this.
  
  SVAR
Kristine March 23, 2023

Hey
I am 43 years old, have no children, but want to get pregnant and have children. I know that my chances are limited due to my age, but I want to try anyway. I took a blood test on the 3rd day of my cycle:
LH: 9,1 IU/L
FSH: 9,7 IU/L
Estradiol: 0,12 nmol/L
AMH: 21,2 pmol/L
T4: 17 pmol/L
TSH: 2,05x10E-3 IU/L

Are there any possibilities that it could work?
Sincerely,
Kristine

1 answer SVAR
- Find Tysland Johnsen March 23, 2023
  
  Hey!
  
  Your blood tests show very good egg reserves (AMH of 21) for your age group. Due to your age of 43, the chances of pregnancy are unfortunately low, this is due to age-related reduced egg quality. With this as a starting point, I still think you should try to get pregnant!
  
  Good luck!
  
  SVAR
Maja March 20, 2023

I am 29 years old and stopped taking birth control 3 months ago. We have only actively tried for one cycle. We have a child from before without any problems. I have been temporizing for the last month and found out that I did not get a rise in temperature after what I expected was ovulation due to positive tests. I took a blood test a week later and it shows no increase in progesterone.

I had a fertility checkup at Hausken today and left with a really nasty feeling in my stomach. The gynecologist pointed out that I had low AMH for my age and that I probably only had a 50% chance of getting pregnant on my own because of this. He counted 12 egg sacs and everything else looked good on the ultrasound except for a 4 cm hydrocyst. He was very quick to recommend IVF, that I should choose a package of 3 attempts right away and said I should consider this within 2-3 more attempts on my own with double dose letrozole and metformin. I did not have PCOS.

Attached are the results taken 7 days after expected ovulation/6 days before my period. By the way, I have a fairly regular cycle. It has varied from 26-32 days these 3 months,

Can a hydrocyst be preventing ovulation? Are my odds of having another child on my own really that bad? I feel very worried about this.

TSH 0,93 FSH 2 LH 4 Prolactin 244 Estradiol 1,3 Progesterone <3 AMH 10,4

1 answer SVAR
- Find Tysland Johnsen March 22, 2023
  
  Hey!
  
  AMH of 10.4 is in the lower normal range for your age group, but by no means critically low. An estradiol value of 1.3 is something that is usually seen with a mature follicle / just before ovulation. It is possible that the simple cyst of 4 cm has disrupted the current cycle somewhat. If you have regular cycles, you also have regular ovulations, and thus Letrozole stimulation will not be necessary. My suggestion would be to try on your own for at least 6-8 cycles before further measures are considered.
  
  Good luck!
  
  Regards
  Finn
  
  SVAR
Cecilie February 01, 2023

Hi, I am a woman who turned 40 this month. I have one child from before, 2,5 years old. We now want another and are therefore wondering about our chances. We got pregnant on the first try last time and I got pregnant again very shortly after our first, but then we chose to abort. I had my IUD removed 1,5 months ago and have had two ovulations since. As of now, no luck. Regular menstruation.

TSH 1,3
FSH 8
LH 5
Prolactin 391
Estradiol 0,12
Progesterone <3
Testosterone 0,6
SHBG 51
AMH 10,1

1 answer SVAR
- Find Tysland Johnsen February 05, 2023
  
  Hey!
  
  Your blood tests are completely normal, and show good egg reserve with AMH of 10.1. Due to your age, I would still recommend considering assisted reproduction if you have not become pregnant spontaneously within 6 months of removing the IUD.
  
  Good luck!
  
  SVAR
Marielle Jan 18, 2023

Hi, my wife and I will soon be starting assisted reproduction with you and have had blood tests done. I am 33 years old and the tests were taken on the first day of my period.
FSH: 12,4iu/l
Prolactin: 934miu/l (started with Dostinex)
AMH: 12,9 pmol/l
Estradiol: 141 pmol/l
Normal metabolic tests.
We are wondering what you think about the tests and whether you would recommend insemination or IVF if the gynecological examination is without findings. Regards Marielle

1 answer SVAR
- Find Tysland Johnsen February 05, 2023
  
  Hey!
  
  The blood tests that are available are normal, except for elevated Prolactin (I see you write that you have started with Dostinex). Personally, I am holding back on IVF, mostly because it is significantly more effective per treatment / cycle - and we experience that many couples find it an important factor. However, this is something that can be considered and discussed further with the gynecologist you see when you come for an examination.
  
  SVAR
CELINE Dec 19, 2022

Hey,
I am 34 years old and have a great desire to have children. I have received the following results from a blood test, taken on the first day of my cycle;
TSH: 5,2
S-Free T4: 13,2
S-FSH: 19
S-LH: 11
S-Prolactin: 234
S-Estradiol-17beta: 0.12
AMH: 3,8

I understand that the results are very poor, but is all hope lost for me?

1 answer SVAR
- Find Tysland Johnsen Dec 23, 2022
  
  Hey!
  
  Your blood tests show low AMH (egg reserve), and slightly elevated basal FSH - which indicates that ovarian function is reduced. Child planning should therefore not be postponed. All hope is certainly not lost, but you should probably consider assisted fertilization to increase the chance of success. Please contact one of our clinics if you would like further investigation and assistance with this.
  
  Good luck!
  
  1 answer SVAR
  - Maria Dec 26, 2022
    
    Hi Finn!
    I am 28 years old and have PCOS. These are my values, could you explain what this means for me? I have only had my period once and that was when I was 1. Now I only get my period when I am in countries with high temperatures and never in Norway.
    S-Antimüllerian hormone
    Your value
    26,1 pmol/L
    S-FSH
    Your value
    5,0 IU/L
    
    S-Testosterone
    Your value
    1,28 nmol / L
    S-DHEAS
    Your value
    11,4 µmol/L
    S-Progesterone
    Your value
    3 nmol / L
    S-SHBG
    Your value
    18 nmol / L
    S-Androstenedione
    Your value
    5,52 nmol / L
    S-Estradiol
    Your value
    190 pmol/L
    
    Pt-GFR, estimated
    Your value
    >90 mL/min/1,73m2
    Reference Area
    >=60 mL/min/1,73m2
    
    1 answer SVAR
    - Find Tysland Johnsen Jan 02, 2023
      
      Hey!
      
      Your blood tests show normal values (including normal AMH (egg reserve) and normal androgens (testosterone and androstenedione), and based on the blood tests alone there is nothing to suspect PCOS. (No answer to LH, which could have been interesting). However, you can still have PCOS as blood test results are not a necessary criterion for diagnosis. You do not write anything about height / weight (BMI) or whether or not you want to have children. I would recommend that you contact a gynecologist or Fertility Clinic for further investigation / plan.
      
      Good luck!
      
      SVAR
Stephanie Dec 03, 2022

Hey!
What I'm wondering is, do my blood tests look good enough for IVF or insemination? I have a regular cycle and am 35 years old.
Blood test on day 4 of the cycle:
S-TSH: 1,6
S-free T4: 15,4
S-FSH: 11
S-LH: 6
S-Prolactin: 241
S-Estradiol 17beta: 0,13
S-Progesterone: <3
S-Testosterone: 0,5
S-SHBG: 33
AMH: 6,4

Day 21 of the cycle
S-Estradiol 17 beta: 0,57
S-Progesterone: 37

Regards
Stephanie

1 answer SVAR
- Find Tysland Johnsen Dec 16, 2022
  
  Hey!
  
  Your blood tests are normal, and thus good enough for assisted fertilization. However, your egg reserve (AMH) is in the lower normal range for your age group, and for this reason IVF should probably be considered rather than IUI (insemination). Please contact one of our clinics if you would like further assistance.
  
  Good luck!
  
  SVAR
Girl30 Aug 25, 2022

Hey,
I have the following values on my samples:
FSH: 12,2.
LH; 8,4.
AMH; 19.
Anthra follicles: 8+8.
The samples were taken on day 6. I have a regular cycle of +/- 26 days.

Both my husband and I are 30 years old, and his tests were perfectly fine. The doctor said that there could be an egg factor that has/can make it difficult to get pregnant. Is that true, and what does it mean? What do these numbers tell you?

Thank you in advance for your reply.

1 answer SVAR
- Find Tysland Johnsen Dec 16, 2022
  
  Hey!
  
  Sorry for the late reply. Blood tests and ultrasound findings (antral follicles) appear normal in my eyes. Normal tests, together with your age and regular cycles, indicate that there should be a good chance of pregnancy.
  
  SVAR
Kristine Jan 09, 2022

Hello again. Sorry, I've written many times now. I've been to your clinic for an examination and have been diagnosed with PCO. Good effect of letrozole.
My husband recently had a sperm test done at your place and was told that the test was completely fine. When I read online, it seems like there are few sperm cells.
• 11,5 million/ml
• a total of 45,5 million in the sample
• 43-44% good swimmers
• 59% number of moving.

Should we go for IVF? We are both normal weight and otherwise healthy. I am 31 and my husband is 45

Kind regards, Kristine

1 answer SVAR
- Find Tysland Johnsen Jan 23, 2022
  
  Hey!
  
  I assume you have received answers to some of your questions during the investigation. If you get good follicle maturation on Letrozole, I would have tried it for a few rounds before considering IVF. The sperm test shows a slightly reduced number per ml, but still a good total number.
  
  Regards
  Finn
  
  SVAR
lisbet Dec 06, 2021

Hello.
I received the following blood test results on day 3:

P-T4, free 12,5 12,2-19,6
P-TSH 1,74 0,50-4,00
P-FSH 10,1
P-LH 7,9
P-Estradiol 195
P-Prolactin 287 63-533
P-Antimüllerian hormone 6,85

Your AMH has decreased slightly since you took this in 2019 (it was 11 then)

The last test in 2019 I took on cycle day 2. I'm still breastfeeding my first child, could this affect this result? Will it be difficult for me to get pregnant?
Knowing this answer made me very uneasy.

1 answer SVAR
- Find Tysland Johnsen Jan 23, 2022
  
  Hey!
  
  You don't write anything about your age, so it's a bit difficult to say anything exact about the AMH value as it depends on age. Furthermore, it doesn't say whether you have regained regular cycles or not. Breastfeeding can affect the result if this means you don't have a cycle. AMH will then be falsely low. AMH of 6,85 is, regardless of cycle or not, still a value that indicates that future pregnancy is possible.
  
  Regards
  Finn
  
  SVAR
TL October 27, 2021

Hi, I recently turned 46, and I know that age makes it difficult to get pregnant, but I was wondering if my tests indicate that it might still be a possibility? These are only blood tests I have had at my GP, so I haven't had an AMH test.

All samples taken recently and on day 3 of the cycle.
S-FSH: 12 U/L
S-LH: 4 U/L
S-Estradiol-17beta: <0,07 nmol/L

S-Progesterone: <3 nmol/L
S-SHBG: 30 nmol/L

S-Cortisol morning: 307 nmol/L

S-TSH: 1,1 mU/L
S-Free T4: 10,6 * pmol/L
S-Anti-TPO: <34 kU/L

I see that my metabolism is a bit low, but I'm taking Levaxin, so I can adjust the dose up. I know that you have to increase the dose in case of a possible pregnancy, but should you then take a little extra Levaxin and stay high in the reference range _already in advance_ to improve your chances of getting pregnant? I'm also overweight, but otherwise healthy.
How do you/you consider my chances of being able to get pregnant naturally? And if so, what is the upper age limit now for getting help from a clinic?

1 answer SVAR
- Find Tysland Johnsen Jan 23, 2022
  
  Hey!
  
  Sorry for the late reply.
  
  Your blood tests show normal values, but your fertility is unfortunately - even if your blood tests are normal - very reduced. This is due to age-related poor egg quality, which applies to all women in the same age group. The chance of spontaneous pregnancy is considered very low, estimated at 1-2%. The upper age limit for treatment in Norway is 45 years, meaning that it is not allowed to transfer embryos to women who have turned 46. Your only real chance of pregnancy will probably be egg donation, and you will then have to go abroad due to your age.
  
  Regards
  Finn
  
  SVAR
Mari October 25, 2021

Hi! I am a 28 year old woman who has been testing for ovulation for 3 months. I have received positive tests, and almost nothing. They have been positive for over 10 days. I have an appointment with a gynecologist for an examination, but I wonder what the cause could be. The only thing I can find on the internet is PCOS, possibly menopause? Could there be other causes of prolonged elevated LH?

1 answer SVAR
- Find Tysland Johnsen Jan 23, 2022
  
  Hey!
  
  Sorry for the late reply. You may have already received an answer to your question. In your age group, elevated LH due to PCOS is probably the most common cause of (false) positive tests.
  
  Regards
  Finn
  
  SVAR
LINE October 13, 2021

Hey!

I am 32 years old with normal tests for both me and him and a diagnosis of unexplained infertility.

In previous IVF retrievals, there have been problems with fertilization and the suspected immature eggs.

I have taken a number of ovulation tests over the past two years, but never get a positive result. Could this be related to immature eggs during stimulation?

At the same time, I have a very stable cycle of 29/30 days and my period every month. Should I think I'm ovulating? But why don't I get a positive test?

1 answer SVAR
- Find Tysland Johnsen Jan 23, 2022
  
  Hey!
  
  Sorry for the late reply.
  
  If you have a regular and stable cycle, you ovulate every month. The fact that you don't get a result on the test is probably because you took the test at the wrong time, or the test is not good enough. Have you tried different tests?
  
  Regards
  Finn
  
  SVAR
Female 25 September 29, 2021

Hi! I am 25 years old, eat healthy and exercise regularly. I have taken a fertility check out of curiosity and to get an idea of how I am doing, as I do not want children for at least 3 years, due to my studies. I have regular periods with a cycle of +/- 28 days. I stopped taking birth control pills 3,5 months ago, and my period returned immediately. I got the following results from the blood tests, all taken on cycle day 2.
FSH-7
Estradiol- 0,17
LH-5
Testosterone- 0,8
SHBG- 58
TSH- 6,7
Prolactin- 1285
AMH-18
The doctor also counted 8-10 follicles in each ovary on cycle day 11, with the largest follicle measuring 14 mm. I am aware that the TSH is high, and will take this up with my GP. In addition, the prolactin value is high, but the sample was reanalyzed after PEG precipitation due to the possibility of co-determination of macroprolactin. The value after PEG precipitation was then 750.
My questions are whether the estradiol value is a little too high considering that the sample was taken on cycle day 2, and whether the FSH value is also a little too high, given that the estradiol value is not 0,10 or lower? And is my AMH value normal, in addition to the number of antral follicles that were counted?
Thanks for your answer in advance!

1 answer SVAR
- Find Tysland Johnsen Jan 23, 2022
  
  Hey!
  
  Sorry for the late reply.
  
  Besides elevated TSH and Prolactin, your tests are well within what I interpret as completely normal. You also have good AMH and AFC (antral follicle count) - so I assume you have good and completely normal fertility!
  
  Regards
  Finn
  
  SVAR
Inga September 13, 2021

I am 38 years old and single. I had a fertility check in June 2021, at another clinic. The blood test measured AMH at 0,8. There were a total of 4 follicles on ultrasound. On my own initiative, I took another blood test in July 2021, exactly 21 days after the first day of menstruation. The result was as follows; AMH 3, FSH 3, ALH 1, Prolactin 230, Estradiol 0,34, Progesterone 17, Testosterone 0,7, SHBG 70. I then took another blood test in September 2021, with an AMH of 3. This time with ultrasound, which counted 5 + 8 follicles. I want children, and it suddenly occurred to me that I had these AMH values. How drastically can AMH drop in, for example, 3 months, if I need time to think? Should I start egg freezing or IVF as soon as possible? What do the varying AMH values mean? And are the other values okay? (I took out my hormonal IUD in February 2021, and haven't taken birth control pills or anything since then).

1 answer SVAR
- Find Tysland Johnsen Jan 23, 2022
  
  Hey!
  
  Sorry for the late reply.
  
  The blood tests taken on day 21 show that ovulation has occurred, but do not tell us much about ovarian function otherwise. To check this further, you should take a blood test at the beginning of your period, the so-called 1st day test. Your AMH value is, as you say, low, and lower than what the ultrasound image (antral follicle count) would indicate. You are also at an age where fertility naturally begins to decline rapidly. Based on these factors, i.e. age and AMH, you should not postpone your desire to have children significantly. I would not recommend egg freezing as in your age group you should ideally have about 20-25 eggs frozen to have a reasonably good chance of having children in the future. In your case, this would probably require 4-6 retrievals. I would then rather consider IVF where you fertilize the egg with donor sperm and possibly freeze the embryo.
  
  Regards
  Finn
  
  SVAR
Anette September 08, 2021

Hey,

I am 34 years old and have been trying to get pregnant with number 2 for about 9 months. In that time we have gotten pregnant once, but ended up in MA (discovered at week 1, fetus was week 9)
I had blood tests on day 2 of my cycle which showed:
FSH: 14
Estradiol: 0,08
Contact: 5
AMH: 10

Also took the same blood tests on day 3 of the same cycle:
FSH: 16
Estradiol: 0,07
Contact: 4,3
Same ahm

I know that my FSH is elevated, but will I be able to get pregnant naturally? Could I have had an MA because the egg was of poor quality? Are the values so bad that I should just go straight to IVF or can I succeed naturally?

Thank you very much for your answer,

1 answer SVAR
- Find Tysland Johnsen Jan 23, 2022
  
  Hey!
  
  Sorry for the late reply.
  
  With your age and your blood tests, you still have a good chance of getting pregnant naturally. If more than 1 year passes, assisted reproduction should be considered.
  
  Good luck!
  
  Regards
  Finn
  
  SVAR
Katrine March 30, 2021

Hi, I just got some blood test results and I'm a little worried, especially about the high FSH. I'm 35 and have endometriosis. What would you say the chances are of getting pregnant naturally? Am I short on time? Should I try IVF? I've been trying for 6 months without success.

tsh: 0,26
t4: 17,5
fsh: 10
lh: 4
Estradiol: 0,17
am: 24

1 answer SVAR
- Terje Sordal Jun 30, 2021
  
  Hello Katrine
  
  Don't be worried about the test results. Your FSH is still within the normal range. You have good AMH and thus good egg reserve. At your age and based on the test results, I expect that you have a completely normal chance of getting pregnant naturally. If it takes longer than 12 months, your partner should check the sperm quality and you should have your uterine cavity and fallopian tubes checked.
  
  SVAR
Floor March 02, 2021

Hey!
I am 34 years old, turning 35 in November. I have a 4-year-old daughter from before who was conceived on the first try. I have measured the value of AHM 14. I went for a gynecological examination and he saw 5-6 follicles on each side (right after ovulation). I am single and worried about not being able to have more children. Is my AHM value okay? Do I need to be worried about having a bad period?

1 answer SVAR
- Terje Sordal July 09, 2021
  
  Hi Pie! Sorry for the late reply.
  
  As I see it, your AMH is reasonably normal for your age and should not be a cause for concern.
  
  SVAR
Cathrine October 16, 2020

Hello.
I looked through the comments here, but didn't find any values that were the same as mine, so here's a new question.
The man (37 years old) has examined himself where the answer was poor swimmers: percentage- moving 17, fast moving 13, fast progressive moving 8, normal appearance 4.
I (33 years old) have also had an ultrasound and hormone tests, the ultrasound was good, I could see the egg, and my cervix was 1cm after repeated conizations.
Hormone tests taken on cycle day 2:
S-fsh: 17.
S-lh:11.
S-prolactin: 262.
S-estradiol-17/beta: 0,24.
S-tsh: 1,0.
Free t4: 16,0.
Amh is not measured, I don't know why.

What will this mean for my/our chances of having children naturally vs. IVF/ICSI?

Other info: have cycles between 26-30 days.
Positive electrical tests usually last for 3 full days before becoming negative again.
The electrocardiogram usually becomes positive around day 12, but has varied all the way down to day 10 and day 14.
Bleeding usually occurs 14-15 days after the last positive pregnancy test.

Would greatly appreciate expert feedback on these results.

1 answer SVAR
- Terje Sordal Jun 30, 2021
  
  Hello Catherine
  
  Sorry for the very late reply. Your tests don't look very good. You have elevated FSH and LH even with a moderate estradiol value. It is probably this LH that is affecting your ovulation tests.
  The partner's sperm sample was not good either, with such reduced motility. You don't say anything about the sperm count. The cervix is extremely short and may turn out to open too early.
  All in all, it doesn't look good and you should consider carefully whether you should perhaps put this project aside.
  
  SVAR
Agnes September 26, 2020

Hello everyone.

I'm simply wondering how long sperm cells normally live inside a woman? Simple Google searches show that they CAN live up to 3-5 days, but what about the average Ola Nordmann? Does that hold true? Have intercourse every other day during the ovulation period, or is it possible that my husband's sperm cells don't live for a full 48 hours? We have two children who were both easily conceived, and by that I mean we had sex every day. We have now been trying for 7 months with the help of an ovulation injection, which the gynecologist administers when one or a maximum of two follicles are about 17 mm (is this too small? How big should a follicle be when you insert Ovitrelle?). We have had sex every other day according to instructions from the gynecologist. Often this has happened on the day I administer Ovitrelle and then two days later, so not the actual day of ovulation. Is this more unfortunate than lucky? This time I experienced inserting Ovitrelle at 10 am on a Wednesday. We had intercourse on Wednesday at 08 am, Thursday at 08 am and then no more, because my husband had to travel. I had strong cramps in my ovaries and discomfort for several hours on Friday between 10 am and 19 pm. Can ovulation occur later than 24-48 hours as the package insert "promises"? In that case, we may have had intercourse too early several times during this trial period. I am otherwise healthy, have good blood tests, a good endometrium when ovulation is expected, AHM of 20 and everything is great at the gynecological examination. We are both 35 years old. One last question: I see several people asking about coffee: Is it true that 1-2 cups of coffee a day can prevent pregnancy, or does it really have nothing to do with it?

1 answer SVAR
- Terje Sordal Jun 30, 2021
  
  Hi Agnes
  
  Sorry for the very late reply, I hope you have managed to do it in the meantime.
  Sperm cells can probably live for 3-5 days, at least some of them.
  So, having intercourse every other day should be enough, assuming fairly normal sperm quality.
  The ovulation spray at 17 mm is good. Ovulation about 36 hours later.
  A few cups of coffee probably won't hurt, but there are many people here who think they know best.
  I've heard that up to 5 cups of coffee a day is okay.
  
  SVAR
Janice July 04, 2020

Hey!
I'm really scared and stressed now..I'm 29 years old, have two children already (4 and 8 years old). I've been trying with number 3 for almost 6 cycles. I thought something was wrong (maybe I feel like it's true now)..my husband had normal sperm.
Took blood tests on day 3:
Fsh: 10
Estradiol: 0,22

Also took about 3-4 days after ovulation:
Fsh: 8
Estradiol: 0.53.

Apparently also has an AMH of 7.8.

I've read up on it thoroughly now, and I'm afraid my FSH is too high if I had measured it on day 1 when it was below 0,10. Is all hope lost for us? I've cried a lot and had anxiety :( I was thinking of taking another blood test when the holidays are over to check on day 1.

2 answer SVAR
- Janice July 06, 2020
  
  Also had a TSH of 3.1 and not so high vitamin D (57) if that matters :) Did you hear that a TSH over 2 could make it harder to get pregnant?
  
  SVAR
- Find Tysland Johnsen July 31, 2020
  
  Hey!
  
  Sorry for the late reply, the summer holidays have to take some of the blame. First, all hope is certainly not lost for you. You have an AMH value (measure of egg reserves) that is in the lower normal range for your age group. The FSH value is borderline high. A TSH of 3,1 is also a little above what we recommend for women who want to have children. As you write, we want this down to 2.0. I would recommend that you contact a fertility clinic or a gynecologist with experience in fertility for further investigation / planning.
  
  Good luck!
  
  1 answer SVAR
  - Janice Aug 11, 2020
    
    Hi again, and thanks for the reply!
    Took another blood test on day 1 over two cycles. First was fsh 12.5 and Estradiol 0.15, time number 2 was fsh 11 and Estradiol 0.15. Have positive ovulation tests. Going to see you this week on day 9 of the cycle to see with an ultrasound. Can I possibly get pregnant spontaneously with an fsh of 11? I've cut out chocolate, coffee and red meat just to see a period now. It's probably positive that it was now 11? And if I have 3 in TSH, can that cause the fsh to rise as well? Or no connection? Why should the TSH even be around 2? :)
    
    1 answer SVAR
    - Find Tysland Johnsen Aug 19, 2020
      
      Hello again!
      
      You can definitely get pregnant spontaneously with an FSH of 11. It will be exciting to see what the ultrasound finds!
      
      Regards
      Finn
      
      2 answer SVAR
      - Janice September 03, 2020
        
        Hello again!
        On ultrasound, the gynecologist could see that the follicle was large and that ovulation would occur just a few days later. Ovulation was confirmed with a blood test on day 21. But I took FSH and Estradiol again on day 1 when I got my period.
        
        Now FSH was 14 and Estradiol 0.16. So, what's going on? Got a comment back from the person who checked the blood tests about ovarian failure?
        All other blood tests are normal in terms of hormones, TSH is around 3- but normal said the gynecologist. Otherwise, everything is normal and my period hasn't changed in recent years either. Can fsh rise with stress? For me, I constantly have a lot of anxiety in my body, and have for almost 9 years. I have severe panic attacks/health anxiety. Can fsh vary a lot and suddenly become normal?
        I'm just so scared and upset.
        
        1 answer SVAR
        
        Janice September 10, 2020
        
        Took another blood test two days later. Then Estradiol was 0.15 and FSH 9 (day 4). Those are completely normal values, so I don't understand much. I'm thinking of trying to get pregnant on my own for a little longer, and we'll see. But isn't it positive that FSH was suddenly 9 instead of 14?
        
        1 answer SVAR
        
        Find Tysland Johnsen September 14, 2020
        
        Hello again!
        
        FSH of 9 on estradiol 0,15 is, as you say, a completely normal value. Do you know if an AMH (egg reserve test) has been taken?
        
        Regards
        Finn
        
        1 answer SVAR
        
        Janice September 15, 2020
        
        Yes. It's almost 10. A little low, but it's eggs now :)
        
        SVAR
      - Tone September 11, 2020
        
        Hey!
        
        I am 35 years old, and I am wondering about something in connection with fertility testing and egg retrieval. I have had my uterus removed due to adenomyosis, and have been without a uterus for 2 years. Before this, I had regular periods and ovulation (30-day cycles) for 20 years, and I also feel that I see the same signs of ovulation and PMS symptoms as before. When I take hormone tests, it is a bit uncertain whether I will hit the right cycle day, since I no longer have bleeding. What should I do?
        
        1 answer SVAR
        
        Find Tysland Johnsen September 14, 2020
        
        Hey!
        
        As you say, it is not easy to know exactly where you are in your cycle since you do not have bleeding to base your decision on. I would suggest that you have an ultrasound of your ovaries, but from this you can get a good indication of where you are in your cycle, as well as assess your egg reserves. You can then take blood tests based on this. Alternatively, you just take blood tests "completely randomly", and then you can possibly repeat them if necessary.
        
        Regards
        Finn
        
        1 answer SVAR
        
        Tone September 23, 2020
        
        Thanks for reply!
        
        I got these values on the day I think is the start of my cycle:
        
        AMH: 15
        TSH: 0,19
        FSH: 4,5
        Contact: 3,1
        Prolactin: 375
        Progesterone: 4,4
        
        Can you say something based on this?
        
        1 answer SVAR
        
        Find Tysland Johnsen October 07, 2020
        
        Hey!
        
        These tests may be consistent with what we see just before a new period. I would also like to have the estradiol value. Wasn't that taken?
        
        Regards
        Finn
        
        1 answer SVAR
        
        Tone October 10, 2020
        
        Hello! The estradiol value was 0,19. Does that tell you anything? The TSH was 1,7.
        
        1 answer SVAR
        
        Tone October 10, 2020
        
        Hi, again! I'm also wondering the following: With a short protocol, you start with a long-acting injection or daily injections on days 1-3, if I understand correctly. If you get the cycle day wrong, and for example you start with injections too early/before cycle day 1, how will this affect the process/growth of follicles? Is it critical?
        
        1 answer SVAR
        
        Find Tysland Johnsen October 22, 2020
        
        Hey!
        
        Follicle growth will probably go well regardless, but there is a risk that the development of the uterine lining (endometrium) is not synchronized with follicle growth, and that it may therefore be recommended to freeze the embryos on day 5 (total freezing) after egg retrieval and instead plan to transfer the embryos in a later cycle (Freezing cycle).
        
        Regards
        Finn
        
        SVAR
Ingrid Jun 12, 2020

Hey!
I am 32 years old and have no children. I have had three abortions before, but the last time I was 23. I have not actively tried to have children, but have had unprotected sex for a year. After the last abortion I have had a hormonal IUD which I took out a little over a year ago.
I have a 28 day cycle +/- 2 days.
I had a blood test on day 5 of my new cycle.
P-FSH: 6.3
P-LH: 6.1
β-Estradiol: 0.18
P-AMH: 18

Since I've noticed that several acquaintances are struggling to have children, I've wanted to check it out myself to see how I fare.

1 answer SVAR
- Find Tysland Johnsen Jun 15, 2020
  
  Hey!
  
  You have completely normal blood tests with normal ovarian function and normal egg reserve. If you are trying to get pregnant, you should contact a fertility clinic for further evaluation.
  
  Regards
  Finn
  
  SVAR
Ingeborg May 25, 2020

Hey!

I have a body that does not have functioning ovulation either on its own or with pergotime/letrozole. I have two children and both were conceived through low-dose stimulation with Menopur. My first child came on the second try and my second child came on the first try, then with two mature eggs in each try. I was 27 and 32 years old when they were born. Now I am almost 35 and have tried for a third child for 4 cycles with the same regimen, without result. Two mature follicles each time and ovulation is successful (checked with ultrasound last round). AMH is 30 and the remaining blood tests are fine, including FSH which is not elevated (can't remember the exact result, just that the gynecologist thinks it looks great). New since the last pregnancy is that I am taking Lamictal, 400 mg. It has been clarified that this will not be problematic during a pregnancy. But, can the medication impair fertility? Is it the one that is probably making it take time this time? I'm also wondering what you practice in terms of restrictions around caffeine during a trial process? I read online that several people avoid caffeine completely during the stimulation period and the time after ovulation (preferably those who are doing IVF and who are taking similar egg maturation medications like me). I see many people think that 1-2 cups of coffee a day is not important and since I cut my coffee, I stick to a good cup of coffee a day. But if this prolongs the trial process in any way, I obviously want to give up coffee. Otherwise, I eat healthy, have a BMI of 19 and am in good general health.

1 answer SVAR
- Find Tysland Johnsen May 27, 2020
  
  Hey!
  
  I am not aware of any negative effects of Lamictal on fertility. We also do not advise on restrictions regarding normal caffeine use. You write that you have now had 4 rounds of low-dose stimulation without achieving pregnancy. We consider this to be well within the normal range - even if you got pregnant more quickly the previous times. My advice is to just continue for a few more cycles!
  
  Good luck!
  
  1 answer SVAR
  - Ingeborg Jun 12, 2020
    
    Thank you very much for your good answer.
    
    Now I have tested negative again, after ovulation with three eggs, respectively 22, 20 and 18 mm the day before Ovitrelle was inserted. I had intercourse the evenings before Ovitrelle, 12 and 36 hours after Ovitrelle. My uterine lining was as it usually is, thick and satisfactory. This was the fourth round of low-dose stimulation, I had the first round in January and had a break in March due to a cyst, and then went on Progynova for a cycle. My gynecologist is scratching her head that I am not pregnant yet, I have had 2-3 follicles in each ovulation each time. I have been given between 112-150 IU of Menopur each round. The reason why I do not ovulate on my own has been identified as a side effect of anorexia from the age of 12-19. I know I have low LH and Menopur is therefore the right medicine for me. I got pregnant with this method the first and second time I tried in 2017, the first I lost in week 5, the next resulted in a healthy child born at term. I got pregnant with my first child ten years ago without any form of stimulation. The next one I had to have Pergotime to get pregnant, it took four cycles. Since the first child I have not ovulated on my own, and the double dose of Pergotime did not work when I was going to have child no. 3, so Menopur had to be used.
    
    The question is: Should I take a break now for a couple of months before trying again, or is it pointless to "start" right away again? I will have one more round before the summer holidays, where there will be a break month anyway. However, this is demanding in the long run, mostly financially and mentally, I tolerate the medications very well. I am otherwise healthy, have a healthy diet, hardly drink alcohol, am active, etc. Age is an obvious reason for the failure to conceive, I will be 35 in a few months. My husband is the same age.
    
    Correction: AMH was measured on December 23, 2019, and 52 in April 2017.
    
    What other measures can I take? I've been reading online and seeing that some people swear by a low-carb diet as this is supposed to provide optimal egg quality, that you should stay away from even a cup of coffee during the entire stimulation phase because caffeine ruins the odds of success, etc. I eat little sugar as it is, but I eat potatoes for dinner and drink a good cup of coffee every morning (no more).
    
    I'm also wondering when ovulation occurs after Ovitrelle? It's estimated to be 24-48 hours after the injection. I see that those who are undergoing IVF treatment and those who are inseminated don't retrieve their eggs/are inseminated until after 36 hours. Why is there no chance that their follicles will release before this?
    
    This got long, sorry!
    
    1 answer SVAR
    - Find Tysland Johnsen Jun 15, 2020
      
      Hey!
      
      There is no medical reason to take a break between stimulations. However, I am a little skeptical that your gynecologist chooses to let you insert Ovitrelle at 3 mature follicles. A common "rule" is that you should break the cycle (no intercourse) if more than two mature follicles. The reason is of course the risk of twins, and in the worst case, triplets.
      
      I don't think you should focus too much on diets / caffeine intake, etc. If you have a reasonable normal diet, it is preferable. In connection with IVF treatment, it is correct that Ovitrelle is given 35,5 - 36 hours before egg retrieval. Then you are either down-regulated, or have used an antagonist that blocks the ovulation signal until you give Ovitrelle. Nevertheless, it can happen that the woman has ovulated before egg retrieval, but fortunately this is rare.
      
      Please contact one of our clinics if you would like more information.
      
      Regards
      Finn
      
      SVAR
anne March 30, 2020

Hey,

We have been through a test tube experiment. Short Protocol. The reason we were first referred was that my husband has sterilized himself and then refertilized again 6-7 years later. He has had two children in a previous relationship. But he has low quality after this refertilization. about 2 million sperm cells.. But they found some they could use for fertilization during our ICSI treatment last..
I don't have any, but I've been pregnant twice before but lost once and chose to have an abortion the second time because I was very young. But when we went for a consultation, the doctor said that I have a slightly low amh.
But I'm sending my results here so you can interpret them for me because I have a few questions. ;-)
Samples are taken on day 2 or 3 of the cycle.
Estradiol: 0,12.
FSH: 6,3
SLH: 5,6
Prolactin: 618* (this one she said was slightly elevated)
Testosterone: 1,2
AMH: 8
SHBG: 49

As mentioned, we have been through a test tube experiment where I only got two eggs out. The other egg sacs were empty.. I had 7 in total. I went on Rekovelle 12, Fyremadel and finally Ovitrelle as an ovulation injection. Unfortunately, I didn't get any conception because one egg was empty and the one that was fertilized died or didn't develop into a blastocyst. (They wanted to culture to a blastocyst because it was the weekend and my clinic doesn't open on weekends...
Next time they want to put me on Menopur and Fyremadel. I'm not sure which is best for me.

Thanks for the answer :-)

2 answer SVAR
- Find Tysland Johnsen March 31, 2020
  
  Hey!
  
  You don't say anything about your age. The AMH value naturally decreases with increasing age, so the value must always be evaluated against your age group. Your other tests are normal. Menopur at the next attempt sounds like a good plan. Based on your history, I would probably go with 300 IU. A higher dose than this is unnecessary and will not lead to more eggs, only increased medication costs.
  
  Good luck!
  
  1 answer SVAR
  - N April 12, 2020
    
    Hey!
    
    I am 28 years old and stopped taking birth control on January 22nd. On February 18th I went to the doctor and had blood tests which showed that my ovaries were still suppressed as a result of the birth control. On March 18th I went to the gynecologist and she could see on ultrasound that I had a follicular cyst measuring 18x17mm. I have not yet had my cycle back, but I am wondering what this means? Are my ovaries less suppressed and is it starting to look like I will ovulate soon?
    
    1 answer SVAR
    - Find Tysland Johnsen April 13, 2020
      
      Hey!
      
      A follicle of 18 mm is usually consistent with a mature egg sac, i.e. just before ovulation. If that was what was seen on the ultrasound on March 18th, you should have had your period by now. Have you checked if you are pregnant, i.e. taken a pregnancy test? If you have done this and it was negative, I would have taken another test after a few days/1 week.
      
      Regards
      Finn
      
      1 answer SVAR
      - N April 13, 2020
        
        Haven't taken a test, but had a tiny bit of bleeding about a week ago. Came a little in the morning two days in a row. This looked very "watered down". I'll take a test and see. Thanks for the answer, I really hope my cycle is coming back anyway.
        
        SVAR
- Alex April 18, 2020
  
  Hey,
  
  I would greatly appreciate feedback.
  I am 32 years old, trying to get pregnant with the following:
  
  FSH -7
  TSH-1,8
  LH-4
  Estrogen -0,32 (it's always been high for a year, changed diet, taken some supplements, but is still high - wondering if this is very high for cycle day 4?
  
  Progesterone after ovulation -20
  SHBG -147 (always high, it worries me a bit)
  Prolactin -170
  Testosterone-0,9 (a little low??)
  
  I've also been given vaginal estrogen cream by the gynecologist, but I already have a lot of estrogen in my body! And I read that it's not good to take if you want to get pregnant. So I'm confused.
  
  Could you tell me what you think about these?
  High estrogen, high SHBG, don't know AMH
  
  Thank you ☺️
  
  1 answer SVAR
  - Find Tysland Johnsen April 27, 2020
    
    Hey!
    
    You do not write how long you have been trying to get pregnant. To get the best overview of your hormone status, it is advisable to have blood tests at the beginning of a cycle (cycle day 1-3). If you want even more overview, you can take repeated tests throughout a cycle (cycle day 1-3, cycle day 10, cycle day 20 and cycle day 24). Your blood tests do not worry me in any way, but please repeat them as mentioned above. Please contact one of our clinics for this. Vaginal estrogen is rarely necessary in women with regular cycles, but is probably of little importance in the case of pregnancy.
    
    Regards
    Finn
    
    SVAR
girlygirl42 Jan 18, 2020

Hi! I'm approaching 42 years old, no children from before. Ultrasound has shown nice egg sacs, everything looks very good there said the gynecologist (was 1 week after my period, 1 week before ovulation, 5 sacs on one side and 3 on the other). My blood test values (taken day 2 of menstruation) are: amh: 11, fsh: 8, estradiol: 0,15, Lh: 4, Tsh: 1,4, free t4: 14,8, anti-tpo: <34, prolactin: 154. I usually get my period on the day 4 weeks after the last one, but it can vary by a day or two. What do my values look like for my age, do I have a good chance of getting pregnant?

3 answer SVAR
- Find Tysland Johnsen Jan 21, 2020
  
  Hey!
  
  Your blood test results are fine for your age group with normal ovarian function and good egg reserve. Your biggest challenge in terms of fertility is your age as you now have a high proportion of genetically abnormal eggs. You should therefore not postpone having children any longer, and also consider assisted reproduction if you have been trying to get pregnant for a while. Please contact one of our clinics for further investigation and discussion.
  
  SVAR
- Purple February 26, 2020
  
  Hi, I'm 42 years old, no children before. Recently got test results (taken on the 4th day of my cycle) with FSH of 30(!?). Otherwise regular menstruation with occasional heavy bleeding outside of the cycle a couple of times every year (or every other year) that started when I was 25. I've never received a clear explanation for the etiology of the episodes, they probably have to do with diagnosed but untreated ovarian cysts and several small myomas in the uterus).
  
  The rest of the results of the last blood test are as follows:
  
  S-CA 125 24
  S-TSH 2,1
  S-FSH 30 *
  S-LH 9
  S-Prolactin 172
  S-Estradiol-17beta 0,08
  S-Progesterone 3
  S-Testosterone 0,7
  
  Do these values clearly point to the onset of menopause (regardless of the fact that there is no amenorrhea)?
  Is it a good idea to repeat the blood tests to confirm the results (I was treated with Primolut due to bleeding outside of my cycle the month before the results were taken)?
  And last but not least, if these are real values and ovarian function is so severely impaired, is there any chance of success with assisted fertilization or is it best to consider adoption?
  
  2 answer SVAR
  - Find Tysland Johnsen March 01, 2020
    
    Hey!
    
    Your blood tests clearly show failing ovarian function with a basal FSH of 30. Based on this, there will be no chance of success with assisted fertilization using your own eggs. Your best chances of having children will be through egg donation, or adoption as you yourself mention.
    
    Regards
    Finn
    
    SVAR
  - IS March 09, 2020
    
    Hey!
    I am 35 years old, had an ovary removed due to a large ovarian cyst in 2018. I find that my cycle is about two days shorter than before, and that I bleed somewhat less. What could that mean? Pretty sure that I ovulate almost every month. In the fall, I had my AMH measured at 13. Samples taken recently on cycle day 2 showed: FSH 6,42 LH 4, estradiol 0,13 (can't remember progesterone and prolactin but think they were normal)
    What would you say about my fertility? Does having only one ovary matter much?
    
    1 answer SVAR
    - Find Tysland Johnsen March 12, 2020
      
      Hey!
      
      If you have a regular cycle, you also have regular ovulation. AMH of 13 is a good value for your age group, other tests are also fine. (Progesterone on cycle day 2 is completely irrelevant, only rises after ovulation). You have good fertility - even with one ovary!
      
      Regards
      Finn
      
      SVAR
- City November 23, 2020
  
  Hello!
  I am 38 years old and want a last man in the pack. I don't know AMH yet, but I have received answers to the rest so far. The blood tests were taken on cycle day 3.
  
  TSH - 2.1
  
  Free T4 - 16.8
  
  FSH - 6
  
  LH - 7
  
  Prolactin - 299
  
  Estradiol - 0.16
  
  Are these values within the normal range at my age, or will it be very difficult to achieve my goal?
  
  Kind regards, Linn
  
  3 answer SVAR
  - Linn Løvaas Wiken Dec 04, 2020
    
    I have now had my AMH - it is 53.
    
    SVAR
  - Find Tysland Johnsen Jan 10, 2021
    
    Hey!
    
    Sorry for the late reply. The blood tests available here are normal, and thus it should definitely be possible to have a last man in the pack!
    
    Good luck!
    
    SVAR
  - Terje Sordal Jun 30, 2021
    
    Hi Linn
    
    Sorry for the very late reply. The test results are normal. Hope you got a normal AMH too.
    
    SVAR
Lykke Dec 01, 2019

Hey,

I took some blood tests on day 3 of my cycle and was told that my amh is very low, but that the other tests were fine. But I think my fsh is also high?? We are waiting for the results. We already have one child, but have been trying for a year for number 1. Is there hope?

Amh 2, P-TSH:1,31, P-LH:5,6, P-Estradiol:0,10 P-FSH:16,84

Regards
Lykke

3 answer SVAR
- Lykke Dec 01, 2019
  
  Forgot to write that I am 32 years old and healthy.
  
  1 answer SVAR
  - Find Tysland Johnsen Dec 01, 2019
    
    See below
    
    1 answer SVAR
    - Sandra Dec 17, 2019
      
      Hi :) I took a blood test on day 2 of my cycle. 32 years old. Fsh is 8 but estradiol is 0,24. I read that you can't assess ovarian function if it's over 20. The blood test result says that the reference is 0,07 to 0,53 in the follicular phase, so I was confused. Can you help me understand this?
      
      1 answer SVAR
      - Find Tysland Johnsen Dec 22, 2019
        
        Hey!
        
        The estradiol value gradually rises in the follicular phase, i.e. in the period from the first day of menstruation until ovulation. The highest value is just before ovulation. The reference value is therefore so high, because one must know when in the cycle the sample was taken. Follicle growth (maturation of the egg sac) is stimulated by FSH. Estradiol has an inhibitory effect on FSH, i.e. as the estradiol value rises, FSH will gradually decrease. Estradiol of 0,24 with simultaneous FSH 8 indicates normal ovarian function in my eyes.
        
        1 answer SVAR
        
        Sandra Aug 08, 2020
        
        Hi! How long does it take to get an answer, oh my? I've gotten answers to the others but I understand that it will take longer with this one.
        
        1 answer SVAR
        
        Find Tysland Johnsen Aug 19, 2020
        
        Hey!
        
        The AMH analysis is probably run a little less frequently at the various laboratories - that is probably the reason why it takes a little longer before the answer comes.
        
        Regards
        Finn
        
        SVAR
- Find Tysland Johnsen Dec 01, 2019
  
  Hey!
  
  AMH of 2 is, as you say, low in your age group. FSH of 16 on adequately low estradiol is also somewhat elevated as a sign of incipient reduced ovarian function. Curious that you have started the process of investigation for assisted fertilization. There is certainly hope!!
  
  Good luck!
  
  SVAR
- Anna Jan 08, 2020
  
  Hey,
  
  Are you able to comment on my test results (from day 3 of my period)?
  FSH 10,4, LH 4,6, Prolactin 309, Estradiol 0,20, Progesterone <1,5, Testosterone 1,3, SHBG 137, AMH 24. By the way, I was surprised by AMH as it is higher than when measured in 2018 (19) and 2017 (21). SHBG has been high in all measurements in recent years and I don't know what the reason is. I also have a low metabolism (using Levaxin and the latest values are TSh 0,73, T4 15, T3 3,5 and Anti-TPO 131) and I get iron supplements since the iron stores were empty at the last measurement. I am 42 years old and understand that my age is a challenge in terms of pregnancy. I had an early miscarriage in 2012 (after which I had surgery to remove polyps from my uterus) and 2016. My husband and I have been trying to get pregnant for many years, and he has now been diagnosed with low sperm quality (low motility). What would you recommend we do?
  
  1 answer SVAR
  - Find Tysland Johnsen Jan 09, 2020
    
    Hey!
    
    Your age alone, as well as the findings from the semen analysis, indicate that you should now proceed with assisted fertilization. You have a good egg reserve for your age group. Please contact one of our clinics, and we will start the investigation quickly.
    
    1 answer SVAR
    - Deyana D February 04, 2020
      
      Hi. I took a blood test on cycle day 25. I was told by the doctor that everything is normal. But I don't understand any of this. Is it possible for me to get pregnant? I'm 33 years old.
      P-TSH 0.24
      P-T4, free 16.0
      P-FSH 4
      follicular phase
      P-LH 4
      follicular phase
      P-Prolactin 495
      P-Estradiol 0.86
      follicular phase
      P-Progesterone 41
      next phase15
      P-Testosterone 1.3
      P-Sex hormone binding globulin (SHBG) 94
      P-hCG+ beta chains <5
      
      1 answer SVAR
      - Find Tysland Johnsen February 06, 2020
        
        Hey!
        
        Blood tests taken on day 25 of the cycle are usually taken just to check if you have ovulated, which we see you have (Progesterone at 41). That is a good starting point for getting pregnant! The other tests are also normal, considering when they were taken during the cycle. To get the best overview of ovarian function and quality, it is best to take blood tests at the beginning of a cycle, days 1-3. If you are unsure about your fertility, I recommend that you contact a gynecologist or a clinic that specializes in this, so you can get a lot of clarification. Good luck!
        
        SVAR
C November 11, 2019

Hi! I recently had my fertility tested. My blood test results from day 2 of my cycle show:
FSH: 6,5
Contact: 5,7
Estradiol: 116
AMH: 11,1

I am 29 years old, healthy, regular periods. What do you think the chances are of getting pregnant spontaneously? Is there anything "natural" I can do to increase the chances? Thank you very much for your answer!

1 answer SVAR
- Find Tysland Johnsen November 11, 2019
  
  Hey!
  
  You present completely normal blood tests, you have a regular cycle and a favorable age for fertility. Based on this, you should have a good chance of becoming pregnant spontaneously, provided that the examination has not shown anything else.
  
  Good luck!
  
  1 answer SVAR
  - C Dec 03, 2019
    
    I'm taking naproxen at the start of the week, the first day of my period due to relatively severe menstrual pain. I feel dependent on these two tablets to get through this day of my cycle. I've read that it's harmful and can make it difficult to get pregnant? Is this true, and what should I do? Can using naproxen already cause damage so that it's difficult to get pregnant?
    
    1 answer SVAR
    - Find Tysland Johnsen Dec 08, 2019
      
      Hey!
      
      Naproxen (NSAIDs) for use in menstrual pain is completely safe and does not affect fertility in any way! You can therefore continue to use this if necessary.
      
      SVAR
Kaia October 29, 2019

Hi. I'm 40 years old and have a slightly variable cycle, around 33-35 days. I already have one child, I want another. I used an ovulation test during my last cycle to check if I had ovulated. I got 3 positive tests in a row, negative tests beforehand, and 2 days after the 3 positive ones, so I interpret that as meaning I had ovulated, but maybe it's not 100% certain?. I had the first day of my last period on October 3. I got a positive test on October 21, 22 and 23. On October 24 the test was negative, so it turned out to be a 35-day cycle. I took a blood test on October 24 and now I have the result that I need help interpreting. What needs to be mentioned here is that the blood test was either taken right before ovulation, or while it was happening, or right after, so it might be good to know when to interpret the blood test, I guess, but maybe it makes it a little difficult? As I said, I got a positive ovulation test on October 23rd during the day and a negative one on October 24th during the day, so ovulation must have occurred sometime between the two times. The blood test was taken on the morning of October 24th. The result is as follows:
S-TSH 1,3
S-Free T4 15,5
S-Free T3 6,4
S-FSH 4
S-LH 11
S-Prolactin 192
S-Estradiol-17beta 0,35
S-Progesterone 7
S-SHBG 149

Estradiol is higher than the ref value, what does that indicate? The same applies to SHBG. Shouldn't Progesterone be higher? Do I have a good chance of getting pregnant? I've had an ultrasound and everything looked fine, they said there are many egg sacs. But I'm wondering if the progesterone is too low?

1 answer SVAR
- Find Tysland Johnsen November 05, 2019
  
  Hey!
  
  Sorry for the late reply. The blood tests immediately match best with the last part of the luteal phase, i.e. a while after ovulation when progesterone is on the way down, and estradiol is also on the way down after being around 1,0 at mature follicle/ovulation. This does not quite match the ovulation tests that you took yourself. To clarify your cycle better, it may therefore be of value to follow it more closely throughout a cycle, preferably by a gynecologist who can take an ultrasound - e.g. right before expected ovulation - to see if you can then see a stimulated endometrium, as well as a mature egg sac on one of the ovaries. Alternatively, or in addition, you can be followed with blood tests taken on cycle days 1, 10, 20 and 24 to follow the hormonal development and variation in the cycle. Please contact one of our clinics if desired.
  
  2 answer SVAR
  - Kaia November 08, 2019
    
    Hi, and thanks for the answer. =) So if I understand correctly, the progesterone should have been higher considering that the cycle was around ovulation? Is it true that the progesterone should continue to increase after ovulation and reach a peak about a week after? When you say blood tests, do you mean all the test results or were you thinking mostly of SHBG, estradiol and progesterone?
    
    1 answer SVAR
    - Find Tysland Johnsen November 10, 2019
      
      Hello again!
      
      As I said, I would have expected somewhat higher progesterone and estradiol if the sample was taken shortly after ovulation. The blood samples that should be taken throughout a cycle are: Day 1: FSH, LH, estradiol. Day 10: FSH, LH and estradiol. Day 20: FSH, LH, estradiol and progesterone. Day 24: FSH, LH, estradiol and progesterone (+possibly day 30 since you tend to have a long cycle: FSH, LH, estradiol and progesterone)
      
      SVAR
  - Merete November 14, 2019
    
    Hi, I'm writing a reply here because I couldn't figure out how to create my own post. My girlfriend and I are currently undergoing IVF treatment, after my gynecologist (unfortunately, I think now) waited a bit too long to refer us to public IVF treatment, which meant we had to wait in line for a very long time. We've had one failed attempt and are now starting the next one. I'm turning 39 soon, have an AMH of 8 and FSH of 6,3 (taken last year). What worries me is that I have few antral follicles - the doctor has never seen more than 6-8 in total. This may have something to do with the fact that an endometrioma was also discovered on the left ovary, and on this ovary there have never been more than one or two follicles, while there are 5-7 on the other. I've had a laparoscopy where no endometriosis tissue was discovered elsewhere. I'm unsure to what extent the number of antral follicles is cause for concern, and whether we should perhaps seek out clinics abroad that use higher hormone doses, etc. On the first attempt, we only got four eggs out, two of which were fertilized, but the doctor was satisfied with the quality of the embryos. What do you think?
    
    In advance thank you.
    
    1 answer SVAR
    - Find Tysland Johnsen November 14, 2019
      
      Hey!
      
      First, your antral follicle count matches the AMH value - and that's how the situation is with you. There's nothing you can do to change this either. Furthermore, I see no reason why you should seek clinics abroad. They don't use higher doses than in Norway - as there is a maximum level for what will work. It has not been shown that doses higher than 300-350 IU produce more eggs, so a higher dose than this seems unnecessary. I don't know what dose you had in your experiment. In your case, I would stimulate with an antagonist protocol (short protocol) with FSH 300-350 IU from cycle day 1. Please contact one of our clinics for further assessment.
      
      SVAR
OH October 21, 2019

Hi! I have just been informed (by chance during GU and other reasons for blood tests) about the following: I have low AMH and should be further investigated for infertility). I was of course very surprised and worried, as I have not had time to try to get pregnant spontaneously, and have not thought of this as a problem. I took blood tests on cycle day 5, and got the following results:

AMH: 8,67
FSH: 6,8
Contact: 5

I am 29 years old, healthy and have regular periods. On the ultrasound, the gynecologist saw "many eggs", so she was surprised by the result. I did not experience getting good enough answers about this, and therefore hope you can give some answers here:) Thank you very much in advance for your help!

1 answer SVAR
- Find Tysland Johnsen October 22, 2019
  
  Hey!
  
  AMH of 8,67 is completely in the lower normal range for your age group. The other blood tests can best be assessed if you also have the estradiol value, but I would assume that these tests are normal. AMH is a quantitative measure of egg reserves. This hormone is produced by small antral follicles in the ovaries, so in other words, there is usually a good match between the AMH value and the number of antral follicles (AFC) seen by ultrasound. If I were you, I would contact a fertility clinic for an extended check - with another ultrasound and antral follicle count. Then, based on the findings, a reasonable plan can be made. If you do not want children right now, it may be a good idea to have another check-up including AMH in 1 year. Please contact one of our clinics if you would like further help with this.
  
  Good luck!
  
  1 answer SVAR
  - OH October 22, 2019
    
    Thank you very much for your answer! Estradiol seems to be over 200? Could this be correct? As I said, it was taken on cycle day 5.
    Do you think there is a chance of getting pregnant spontaneously, naturally within a year?
    Thanks again!
    
    1 answer SVAR
    - Find Tysland Johnsen October 27, 2019
      
      Hello again!
      
      Estradiol of 200 is a normal value on day 5, and fits well with the rest of the tests as well. I definitely think you have a chance of getting pregnant spontaneously on your own!
      
      1 answer SVAR
      - Anette Jun 29, 2020
        
        Hey!
        After 6 months of trying, I had blood tests at the gynecologist on cycle day 2.
        AMH: 6
        FSH and LH: elevated (didn't get exact numbers)
        Estradiol: Normal (didn't get exact number)
        
        I have regular ovulation and menstruation. On ultrasound 3 times in 2 years, they have observed many eggs. I was told that I have premature ovarian failure/early menopause. I just turned 27. I was immediately referred to IVF. I had an interview in November.
        
        What do you think about the results? What are the chances of getting pregnant myself? Does it take a very long time? Is waiting until November too long or should we contact a private clinic? Is the probability of getting pregnant through IVF high with my results?
        
        I have received very little information about this and there is little to find online. Hope you can help. Thanks in advance :)
        
        1 answer SVAR
        
        Find Tysland Johnsen July 07, 2020
        
        Hey!
        
        AMH of 6 in your age group is a low value and probably also the reason why you were referred for further assessment for IVF. Unfortunately, I can't say anything about the other tests as the numerical value is missing. I think first and foremost that it is good that you are now thinking a step further for planning and possibly treatment. Whether they happen right over the summer or in November probably doesn't matter that much. Your chances of success are basically good! (but it would be easier to say something more specific if FSH and LH results had also been known).
        
        Good luck!
        
        SVAR
LINE October 19, 2019

Hi! I am 32 years old and have been trying to get pregnant for a year. My husband is 33 years old. My blood tests taken on day 3 of my period:
FSH 10
LH 6
Estradiol 0,14
AMH 35
Testosterone 1,5
SHBG 175
TSH 1,5
Free T4 18,4

Normal examination with ultrasound with contrast of the fallopian tubes.

His semen sample:
Volume 2 mL
Sperm concentration 80,7 million/mL
Motile sperm 34,9%
Prog motile sperm 31,6%
Total no. sperm 161,3 million
Viscosity 1
pH >7,4
Leukocyte concentration <1

Considered normal as the concentration is so high.

We are both healthy, normal weight and do not use any medication. Pregnant after 2 months of trying, but ended up in SA week 6. Diagnosed with unexplained infertility. Have now been to IVF at a public hospital (short regimen). Due to my high AMH, they started cautiously with Gonal-f. 112,5 on day 9. Then increased to 150 on day 12 after persuasion from me. The estradiol value on day 8 was 2,26, day 10 was 3,05 and day 12 was 4,61. So no signs of overstimulation. Only 6 eggs were retrieved, of which 2 were fertilized and divided perfectly. Implanted after 2 days. No pregnancy. Implanted frozen eggs (2-day old) which also did not result in pregnancy.

I don't think we received good follow-up during the trial and was met by 7 different doctors. No one had read the medical records beforehand. No one wanted to increase Gonal-f along the way. I think this is such a mentally stressful process, and I want to make sure it is experienced as well as possible. I now want to go private. How do you assess our trials in terms of success in the next trial? Thank you for your feedback.

2 answer SVAR
- Find Tysland Johnsen October 20, 2019
  
  Hey!
  
  I think you have a good chance of success with treatment! Now that you have also been through a trial, we must use the information from that trial to optimize new trials. I would consider the following in a new trial: antagonist protocol (short regimen) with FSH 150 IU from cycle day 2. This is to recruit more follicles early. Furthermore, I will grow all embryos until day 5 - the blastocyst stage - before resetting. Should it turn out that there are many mature follicles and many eggs at egg retrieval - and hence threatening overstimulation - measures can be taken to avoid this (triggering with agonist, as well as so-called total freezing of embryos, i.e. waiting to reset embryos for another cycle). Contact one of our clinics if you would like further information and help!
  
  SVAR
- LINE November 21, 2019
  
  Thank you very much for your answer. What do you think about the FSH value being in the upper normal range with estradiol of 0.14? Is it an expression of poor quality? Cycle length 26 days.
  
  1 answer SVAR
  - Find Tysland Johnsen November 24, 2019
    
    Hello again!
    
    I think FSH of 10 with simultaneous Ø2 0,14 is within normal limits - with good chances of success!
    
    SVAR
KN October 09, 2019

Hey

I am a 27 year old woman who has been trying to get pregnant for 2 years. Got pregnant very quickly the first time we tried, but lost in SA at week 6. Got pregnant again after 6 months after stimulation with clomid. Lost in MA at week 11. Have now been trying to get pregnant for over a year with stimulation with both letrozole and clomid, but nothing seems to work. Have taken these tests for 2 days in the cycle. Have always had regular periods, except for 4-5 months where my cycle lasts 7-8 weeks.

P-TSH 1,69 0,5-3,6 P-Progesterone 0,9 Cycle-dependent P-LH 6,0 Cycle-dependent P-Estradiol 0,11 Cycle-dependent P-FSH 5,96 Cycle-dependent P-Prolactin 282 110-562

1 answer SVAR
- Find Tysland Johnsen October 10, 2019
  
  Hey!
  
  The blood tests you provided are normal. I now think you should be evaluated for infertility, and assisted reproduction would probably be the most sensible way forward, either at a public or private clinic.
  
  SVAR
Laila September 16, 2019

Hey,
I have been diagnosed with PCOS based on abundant follicles on my ovaries and increased weight/hair growth. I will be using letrozole to stimulate my eggs. To get my period first, they will put me on birth control pills for a month. I am wondering about this because friends in the same situation are using Provera. Is it common to go on birth control pills all the way up to letrozole?

2 answer SVAR
- Find Tysland Johnsen September 17, 2019
  
  Hey!
  
  Using the pill 1 month before planned stimulation with Letrozole is certainly an unfamiliar regimen for me. Has your gynecologist suggested this? I usually use a progestin course (Provera 10 mg x 1 for 10 days or Primolut-N 5 mg for 10 days) to provoke bleeding first. However, this will only cause bleeding if the uterine lining (endometrium) is stimulated to a certain extent, usually at least 5 mm thick. In other words, it may be wise to go to a gynecologist who has ultrasound and is familiar with this type of treatment.
  
  SVAR
- The tweet September 26, 2019
  
  Hey,
  My partner and I have been "testers" for a little over a year now. I stopped taking (birth control pills) Cerazette in April'18, and since I stopped taking them I have had regular cycles of 26-28 days. In September'18 I started monitoring cycles and following ovulation by testing at home from day 9 of the cycle to day 16-17, with the exception of 2-3 times I have never received a positive answer on the tests that ovulation actually occurs. 2-3 of the times there have been very weak results. I am somewhat overweight, but otherwise active and in otherwise good physical health.
  I have now visited my GP to have blood tests done on day 5 of my cycle.
  But I have no idea what the blood test results mean, can you help?
  Name Answer
  S-TSH 4,8
  S-FSH 5
  S-LH 3
  S-Prolactin 237
  S-Estradiol-17beta 0,12
  
  1 answer SVAR
  - Find Tysland Johnsen September 26, 2019
    
    Hey!
    
    If you have a regular cycle, you also ovulate regularly, so testing with ovulation tests at home is actually unnecessary. The blood samples taken on cycle day 5 are completely normal, but there are some samples missing that we usually take - at least when it comes to fertility testing. You have now been trying for about 1 year to get pregnant. I therefore think you should consider visiting a fertility clinic for further testing of both of you to see if there is any particular reason why you have not succeeded yet. This also includes a semen sample from your husband. Good luck!
    
    SVAR
Maria Aug 06, 2019

Hi. I have a little dilemma. I am 34 years old and have an AMH of 5. At the same time, I have a BMI of 35. Should I go ahead with IVF quickly since my AMH is so low, or should I lose a little weight first? I am so afraid of running out of eggs, but at the same time, the chance of pregnancy is greater if I lose weight? AMH was 6 1,5 years ago. How quickly should I expect it to drop? What would you advise me to do? The reason we need treatment is that my partner has been sterilized.

1 answer SVAR
- Find Tysland Johnsen Aug 09, 2019
  
  Hey!
  
  AMH of 5 in your age group is a low value, and definitely something I think you should take into account. I think this will probably have more significance than your BMI. At the same time, we also know that sensible weight reduction can be difficult and take longer than we had imagined. I would therefore not postpone the start of treatment to any great extent.
  
  Good luck!
  
  SVAR
Sha Johansen July 19, 2019

Hey,
I have my blood test cd22
FSH: 4
S-Estradiol-17beta: 0,42
S-Progesterone: 46
S-hCG: <5

I was on letrozole with this cycle.
What does that mean?
Thank you very much,
S

1 answer SVAR
- Find Tysland Johnsen July 28, 2019
  
  Hey!
  
  The blood tests show that you have ovulated during this cycle, which is the goal of Letrozole stimulation.
  
  SVAR
Mia July 02, 2019

Hi. I just got the results of a hormone test, taken on day 43 of my cycle. I was told that Progesterone: 32,0.
I still haven't gotten my period, I'm now on day 47 of my cycle. Isn't this level way too high? I usually have 31 day cycles.

1 answer SVAR
- Find Tysland Johnsen July 02, 2019
  
  Hi Mia!
  
  Progesterone is a hormone that rises after ovulation has taken place. This phase is called the luteal phase and usually lasts 12-14 days. If the egg is not fertilized, the progesterone level will eventually fall rapidly, and you will get another period. If the egg is fertilized, there will be no drop in the progesterone level, and you will therefore not get another period. A value of 32 is completely normal and means either that you have recently ovulated (and thus have had a slightly abnormally long cycle) or that you are very early pregnant. If pregnancy is not a possibility, you can expect to get a period in 7-10 days.
  
  1 answer SVAR
  - Marianne July 16, 2019
    
    Hi. I am 42 years old and have an 8 year old daughter. I got pregnant on my first try at the time. I now have a new partner and we want to get pregnant. I had my IUD removed for 4 months. I have completely regular cycles. AMH is 19. FSH 8. Progesterone 33 on day 7 of my cycle. I have open fallopian tubes. I don't have pcos or endometriosis. What do you think about my chances of getting pregnant naturally? I have been trying since March. Thanks for the good answers here. /Marianne
    
    1 answer SVAR
    - Find Tysland Johnsen July 18, 2019
      
      Hey!
      
      You are now at an age where natural fertility is starting to become very low, and where it is also falling rapidly. This is mainly due to an increasing proportion of genetically abnormal eggs. Your egg reserve (AMH 19) is a good value for your age group. Are you sure the blood tests were taken on day 7? Progesterone of 33 indicates that you have recently ovulated, which rarely happens so early in the cycle.
      
      Due to your age, I would recommend that you do not wait too long to proceed with assisted reproduction, for example if you have not become pregnant after 6 months. Please contact one of our clinics for further check-ups, and possibly planning further measures.
      
      Good luck!
      
      1 answer SVAR
      - Marianne October 23, 2019
        
        Hi Finn! Thanks :) I have actually decided not to go the IVF route. It turned out that I had a couple of months without ovulation. I took clomiphene for a month and it started working. I did not get pregnant but I got several mature large eggs. I am now on my break month and got a positive el test. I have now checked blood tests, an ultrasound and had my fallopian tubes flushed. Everything looks good. I know the chances are small due to age, but are there other things I should check that I have forgotten? I choose to continue to have faith since all the tests look good! I would be happy to receive advice from you. And I am considering coming to you for more thorough follow-up. Do you recommend continuing to use clomiphene or rather letorozole?
        
        1 answer SVAR
        
        Find Tysland Johnsen October 27, 2019
        
        Hello again!
        
        Has your partner had their sperm quality checked? If not, it might be a good idea to have it done within a reasonable time. As for Clomiphene or Letrozole, they are both good drugs. Personally, I only use Letrozole/Femar for my patients as it gives a lower risk of multiples.
        
        SVAR
Al Jun 24, 2019

Hey,

I'm turning 37 soon, and I've been pregnant twice:
The first time when I was around 20 years old (which ended in a miscarriage the day before I was scheduled for surgery) and now again at the end of January 2019.

This last pregnancy ended in a so-called "missed abortion", where the body continued to behave normally pregnant (with a constant increase in HCG) for a long period after the fetus itself had disappeared.
I had to undergo two so-called medical abortions to get out 'the rest' that wasn't working for me (other than pain and discomfort), but eventually had a miscarriage.

I then asked to have a blood test taken to check my fertility.
This was taken during my second period after the abortion on day 4 of my cycle.
The results came in the form of a short phone call, where I was told that I had very little time left if I wanted to have children. That it was impossible to predict an exact time frame for this, but the person in question would assume around 6 months.

Now that I finally received the actual results in the mail, I hope you can help me interpret them.

They are as follows:

S-STH:0,84
S-Free T4: 15,0
S-FSH: 16* (1-13, previously folli)
S-LH: 5 S-Prolactin: 300
S-Estradiol-17beta: 0,46* (0-0,30, early folli)
S-Testosterone: 1,4
S-SHBG: 44
AMH: 7

What would you say about these results?
Does this mean I no longer have the opportunity to get pregnant the 'normal way'?
Does this mean I'm having a really 'bad time'?
Could this latest "missed abortion" be a direct result of poor egg quality?
If I want to get pregnant again: should I consider other options such as seeking help through a clinic?

I can also mention that I have always had regular periods, and can even feel when I ovulate. This happens more or less exactly when my calendar indicates where I should be in my cycle. I have not been on any form of hormonal contraception in recent years, and have not tried to get pregnant on purpose in the past.

Many thanks in advance for your answers!

1 answer SVAR
- Find Tysland Johnsen Jun 25, 2019
  
  Hey!
  
  First, you absolutely have the possibility of getting pregnant spontaneously - you have recently experienced that. The risk of missed abortion/spontaneous abortion increases with increasing age, yet this is such a common phenomenon in general that we probably cannot conclude anything from this after a missed abortion. So to the blood tests: You have AMH (egg reserve) of 7 which is in the lower normal range for your age group, but in no way alarmingly low. FSH of 16 on Estradiol 0,46 may indicate an incipient reduction in ovarian function. To clarify this further, it may be valuable to have a so-called 1st day test, i.e. taking these tests on the 1st or 2nd day of menstruation. You will then get an easier to interpret test result. My tip would be that you contact a gynecologist or clinic that specializes in fertility - both to take new blood tests, as well as an ultrasound of the uterus and ovaries. You can then make a further plan based on this. I imagine that a sensible strategy might be for you to try to get pregnant yourself, for example for another six months, before possibly considering assisted reproduction if you have not become pregnant on your own - but a final decision on this should be made when new blood tests and ultrasound findings are available.
  
  Please contact one of our clinics if you would like help with this! Good luck!
  
  SVAR
Kaja Jun 17, 2019

Hey!
I am a 31 year old woman who is undergoing treatment to have my second child. I have PCOS, and my first child was conceived when I was 28 with low dose FSH (puregon) when clomiphene did not work for me. The stimulation took several weeks, and I finally had to go up to 100 IU for several days before the golden egg arrived, then "timed coitus".
Now, as I said, we are back at it again, this time at a clinic abroad as we have moved in the meantime; I'm not getting much information here so I hope you can answer me.
The blood tests were taken on a random day when I have amenorrhea, and showed the following: AMH > 60, FSH 8, LH 13, estradiol 0,20 (same units as in Norway). Normal metabolism and androgen levels, high AFC. The man had good sperm quality in -16, not retested now.
I have now been through two cycles without success; the first with Provera and 2,5 MG Letrozole was discontinued when I did not respond, now in the second cycle I have been stimulated with Menopur for three weeks, starting at 75 IU and ending at 137,5 on the last day. The dominant follicle measured between 16-17 mm at the last check and I inserted Ovitrelle the following evening and then tried the home method. Unfortunately, this does not seem to have worked and I am therefore frustrated and worried.
- Could age be a factor?
- Is the FSH value too high? Last time it was between 5-6.
- Could the fact that I need long-term stimulation with what I consider to be quite high doses of FSH indicate that I am a "poor responder" and heading into menopause?
- Could the fact that I needed higher doses of FSH this time versus last time be due to age and poorer ovarian function, or is it a random variation?

Thank you for your answers (as I said, I don't get to ask everything I'm wondering about here, I'm going now and it's been a long time since my next visit)! :)

Greetings impatient soul

1 answer SVAR
- Find Tysland Johnsen Jun 17, 2019
  
  Hey!
  
  First, the blood tests are as we see them in PCOS women. High AMH and LH>FSH. AFC is also naturally high due to your PCOS. So to your questions: I am not concerned about your age. 31 years is well within the "optimal" fertility window. Furthermore, your FSH value is normal and nothing to worry about. So to low-dose stimulation: The goal of low-dose stimulation is to develop 1 mature follicle (monofollicular development). Women with PCOS are by definition "high responders" - if you give a high enough dose of FSH, you will usually develop a lot of follicles - with an increased risk of overstimulation. With Low-Dose Stim. you therefore start with a low dose, and increase gradually if needed. In this way, you usually get 1 or 2 follicles. The disadvantage of this method is that it can take a few weeks before you reach your goal. Personally, I do not use this method very often on my patients for this reason. In women with PCOS and anovulation or infrequent cycles, I often start with Letrozole stimulation. However, 2,5 mg is often too low a dose to induce follicle development, so I often start with 5 mg (2 tablets) directly. If a mature follicle is then produced, this is attempted for up to 6 cycles. So one possibility is that you try Letrozole stimulation again (perhaps with Provera first to induce bleeding) - but then you use 5 mg. I do not see that women who did not respond to 2,5 mg respond well to 5 mg. Alternatively, you can try low-dose stimulation again, you produced a mature follicle that way, so you know that it works. The last alternative is assisted fertilization/IVF. In your case, you can then expect many follicles and therefore many eggs during egg retrieval. Women with PCOS have an increased risk of overstimulation, but fortunately we now have regimens that significantly reduce this risk compared to before.
  
  I hope you became a little wiser, and I'm sure you will succeed in the end - no matter which method you choose!
  
  SVAR
LINE Jun 15, 2019

Hey!
Planning IVF in 2-3 months. Have regular periods and normal hormone levels. Next period is due on 25.06 and I have regular cycles of 26-28 days. Is it possible to postpone my period with Primolut-N now so that the start of IVF can also be postponed by a few days? There may be a small chance of spontaneous pregnancy now.

1 answer SVAR
- Find Tysland Johnsen Jun 17, 2019
  
  Hey!
  
  Primolut-N can generally be used to delay menstruation. It is usually recommended to start with 3 tablets (15 mg) daily 3 days before the expected bleeding. This can be used for up to 10 days. When you stop taking Primolut-N, you will experience bleeding after a few days. However, you should NOT use this if you think you may be pregnant - as Primolut-N is contraindicated in early pregnancy.
  
  SVAR
Hanna Jun 03, 2019

Hi, I'm an 18 year old girl. When my sister was struggling a lot with AMH values and getting pregnant at an early age, I decided to get tested early. I only had my AMH checked, but got a value of 6, is this cause for concern?

1 answer SVAR
- Find Tysland Johnsen Jun 03, 2019
  
  Hi Hannah!
  
  AMH of 6 in your age group is a very low value. Was the sample taken while you are on birth control pills? In that case, the AMH value will probably be falsely low. If you are not on birth control pills, I would have repeated the test at the beginning of a menstrual cycle (day 1-3).
  
  2 answer SVAR
  - Hanna Jun 07, 2019
    
    How long should one have gone without taking birth control pills to avoid risking falsely low values?
    
    1 answer SVAR
    - Find Tysland Johnsen Jun 12, 2019
      
      Hello again!
      
      I would wait 3-4 weeks after stopping the pill before having new blood tests.
      
      SVAR
  - Hanna Jun 07, 2019
    
    How long do you have to be off the pill for it not to be a falsely low value?
    
    1 answer SVAR
    - Find Tysland Johnsen Jun 12, 2019
      
      See answer below.
      
      SVAR
Long cycles May 26, 2019

Hey!
I have always had long cycles between 30-40 days. Sometimes longer. I am 26 years old and gave birth at the beginning of November but the birth did not go well. We will therefore try again. I have had my period three times after giving birth at the beginning of November. The first time after 12 weeks with a too short luteal phase of 5 days. The second time a 44-day cycle with an 11-day luteal phase and the last time a 70-day cycle with a 14-day luteal phase. The first two times the luteal phase was too short but now it seems more stable. During the last long cycle I took hormone tests 8 days after ovulation (by the way, ovulation is always detected with El-tests before menstruation). My doctor said the test result was normal and that I just have to get used to the fact that I have long cycles, there was nothing to do with it and she was not worried when I got pregnant on the first try last time. The test results were as follows:
S-TSH: 1,9 (0,20-4,0)
S-free t4: 14,4 (11,0-23,0)
S-FSH: 1 (1-13, previously folli)
S-LH: 3 (1-13, former folli)
S-estradiol -17beta: 0,70 (0-0,30, previously fo)
S-PGE: 38 (foll.fasw <3,lut)
S-testosterone: 0,9 (<3,0)
S-SHBG: 62 (23-100)
FT index: deleted (0,1-0,6)

Do these values look normal?

She didn't take progesterone and AMH even though I requested this. I'm now on cycle day 19 with no signs of EL yet. I'm wondering why the phase leading up to menstruation is so long and if there's any reason to worry? Could it be normal to just have such long cycles? I'm afraid it'll take a long time to get pregnant with the next man and I'm wondering if we need help to speed up ovulation. What do you think? Is there any way to stabilize the cycle? Otherwise, normal weight and no signs of PCO according to the doctor. I'm going to try to get samples taken early in the cycle next time and check AMH.

I have also been diagnosed with anticardiolipin antibodies and will be closely monitored with blood thinners during my next pregnancy. But don't you think this antibody will affect my menstrual cycle?

Thanks for reply

1 answer SVAR
- Find Tysland Johnsen May 28, 2019
  
  Hey!
  
  There were several things we had to look at here. First, you describe long cycles - we call this oligomenorrhea and is defined as a cycle length of more than 35 days. In such cycles, it is the follicular phase (the time from menstruation to ovulation) that is usually long, the luteal phase is normally quite stable and relatively short - as you yourself mention, 12-14 days. One of the most common causes of this is PCOS. PCOS is defined by at least 2 of the 3 following criteria: 1: Polycystic ovary seen by ultrasound 2: Oligamenorrhea - long or no cycle and 3: Hyperandrogenism (high testosterone, androstenedione) or clinical (male hair growth). Based on what we know so far, you meet point 2. You do not meet point 3. A gynecological check with ultrasound of the ovaries can quickly assess whether you meet point 1. If you do, you have PCOS by definition.
  
  The blood samples you have taken were taken in the luteal phase based on what you say - and were therefore not taken at the optimal time for assessment. (We would prefer blood samples taken at the beginning of a cycle). We can see that you have normal testosterone anyway (cf. point 3 for PCOS). I am not familiar with s-PGE. Are you sure it is not an abbreviation for progesterone? The value may at least match that. AMH has not been taken, but in the event of PCOS it will most often be high or very high.
  
  What can be a problem for women with long cycles and a desire for children is knowing when ovulation occurs. This can eventually become frustrating for many. Fortunately, there is easy help available. We often use what we call "simple stimulation" with Femar/Letrozole given for 5 days at the start of a cycle to get an egg sac (follicle) to mature faster. This can be followed on ultrasound so that ovulation can be planned more accurately and thus also time intercourse. This can certainly be a good solution for you. Please contact one of our clinics if you would like help with this - possibly other gynecologists who have experience with such treatment.
  
  Finally - I'm keeping a small button on PCOS as the cause of your long cycles. Make an appointment with a gynecologist to have this checked properly. And your cycle is not affected by the fact that you have detected anticardiolipin antibodies. Good luck!
  
  1 answer SVAR
  - Long cycles May 28, 2019
    
    Thanks for reply!
    I hope it's not PCOS. I have been well gynecologically assessed with ultrasound and have completely normal ovaries and uterus according to the gynecologist. The last time I checked my ovaries was 9 weeks after giving birth and then they were also perfectly fine with follicles in varying degrees of maturity. Can I have PCOS if I only meet point 2? Could it be difficult to get pregnant when it was so easy with the first pregnancy? By the way, did the other hormone values look normal? Is it difficult to find out if you have good egg reserves (AMH) with PCOS? Since you mention that value is often elevated with PCOS. Sorry for so many questions.
    
    I'm going to try to get more hormone tests done and maybe contact their clinic if it turns out I need some help :-)
    
    1 answer SVAR
    - Find Tysland Johnsen Jun 01, 2019
      
      Hello again.
      
      You do not have PCOS if only 1 of the 3 criteria is met. Did your gynecologist say anything about the number of follicles? If not, you can have your gynecologist count the number of antral follicles in both ovaries at your next ultrasound. It is enough that only one of the ovaries meets the PCO criterion (>19 follicles) for point 1 to be met. AMH is high in PCOS as this hormone is produced by the antral follicles, which are precisely elevated in PCOS. With long cycles, it can be more difficult for some to get pregnant because it is not so easy to follow when you are ovulating.
      
      SVAR
Stine April 16, 2019

Hey

Can you use Primolut to regulate when you get your period, so that you can plan to start taking Letrozole and Ovitrelle?

1 answer SVAR
- Terje Sordal April 30, 2019
  
  Hi Stine
  You can. Start Primolut N 3 days before your expected period and use it for up to 10 days. You can stop after as many days as necessary. Your period usually comes two days after the last dose. You start Letrozole on the 3rd day of bleeding. I normally use 2 tabs (10 mg) of Primolut N daily, taken in one dose.
  
  SVAR
Hanne April 10, 2019

Hey,

I just got the results of some fertility tests I took, but I'm having a hard time understanding the results, so I was wondering if you could help me decipher them. I'm 36 years old, normally slim, have never had any health problems or issues, and have a normal cycle. I don't quite remember what day of the cycle the tests were taken (it's possible it's a little further out than what's recommended from what I can read above.)

AMH : 23
TSH: 0.97
Free T4: 13

FSH: 6.5
Contact: 9.2
Prolactin: 235
Estradiol: 0.22
Progesterone: 7.2

I hope you can give me some advice on what this means.

1 answer SVAR
- Terje Sordal April 30, 2019
  
  Hello Hanne
  It would be very helpful if you remembered what day of the cycle it was taken. Based on the estradiol value, I would guess day 3-4. The progesterone value, on the other hand, is a bit high and could indicate that the sample was taken at the very end of the cycle, just before your period. What I can say is that your egg reserve is fine and that your FSH would have been normal even at an adequately low estradiol value (0.10 nmol/l or lower). Your metabolism is OK and your prolactin value is normal. Since you also have a regular cycle, I would say that it looks normal both in terms of the function and capacity of your ovaries.
  
  SVAR
Tina March 20, 2019

Hi Terje. I am 34 years old. How are my blood tests? Do I have enough eggs and how is the quality? S-TSH:1,6 S-Free T4:12 S-Free T3:4,5 S-FSH:9,2 S-LH:11,8 S-Prolactin:241 S-Estradiol:0,22 S-Anti-Müllerian Hormone:15. The tests were taken on cycle day 21.

1 answer SVAR
- Terje Sordal April 08, 2019
  
  Hi Tina
  Your AMH is normal, so you have a good egg reserve. FSH also seems to be normal, but I like to judge it best from a sample taken early in the cycle, on day 1 – 2 of the cycle. Normally, this cannot be checked on day 21 of the cycle, then it is usually whether ovulation has been checked. You have high LH in relation to FSH on that day, a little unsure of what that means. Do you have long cycles? A test for FSH, LH and estradiol on cycle day 1 – 2 would be desirable.
  
  SVAR
going February 13, 2019

Hey,

I just got the results of my hormone tests, with little description, and I'm a little curious.

I am 35,5 and have two children aged 7 and 4.
(pregnant on the first try both times). After the last birth, one ovary had to be completely removed due to a cyst.
We have been trying to get to number 3 for about 1,5 years.

I have low AMH: 2pmol/l and elevated FSH 30U/L. LH is at 9.0U/L and estradiol at 0.06nmol/L.
The samples were taken on cycle day 4.

Does this mean that it is completely impossible to get pregnant spontaneously? And is there any point in IVF?
Could the removal of the ovaries be a contributing factor to the hormone levels?

1 answer SVAR
- Terje Sordal February 14, 2019
  
  Hello Ida
  These test results don't look very promising. The egg reserve is very low and the ovaries need strong stimulation, high FSH, to function. You can probably get pregnant on your own if you're really lucky, the chances with IVF won't be significantly higher, so it's not recommended.
  
  1 answer SVAR
  - Terje Sordal October 07, 2018
    
    Hello Elias
    Am I correct in understanding that you have female anatomy and male gender identity? In that case, treatment with donor sperm would be the only option, assuming your wife has female anatomy and identity.
    
    SVAR
Bed and Breakfast February 06, 2019

Hey!

I've received hormone test results, but I understand what they mean. Do these numbers look normal or will I have trouble getting pregnant? Do I have a bad time considering I want children? I'm with a girl, so sperm quality is out of the question.

I am 32 years old, and the samples were taken on day 4 of menstruation:

S-TSH: 1,3
S-Free T4: 16,2
S-Free T3: 5,5
S- Anti TPO: <34
S-FSH: 8
AMH: 11
S-LH: 4
S-Prolactin: 439
S-Estradiol-17beta: 0,09
S- Progesterone: <3
S-Testosterone: 0,7
S-SHBG: 43

In advance, thank you very much for your answer!

1 answer SVAR
- Terje Sordal February 14, 2019
  
  The test results look normal. If you were also born in 1986, I think you have a reasonable amount of time. Both your ovarian quality and egg reserve are good.
  
  1 answer SVAR
  - Terje Sordal October 07, 2018
    
    Hello Charlotte
    You need to give me more information, such as estradiol levels, AMH, testosterone, SHBG, androstenedione and preferably prolactin.
    I assume that it is not the stimulation itself that is the problem, but what can be done regarding fertilization and the development of the embryos. If you have data on this, it would be helpful.
    
    SVAR
Jeanette Jan 30, 2019

Hey,

I am a woman, 36 years old, gave birth to a child in March 2017, my period started in November 2017, I got pregnant in August 2018, but lost it in weeks 4-5. I have taken a blood test at Furst now, on day 3:
FSH -13
LH-4
Is FSH value an explanation for SA? In December I took ovulation tests, but I never experienced a positive answer. Should I try to get pregnant naturally? Or is it possible to consider IVF?
Thanks in advance.

2 answer SVAR
- Terje Sordal September 10, 2018
  
  You still have time. I would actually characterize your AMH as normal. It's not good to say anything specific about what TSH and FT4 should be. As long as they are within the normal range, it probably has little impact on fertility, but if you are on Levaxin, it's probably a good rule to substitute enough that TSH is low, maybe around 1 with FT4 in the middle of the normal range.
  
  SVAR
- Terje Sordal February 14, 2019
  
  Hi, Jeanette! I don't think FSH itself is the reason you lost, but that there was some genetic error with the pregnancy that caused it to stop. If the quality of the ovaries deteriorates, FSH will be higher and more of the eggs may be genetically abnormal. It is a bit difficult to assess the FSH value without knowing the estradiol value in the same sample. The AMH value would also have been interesting to know.
  
  2 answer SVAR
  - Terje Sordal November 05, 2018
    
    You take the pregnancy test 14 days after ovulation or 16 days after Ovitrelle. You can expect your next period 12 days after ovulation or 14 days after Ovitrelle. You need to take letrozole to secure follicle development and Ovitrelle to secure ovulation.
    
    1 answer SVAR
    - Terje Sordal Jun 14, 2018
      
      Hello Hopeful
      I think the hormone levels are fine and I think the chances of getting pregnant with IVF are good. Both ovarian function and capacity are normal, which is good for my age.
      However, your anti-TPO is greatly elevated, but of course you already know that.
      
      1 answer SVAR
      - Hopeful July 01, 2018
        
        Hi Terry,
        
        Thank you very much for your answer. I am being medicated with Levaxin for low metabolism.
        Is this a cause of elevated anti TPO?
        
        Will this affect my chances of success? It would be great if you could explain :)
        Thank you very much for your answer.
        
        SVAR
  - Jeanette Jun 29, 2019
    
    Hi.. Amh value is 15
    
    Is that okay considering I'll be 37 in a month?
    
    1 answer SVAR
    - Find Tysland Johnsen July 02, 2019
      
      Hey!
      
      AMH of 15 is a completely normal and fine value for your age group.
      
      SVAR
Nina Jan 14, 2019

Hi, I got this test result from the doctor:
S- AMH: 5 (0,1-39), S-FERRIT: 20 (15-200), S-FSH: 4 (1-13, previously folli), all taken on day 5 of the cycle, do I have a chance of having children with my own eggs (40 years old, in April 41)? Can I apply to you? Otherwise, what tests do I need to take in addition? I have not tried IVF before, I have no problems with my health in general, but I had a kidney infection in 2018.

1 answer SVAR
- Terje Sordal Jan 31, 2019
  
  Hello Nina
  We would like to have some more tests from you, but we will arrange that when you and your partner contact us. You have a decent AMH for your age. I can't say much about FSH as there is a lack of information about the estradiol value. We will ask you to take tests earlier in your cycle, on day 1 or 2, then we will get a better impression of your hormone status. We hope to hear more from you then!
  
  1 answer SVAR
  - Terje Sordal September 10, 2018
    
    Hi Ann Jorun
    The best method for you to get pregnant is through IVF and you shouldn't wait long!
    
    SVAR
Helene Jan 02, 2019

Hi. I will be 39 soon, had surgery for endometriosis a few years ago, and am now on the Mirena hormonal coil to keep the endometriosis at bay, but have bleeding for about 6-7 days this month. The cycle length varies from 25 days to 32 days. I want children, but my girlfriend is unsure and wants to wait. I have taken the following tests on day 21 of a cycle that lasted 25 days, and they showed: S-FSH 1,2, S-Prolactin 746, S-Estradiol 0, S-Progesterone 53, S-SHBG 29,4, S-AMH 82. Now I wonder if these tests can be considered correct when they are taken while I have the hormonal coil, and how should I interpret them? For example, how quickly can you expect AMH to decrease? My girlfriend wants to wait a year before starting to try. I'm afraid it's already getting too late to get pregnant.

1 answer SVAR
- Find Tysland Johnsen May 01, 2019
  
  Hi Helen.
  
  Sorry for the late reply. Your blood tests were taken after ovulation. To get the best overview of ovarian function, it is desirable to have a blood test at the beginning of a cycle (bleeding day 1-2). Your AMH is reasonable enough for your age group. Hormonal spirals usually do not inhibit ovulation and the hormonal cycle, so the tests are interpretable. However, I would not postpone having children. You have now reached an age where fertility is falling rapidly, and you have known endometriosis - which in itself is an infertility factor. These factors together also mean that you should consider assisted fertilization earlier. If you do not become pregnant spontaneously within 4-6 cycles after the spiral is removed, you should consider further investigation such as assisted fertilization. Please contact one of our clinics if this becomes relevant. Good luck!
  
  SVAR
going October 18, 2018

Hi, I'm wondering about the possibility of getting pregnant with FSH at 18 (taken on cycle day 2) Estradiol at 0,13 and AMH at 2. My mother went through menopause when she was 40, I'm now 33 and have 1 child from a previous relationship with my husband. His sperm quality has been tested and is normal. I've been trying to get pregnant for 6 months, considering IVF. Thank you very much for your answer.
Greetings hopeful...

1 answer SVAR
- Terje Sordal Jan 07, 2019
  
  Hello Ida
  You have age on your side, but you also seem to have inherited your mother's genetics. You should definitely try to get pregnant, and IVF would definitely be the preferred way to try. There's no reason to delay it.
  
  SVAR
Svetlana May 18, 2018

Hi, I'm wondering if I can get pregnant, thinking about IVF treatment in Denmark. I'm a 35-year-old woman. I've had hormone tests done, which are FSH 4,1. Estradiol 46. TSH 1,24. AMH 9. Taken on cycle day 5. Used birth control pills Diane for 6 years due to high testosterone. I ended up with Diane 3 months ago. The first month there was no period. The second was on time, but the third was after 42 days. And I've had hepatitis tests that show hepatitis B virus core antibody detected and hepatitis B virus s antibody detected 600 are the positive values because. Am I vaccinated against hepatitis B? And do I have a chance of getting pregnant? Thank you very much for your answer. Regards Svetlana

1 answer SVAR
- Terje Sordal Jun 14, 2018
  
  Hello Svetlana
  I think the values are positive because you have previously had hepatitis B. Regarding your hormones and your age, I think you can get pregnant.
  
  SVAR
Hopeful April 15, 2018

First I have to say that this is an incredibly nice site. Lots of useful information.
Before Christmas last year I went through a round of IVF with a donor (short protocol, 150 IU Gonal-F)
I had 4 eggs retrieved, 1 was fertilized and implanted, but I got my period before 14 days had passed.

I have also tried a few rounds of insemination previously. Without success.
I'll be 41 soon.
Considering age, I think the only right thing now is test tubes.
But I'm afraid the quality of my eggs is so poor that it's pointless.
Can you tell me something about my results?

They were taken on cycle day 2 (about 15 hours after first bleeding)

TSH 0,31 mU/L
S-Free T4 20,8 pmol/L
S-Anti-TPO >1300 kU/L
S-FSH 8 U/L
S-LH 5 U/L
S-Estradiol 0,10
S-Prolactin 387 mU/L
S-Progesterone 3 nmol/L
S-Testosterone 0,9 nmol/L
S-SHBG 83 nmol/l
S-Vitamin D 63 nmol/L

My AMH value was 18 last summer, and had dropped to 9 before Christmas. Is this dropping quickly?
What do you think about my chances of having a baby through IVF?

SVAR
Stine February 26, 2018

Hi, I'm 28 years old and have some questions about my latest blood tests.
These were taken on cycle day 1, I think.

LH 8,4 IU/L
FSH 7,7 IU/L
Estradiol 0,09 nmol/L
Amh 23
SHBG 47 nmol/L

I see that Estradiol is under reference, but could this be because it is taken so early in the cycle?

1 answer SVAR
- Stine February 26, 2018
  
  Adding here something I forgot.
  
  Prolactin 169 x10E-3 IU/L
  
  SVAR
iselin February 05, 2018

Hi! I am 27 years old and am being investigated for Habitual abortion. I have taken blood tests on day 2 of my cycle:
FSH 6,6 IU/L
LH 2,2 IU/L
Estradiol 0,16 nmol/L
AMH 23

Are these normal? We are considering IVF, is it recommended?

Regards Iselin

1 answer SVAR
- Terje Sordal February 19, 2018
  
  Hello Iselin
  Your tests look good, but I assume that there is more that needs to be checked before you possibly start IVF. When we investigate habitual abortion, we want to find the cause and, if possible, eliminate it before you try to get pregnant again. We usually check the risk of thrombosis, autoantibodies, chromosome analysis of both, the man's sperm quality and preferably also the degree of chromosome damage in the man's sperm (Sperm Comet test). This of course assumes that there are three consecutive early abortions (SA or MA), otherwise our investigation will of course also be less comprehensive. In the case of habitual abortion, the problem does not always lie with the woman.
  
  SVAR
Desire February 01, 2018

Hey
I am 26 years old and have had short cycles for the past few years. The cycles vary from 25-27 days, and sometimes (2-3 times a year) down to 23-24. It has been like this for about 4 years.

Until I was 20, I often had irregular periods, with many very short cycles. This stabilized when I was 20, and then I had a 28-day cycle for 2-3 years, before the last few years it has been short. I bleed for 7 days, I always have.
What worries me now is that I read everywhere that when the cycles get shorter it indicates early menopause. I'm thinking of getting this checked out, since I want children. But are there other explanations for shorter cycles, or is it almost guaranteed that I've reached early menopause? I have no other symptoms.

1 answer SVAR
- Terje Sordal February 19, 2018
  
  Hi Desire
  There are more reasons for shorter cycles than just early menopause. I would recommend you take a hormone test early in your cycle (day 1 – 2) to check FSH, LH, estradiol, prolactin, TSH, FT4, SHBG, testosterone, androstenedione and AMH. This will give us an idea of your ovarian quality and egg reserve.
  
  SVAR
Girl40 Jan 25, 2018

Hello and thank you for a great and useful page.

I'm 40 and have never tried to get pregnant before, but I have a strong desire to now.
After 20 years, I have just stopped taking the pill and my doctor wanted to measure my AMH. This was measured at the Hormone Laboratory to be 4, 7 days after stopping the pill. I was told by my doctor that the reference range was stated to be 0,1 - 39. Previously, I have read that it is between 3 and 60. I then found this online since my reference range was different:
https://oslo-universitetssykehus.no/Documents/Medisinsk%20biokjemi/Hormonlaboratoriet/Nyhetsavis/Nyhetsavis%201,%20mars%202017.pdf som oppgir:

Reference range for women:
20-34 years 4-84 pmol/l
35-39 years 1-54 pmol/l
40-50 years 0,1-39 pmol/l
≥ 51 years < 0,1 pmol/l

Is the value 4 compared to the new reference table as "bad" as before when the interval was from 3-60 or is a different measurement method used? Are you fertile when the value is above 0,1?

Incidentally, I also see that they now recommend that the sample not be taken while taking the pill and my sample was taken the day after the pill-free pack, while I still had pill bleeding (https://oslo-universitetssykehus.no/Documents/Medisinsk%20biokjemi/Hormonlaboratoriet/Nyhetsavis/Nyhetsavis%202,%20september%202017.pdf). Has it been proven how much too low the values can possibly be?

I'm thinking of having the other values measured when the cycle is underway, but it's somewhat stressful to think about this, so I'm asking if this is based solely on AMH.

1 answer SVAR
- Terje Sordal February 19, 2018
  
  Hello Girl 40
  A new measurement method is used, so the values and reference ranges are different than before. It seems that AMH is not as stable as previously assumed, that the value can be affected by the time of the cycle the sample is taken, whether you are on the pill or whether you are pregnant. AMH does not necessarily say anything about fertility, but about the egg reserve. If AMH is low and the age is high, it is reasonable to believe that fertility is reduced, if AMH is low and the woman is young, it is more likely that she only has a lower egg reserve than normal, but that the quality may be good. There are of course all variants. Your AMH seems to be good according to the references, age-related somewhat reduced fertility must be expected, but if your FSH is normal (12,5 IU or lower) at an adequately low estradiol value (0,10 nmol/l or lower) then the chance of getting pregnant should be reasonably good.
  
  SVAR
cuff Dec 31, 2017

Hi, is it true that you use two different values for AMH? I just found out that my value is 1.61. I am 42 years old, and have had a few IVF attempts. Is this low or high? I'm just curious. However, I don't have very good FSH values... Thanks for the answer anyway!

1 answer SVAR
- Terje Sordal Jan 09, 2018
  
  If your AMH is 1,61 pmol/l, it is low, even for a 42-year-old woman. You cannot expect to retrieve that many eggs. There is currently a change in the measurement methods for AMH, the new method may give a slightly lower, but truer value for AMH than the method previously used.
  
  SVAR
Silje Dec 17, 2017

Hi, I am a 32 year old woman. Samples taken on day 3: AMH 19, FSH 9, Estradiol 0,17, LH 3. My partner is 37 and has a daughter from a previous relationship. We started trying to have a child this summer. I got pregnant in August, but miscarried at week 7 (probably at week 4-5, we didn't see any implantation on ultrasound). I ovulate every month (measure temperature), but after the abortion I have suddenly had long cycles with later ovulation than before. In September: EL day 20, in October: EL day 22 and in November EL day 18. Before the abortion I had ovulation on days 14-16. - Is it common to have irregular/extended cycles for so long after a miscarriage? Can late ovulation reduce the possibility of having children? (quality of eggs/mucous membrane)

Ovulation after the abortion has also seemed "slower" than before. On the ovulation monitor I got "high" for 7 days before it became "maximum" (normally it is "high" for 2 days). The following month I did not ovulate until 3 days after LH was detected. As far as I understand, normal is 12-36 hours. Before the abortion I measured progesterone at 74 on day 20, now in November I measured 42 on the same day.

My impression is therefore that I am struggling a bit with egg maturation after the abortion. Would you recommend hormone therapy for a period of time to give the body some help? Even if I am ovulating? Gonal f for example? How high a dose if so? In that case, do I also have to use Otrivelle or another ovulation injection, even if I normally ovulate on my own?

Thanks for the advice and for the informative page!

1 answer SVAR
- Terje Sordal Jan 09, 2018
  
  Hello Silje
  Your hormone tests are fine. The length of your cycle should not reduce your chances of getting pregnant, as long as there are still 12 days between ovulation and your period, which is the first part of your cycle that is longer. Think about whether there is anything about your body that has changed, weight gain or loss. Stress can also affect your cycle and ovulation.
  The progesterone value is both normal, it just depends on how many days after ovulation it is taken, or whether it was taken in a cycle in which you became pregnant.
  If you cannot find an explanation for longer cycles in what has been mentioned above, it may help with some simple stimulation with Femar / Letrozole. I think stimulation with Gonal F is taking it a bit too far for now. It is possible to insert Ovitrelle, also with simple stimulation, when the follicle is mature. You should be checked with ultrasound to follow the growth of the follicle.
  
  SVAR
Wera Dec 08, 2017

Hi! I am 33 years old and I am going to start 3 fresh attempts ICSI/TESA (so male factor, and 5 negative results). Endometriosis is suspected due to pain during the cycle, I will go in soon to have this confirmed/denied. In connection with that, I took new hormone tests, wondered how things are going, and if there are any chances to even hope for pregnancy. Despite low AMH, I got 12 eggs out last time, of which 8 were fertilized and we got 7 frozen last attempt (in February), so I guess it's not that bad, but not a single "perfect" embryo has attached in these attempts yet.
Male factor is blocked sperm ducts with many sperm in the testicles.

The blood sample was taken CD2.
AMH: 5 (was 7 in 2015)
TSH: 1.19
Free T4: 16.9
Cortisol: 294 (taken at 10am)

FSH: 8.8
Contact: 5
Estradiol: 0.06
Progesterone: 0.7
Testosterone: 0.9
Prolactin: 286

Could there be a hormonal reason why assisted reproduction is not working or is there something wrong with the egg quality?

1 answer SVAR
- Terje Sordal Jan 09, 2018
  
  Hello Wera
  I think your hormone tests work very well. AMH is perhaps a little low for your age, but as you say, the eggs were still good. Fertilization was reasonably good (67%) and embryo development very good. What we don't know anything about is embryo development after it is put back into the uterus. Many will be genetically abnormal and stop after a few days or weeks. That's probably why you haven't succeeded yet. The abnormal genetic material can come from the egg or from your partner's sperm. You have many frozen and I would be surprised if you didn't get pregnant from one of them.
  
  SVAR
Camilla Dec 01, 2017

Hey!
I'm a little desperate and sad sitting here after a failed IVF attempt earlier this week. That is, I had no eggs in my egg sacs when they went in to collect them. In August I would say that I had a successful attempt with 8 eggs out, 1 was cultured to blasto - but, unfortunately, it came back negative. I'm on quite high doses, the difference from last time and now was that I didn't get Bemfola. I think I had a bad count with just Menopur alone, which I got now.

I know I have an elevated FSH value, and this has fluctuated a bit over the past year - anywhere from 14 - 17. What do you think about my latest test results (taken in April).

S-Free thyroxine: 13 pmol/L
S- TSH: 1 M\mU/L
S-LH: 9,6 U/L
S-Estradiol: 0.09 nmol/L
S-FSH: 16 U/L
S-Prolactin 238 mU/L

AMH: 6

I have very regular cycles and get very positive EL tests every cycle.

The man has provided varying sperm samples, and at the initial consultation it was disappointing. We were told that we would then have to go through an ICSI trial. At the first extraction they said that the sample was so good that they would do 1/2 ICSI and 1/2 IVF. It ended up that the eggs were only fertilized by ICSI. In many ways I feel that they gambled with my eggs, by not doing ICSI at all, maybe we could have gotten a better result? We will never know.

Am I completely rejected? I've proven that I can get eggs out, only with the right medicine. I've also always had a long protocol.

I have also read about ICSI in a natural cycle. Maybe that would have been something for us? I have been to the gynecologist on two previous occasions during ovulation. She has seen large follicles on one side, and the second time she had a large one (17mm) on both ovaries.

I've never had any kind of infection, so everyone says my ovaries are open - but I'm starting to wonder, aren't I?
I have a previous birth that ended in an emergency cesarean section due to heavy bleeding. Our girl was conceived naturally 5 years ago.

This was a lot of questions at once, but I am strongly considering asking privately.

1 answer SVAR
- Terje Sordal Dec 11, 2017
  
  Your tests say that your ovarian function is moderately impaired, FSH elevated. Your AMH is reasonably good and should indicate that you should have eggs retrieved. As you say, the quality of the cycles can vary and thus also how many eggs are retrieved. We do half IVF and half ICSI for unexplained infertility, not for reduced sperm quality. If we have any doubts, we do ICSI for everything. ICSI in a natural cycle is not a good solution, one egg is small to work with in the laboratory and the chance that there will be nothing to put back is high.
  In your case, I would recommend "duo-stim", two egg retrievals in the same cycle, with ICSI for fertilization and vitrification of any high-quality blastocysts. You should not postpone trying to have children, as time is by no means on your side.
  
  SVAR
Anna October 12, 2017

Hi. Looks like my previous comment disappeared. I am 39,5 years old and we want to try for child no. 3. No big problems getting pregnant 7 and 10 years ago. Tests taken now day no. 3 of cycle:
AMH: 17
TSH: 1,7
FSH: 7
Contact: 5
Estradiol: 0,15
SHBG: 56
Pestosterone: 1,1

What I'm wondering is whether we should try for a while on our own, or whether we should seek help as soon as possible? Very grateful for the answer:-) Mvh

1 answer SVAR
- Terje Sordal October 15, 2017
  
  Hi! No, it's just that the comment doesn't appear until we've posted our response – which we have now done. Thanks for your patience :-)
  
  SVAR
Anna October 12, 2017

Hi. I am 39,5 years old and would like to try for child no. 3 (with the same man). It has been 7 years since the previous child was born. No major problems getting pregnant 10 and 7 years ago. Had blood tests on cycle day 3:
AMH 17
TSH 7
LH 5
ESTRADIOL 0,15
TESTOSTERONE 1,1
SHBG 56

Is it possible that we have time to try for a while on our own, or should we just see if we can get help as soon as possible? What do you think? Thanks in advance for your answers!

1 answer SVAR
- Terje Sordal October 15, 2017
  
  Hello Anna
  It seems like your starting point is reasonably good. You have good egg reserves and probably still have good ovarian function. You don't say anything about how long you've been trying now or about your partner's sperm quality. Both of these will be important for the overall assessment.
  If you have been trying for over 1 year and his sperm quality is normal, you should consider getting help.
  The woman's age is in itself of significant importance due to the genetic wear and tear that the eggs have been exposed to for 40 years, since you were 4 months old in your mother's womb.
  
  1 answer SVAR
  - Anna October 15, 2017
    
    Hi and thank you very much for your answer! Sperm quality should be good according to the test and we have only been trying for two months. Then I think we will try for a while longer on our own😊
    
    SVAR
anna m. September 25, 2017

Hello.

My partner and I have been trying to get pregnant for 6 months now. A few weeks ago we had a fertility check at a private clinic where our ovaries, uterine cavity + fallopian tubes were examined, and were told that everything looked normal. A sperm sample was taken from him, and it was also normal. I have had relatively severe menstrual cramps for as long as I can remember. The doctor at the clinic mentioned possible endometriosis in this context, but I don't have pain beyond these two or three days during menstruation when I bleed the most. Three years ago I got pregnant (unplanned), but this ended in MA. Since this was a bad time, we didn't try any further at that time. (This was the only time during our four-year relationship that we haven't used contraception, except for the six months we've been trying now. However, I took the emergency contraceptive pill at the time, but it obviously didn't work.) I am 37 years old, and I have been told that my AMH is 14. I don't think my FSH was measured. Since we have only been trying for 6 months, the doctor said we should try for a few more months before starting IVF treatment. We have no children yet, and we really want a biological child. My question is twofold: 1. Do you agree with the recommendation to wait before trying IVF? Because of my age, I feel that we don't have much time to lose, and I know that IVF optimizes the chance of the best possible egg quality. I am afraid that AMH will drop quickly in the future. 2. If I have endometriosis - is this something that should be operated on before starting IVF treatment? And how do you detect endometriosis - will another operation be needed?

1 answer SVAR
- Terje Sordal October 09, 2017
  
  Hi AnneM
  In principle, I think it was sensible advice. You have normal AMH and it will probably stay that way for a while. You have had the same type of menstrual pain for as long as you can remember. I think that speaks against endometriosis, it is rarely present from the start. Final diagnosis of endometriosis requires laparoscopy (keyhole surgery) under anesthesia. Endometriosis in the ovary can be seen by ultrasound of the ovaries, but they were normal. FSH is always interesting for assessing ovarian quality. It should be taken together with estradiol early in the cycle, menstruation. day 1 or 2. If it is also normal, it looks bright to be able to succeed on your own.
  
  SVAR
Trine Aug 25, 2017

Hello.

I basically just want to ask a question. I'm turning 40 in September now.
I got a disappointing AMH result yesterday, 0,66. The other hormone tests were: Prolactin 263, FSH 1,6.
LH 1,5. Estradiol 0,74. (these were taken on cycle day 1-2) Is there no hope for me?? :(

Mvh a very sad and sorry woman...

Ps. I got word from the gynecologist yesterday over the phone that it was almost impossible for me to get pregnant with an amh of 0,66. This took all hope away from me... :( We have been trying to get pregnant for a few months.

I greatly appreciate the response....

1 answer SVAR
- Terje Sordal September 18, 2017
  
  Hi Trine! Refers to the answer to the previous comment.
  
  SVAR
Jennifer Aug 25, 2017

Hey,

I am 36 years old and have one child from before (born in 2013). I am now considering IVF treatment as we have been trying to have a child for over a year, and we also have somewhat reduced sperm quality. I got new hormone test results yesterday (taken CD 3), and the FSH value was not very encouraging - 11 (it was 7 a year ago). I would have greatly appreciated help interpreting the tests, as I see that you have good knowledge, among other things, about the impact of estradiol on FSH values. I have hypothyroidism, but it is well regulated.

TSH: 0,65
Q4: 18,2
FSH: 11
Prolactin: 305
Contact: 5
Estradiol: 0,17
Testosterone: 1,0

Still waiting for results on AMH, but did an antral follicle count on CD 4, and it showed 7 follicles on the right side and 8 follicles on the left.

I see you write that high estradiol on CD 3 can be a sign of reduced ovarian function. Can I think I have it based on these tests? Should I take new tests on CD 1-2? Would you say that I can still get pregnant? If so, what treatment would you recommend (IVF/ICSI, short/long protocol)?

I would be very happy for an answer!

1 answer SVAR
- Terje Sordal September 18, 2017
  
  Hi Jennifer
  The number of antral follicles sounds good, indicating that AMH is also reasonably normal. The estradiol value is normal for day 3 of the cycle. Basal FSH should normally not be above 12,5 IU, i.e. early in the cycle when the estradiol value is 0,10 nmol/l or lower. When the estradiol value rises, the FSH value will fall. To get the best possible impression of the basal FSH value, it is best to take a sample early in the cycle when the estrogen value is lowest. Due to the tendency for rising FSH and reduced sperm quality, I would recommend IVF (ICSI if sperm quality is very reduced). You should still be able to have children with such treatment.
  
  SVAR
CELINE Aug 09, 2017

Hey
I really want to have children and have been trying for almost 1 year. I stopped taking the pill in September last year (Harmonet - I took it for 10 years with a 2-year break) and after that I have only had three periods (31 days) and gradually it has gotten worse and worse. The cycle lengths have been 42 days - 42 days - 42 days - 62 days (with provera / 10 days / 10mg help). I have therefore started to wonder if there is something wrong. It is difficult to find ovulation with such irregular cycles. I had hypothyroidism a couple of years ago, so I took euthyrox N 25 but stopped last year in August (I had 3 blood tests this year) and they were good. The weight went up (80 kg) and down in recent years. I am 31 years old, 174 tall and 65 kilos, eat healthy and exercise a lot. I don't know what day of the cycle these test results were taken but menstruation was 2-3 weeks late at the time and unfortunately AMH was not taken. Thyroid ultrasound without focal changes. No hyperemia.

P-TSH 2.9
P-T4, free 13
P-T3, free 4.6
P-Prolactin 101
P-LH 15
P-FSH 5.6
P-Estradiol 0.25
P-progesterone less than 0.5
P-Testosterone 3.4 *
P-free testosterone index 0.4
P-HCG less than 2
P-Cortisol 8am- 235*
P- About 125 6.4
P-CeA 1

What can you recommend? Thank you very much!!!

1 answer SVAR
- Terje Sordal September 18, 2017
  
  Hello Celine
  Based on your tests and your cycle, I would assume that you are a PCOS girl. It is primarily the elevated LH value and testosterone value that makes me think so, together with your cycle it should fit well. If I am right, you will have a high AMH. I would suggest that you seek help from a gynecologist with special expertise in the investigation and treatment of infertility to find out what type of help you need to get pregnant. Our clinic in Oslo would be happy to help you get started.
  
  1 answer SVAR
  - CELINE October 26, 2017
    
    Hi Terry,
    
    I had a consultation with a gynecologist and she recommended me to take femar (1 tablet 2.5 letrozole) from the 3rd to the 7th day of the cycle and also try pra 12th days in a row. Also 2 tablets from the second time. Also she plans to send me for in vitro in January if I don't get pregnant. Exactly what happens I got my period also took hcg yesterday. The results - not pregnant. Then I started with 2 tablets today. But I wonder if you monitor what happens to the eggs? I know that in some places gynecologists monitor whether the eggs grow up and burst. Or you can take an injection of pregnyl to help if it doesn't work. Can you help me? is it possible to have a consultation with you next week?
    
    1 answer SVAR
    - Help :( April 29, 2019
      
      Hey,
      I got these test results and I've actually been really sad this week.
      
      I just turned 29 and am trying for my first child. Only tried in 3PP. Took a test just to make sure everything was good. My husband has very good sperm quality, but was told that my results were not that good.
      
      Is all hope lost? Low AMH and poor fsh. I've seen other answers here and got the impression that 0.25 estrogen is a bad sign on day 4 and if I take the test earlier the fsh will rise. Oh then I'm probably over 10 on fsh which indicates poor ovarian function.
      Uff is only 29 years old. Am I the one who misunderstands these numbers? Hoping for uplifting answers.
      
      Had an internal ultrasound and had about 7 follicles on each side. Have a regular cycle and ovulate every month.
      
      These became close on day 4
      
      Stopped taking birth control pills after 7 years this December.
      
      AMH is at 6.
      P-TSH 2.2 mU/L
      P-T4, free 15.5 pmol/L
      P-FSH 9 U/L
      P-LH 5 U/L
      P-Prolactin 244 mU/L
      S-Estradiol-17beta 0.25 nmol/L
      P-Testosterone 0.9 nmol/L
      P-Sex hormone binding globulin (SHBG) 87 nmol/L
      P-Testosterone, free OUTPUT nmol/L
      01-04-2019 S-Vitamin D 70 nmol/L
      01-04-2019 - Vitamin D3 70 nmol/L
      
      1 answer SVAR
      - Find Tysland Johnsen April 30, 2019
        
        Hey!
        
        All hope is certainly not lost! However, I understand that unexpected test results set off thoughts. First, let's look at factors in you that are important with regard to your fertility: Your age is still well within the window of assumed normal fertility, i.e. the majority of your eggs will still be genetically normal. Furthermore, you and your partner have been actively trying to get pregnant for a short time (only 3 months) - in general, you should try up to 1 year before any further measures, as 85% of all couples trying to get pregnant succeed within that time. You have a regular cycle, which means regular ovulation. Furthermore, your partner has a normal sperm test - important factors that must be in place to be successful. So to your blood tests: You are right that AMH of 6 is low in your age group. The FSH value cannot be assessed with certainty as the estradiol value is a bit too high, but your FSH value is probably in the borderline range (12,5 and not 10 as you write) for normal ovarian function if the estradiol value had been adequately low (as we see on cycle days 1-2). Ovarian function is therefore still considered to be okay. I would rather pay more attention to your AMH value. Since you now know that this is low, it would be wise to include this in further planning, and I would recommend that you consider assisted fertilization earlier than what would have been natural if the value had been higher (i.e. having tried for 1 year on your own first). My suggestion would be that you continue to try on your own for a few more cycles - e.g. until after the summer. If, contrary to expectations, you have not become pregnant by then, it would be wise to continue with IVF treatment. If so, please contact us for a more detailed discussion. I hope you got the answer you were thinking of. Good luck!
        
        2 answer SVAR
        
        Help :( May 01, 2019
        
        Hey,
        Thanks for reply!
        
        Do you think I have a good chance of having more than one child?
        
        I feel really stressed out right now and I'm afraid I don't have much time. I would like to have 1-3 children.
        
        Is it likely that I will be infertile before the age of 35, considering AMH?
        
        1 answer SVAR
        
        Find Tysland Johnsen May 01, 2019
        
        Hello again!
        
        The AMH value will gradually fall with increasing age. At low values, the chance of having children is reduced. It is difficult to predict how quickly your AMH will fall, but it is quite possible that your value will be critically low at the age of 35 in order to have children. This is precisely why you should take your measured value into account and plan based on it, as mentioned earlier in order to consider assisted fertilization somewhat earlier than what would be natural with a higher value. The advantage of assisted fertilization is that you can have embryos frozen and which you can possibly use for sibling attempts later. Current legislation allows embryos to be frozen for up to 5 years before they must be used or possibly destroyed. Please contact one of our clinics if you would like more information.
        
        SVAR
        
        Help :( May 01, 2019
        
        So is there an 85% chance for me too? I'm a bit depressed these days as I've just started to get a bit of a shock.
        
        Does this only mean that I will go into menopause earlier but that I can still have more children until 35-37? Can AMH 6 last a few years?
        
        Thank you very much for your answer! I really appreciate it.
        
        1 answer SVAR
        
        Find Tysland Johnsen May 01, 2019
        
        85% generally reflects the proportion of couples who have become spontaneously pregnant within 1 year where the woman has a regular cycle and they have practiced regular, unprotected intercourse. This also forms the basis for the definition of infertility - which then applies to the remainder who have not become spontaneously pregnant after 1 year.
        
        SVAR
Nina Olsen July 25, 2017

Hey

I have no cycle post birth control pill (1,5 years) and have been told that I will most likely never get a normal cycle back. However, I have normal hormone tests (FSH 6,7 on low estradiol 0,10 and AMH 12, all other tests normal). I am slim and 31 years old. My husband has normal tests. How likely is it to be successful with IVF? It says it is about 35 percent per attempt, but that applies to everyone regardless of the cause of infertility. Is it higher for 'healthy couples'? Can you estimate the probability in our case?

1 answer SVAR
- Terje Sordal September 18, 2017
  
  Hello Nina
  Your tests look normal. Could there be abnormalities in other tests that could explain why you're not getting your period?
  Are the LH value, prolactin value and metabolism also normal? If so, I think you should have a very good chance of having children after IVF. The chance is highest in healthy young couples where the cause of infertility is a lack of egg development or where the woman has blocked fallopian tubes. If more factors are involved and the woman is older, the chance decreases. I will not give you a number for your chance now, but after the first IVF attempt it will be easier, when the fertilization ability, egg quality and embryo development can be included in the assessment, but as I said, in principle I consider it to be good.
  
  1 answer SVAR
  - Nina Olsen September 20, 2017
    
    Hi, thank you very much for your answer. All other tests are within the given reference range (prolactin 153, LH 5,1, S-TSH 1,2, S-Free T4 12,3 S-Free T3 4,1). There are no other tests that have shown any abnormalities. They suspect that the loss of menstruation may be due to a lot of exercise, although I think it sounds strange when I am normal weight (BMI 20-21) and have a normal fat percentage. Do you still think that could be the cause?
    
    1 answer SVAR
    - Terje Sordal October 09, 2017
      
      Hello again Nina
      Not really when your BMI is as you say, if it doesn't vary much. Otherwise, stress can also affect your menstrual cycle.
      
      SVAR
Marie May 25, 2017

Hey!

I need help interpreting the results of tests I received from my gynecologist. They were taken on day 4 or 5 of my cycle.

Amh: 27
Fsh: 8.1
Contact: 5.3
Prolactin: 261
Shbg: 51
T4 free: 23
Tsh: 1.0
Estradiol: 0.19

We're going to start trying in a couple of months and I'm feeling a little stressed about the thought of whether I can have children.
I take medication for low metabolism (100mcg levaxin a day).

I am 28 years old.

1 answer SVAR
- Terje Sordal Jun 20, 2017
  
  Hi Marie
  Your tests look good, you have plenty of eggs and good ovarian quality. Your metabolism is well regulated and your age is perfect for becoming a mother. Good luck.
  
  SVAR
siv May 11, 2017

Hi, so incredibly lucky I came across this site. I have some questions about my test results and fertility.
The samples were taken on day 5 of the cycle. I am 38 years old, but will be 39 this year. Normal weight/slim. Unfortunately, AMH was not taken. I have a regular cycle (27-29 days).

FSH: 5
Contact: 5,1
Prolactin: 161
Estradiol: 0,22
Progesterone: 1,5
Testosterone: 0,39
SHGB: 144
Free testosterone: 0,0
TSH: 1,2
Q4: 16
Q3: 2,9

Would it be more accurate to take a fertility test on day 1 or 2 of the cycle? Should AMH be taken on a specific day? Can you read anything from the tests as they are now and my fertility?

1 answer SVAR
- Terje Sordal Jun 20, 2017
  
  Hi Siw
  When the sample is taken as late as day 5, the estrogen value will often be so high that it is difficult to judge the FSH value in terms of ovarian quality. In your case, the FSH is so low that I expect it would also be normal at an estradiol of around 0,1 nmol/l, as it would be around day 1 – 2. AMN should be taken at any time, but I would suggest that you take it early in the cycle. Your age is important, but other than that it looks good.
  
  SVAR
Elizabeth April 28, 2017

Hi, I am a 37 year old woman who has had two rounds of blood tests that gave different results. The first ones I took gave the worst results, and it confuses me. The tests were taken about 8 months apart. Both tests were taken on cycle days 2-3.
How would you rate my chances of getting pregnant? Do I need IVF to get pregnant?

First blood tests:
TSH-2.76
FT4-14.0
LH-3.6
FSH-11.3
SHBG-63
Estradiol-66
AMH-2.0

Last blood test taken (recently):
TSH-3.52
FT4-14.7
LH-3.2
FSH-7.1
SHBG-48
Estradiol-98
AMH-6.6

1 answer SVAR
- Terje Sordal May 09, 2017
  
  Hi Elizabeth
  I agree with you, AMH in particular varies quite a bit between the two tests, but it's something we don't see that often.
  I think your TSH is a little high, even though your FT4 is normal. That is usually a sign of future risk of hypothyroidism.
  Assuming your estradiol has the unit pmol/l and is thus identical to 0,066 nmol/l and 0,098 nmol/l. In that case, FSH also varies slightly above expected between samples. We don't know for sure what your true AMH is, but let's hope it's 6,6.
  If your AMH was 2.0 I would recommend IVF due to the low egg reserve. Even if AMH was 6,6 pmol/l I see the variation in test results as a warning of somewhat unstable ovarian function, so IVF would probably be the best choice anyway.
  
  SVAR
Tonje April 19, 2017

Hi. We really want to have children in the near future. I stopped taking the pill in June last year, and since then I have only had my period 6 times. The cycle lengths have been 44 days - 63 days - 53 days - 63 days and 53 days. I have therefore started to wonder if there is something wrong. It is difficult to find ovulation with such irregular cycles. I am 31 years old, 165 cm tall and 56 kg, and healthy and fit. I took some tests a while ago, can you tell me what my chances are based on these test results?

S-hCG < 5 <5
S-TSH 2,01 0.5-3.6
S-Free T4 11,8 8-21
S-Anti-TPO <10 <35
S-FSH 3,4 Follicular/luteal phase <12 IU/l
S-LH 4,0 Fol/lye < 14 IU/l, mid-cycle
14-100 IU/l
S-Prolactin 291 50-700
S-Estradiol 0,13 Fol 0.09-0.21
nmol/l. Mid-cyclic 0.43-2.2 nmol/l. Lye 0.27-1.05 nmol/l
S-Progesterone 3,0 Follicular phase 11.6 nmol/l
S-testosterone 0,76 <1.9
S-SHBG 60 23-100
S-Free testosterone index (FTI) 0.1 <0.3
S-Androstenedione 2,7 1.4-5.2 1,4-7,9
mid-cycle, postmenopause may have lower concentration
S-antimullerian hormone 48 4-84

Thank you very much in advance for your answer :)

1 answer SVAR
- Terje Sordal April 24, 2017
  
  Hi Tonje
  Based on these tests, your chances seem to be good. All test results are normal and you have a high egg reserve.
  To me it seems more like you may have a lag after the pill. Perhaps a simple stimulation with ultrasound follow-up could speed up a normalization of the cycle length and thus the predictability of when ovulation can be expected. You can read more about simple stimulation on our website.
  
  1 answer SVAR
  - Tonje April 24, 2017
    
    Great, maybe I'll try it then! Are you based in Oslo too? Finally bought an ovulation test this weekend, and actually tested positive both Saturday morning and Saturday evening. Unfortunately, my husband travels a lot, so it's possible it's best to use Femar so we know approximately when ovulation will happen next, so we can plan for him to be home then.
    
    1 answer SVAR
    - Terje Sordal May 09, 2017
      
      Hi again Tonje. We have a clinic at Majorstua with two skilled gynecologists who will help you!
      
      SVAR
Trine April 06, 2017

Hey

I am 45 years old and trying to get pregnant the normal way. I got pregnant in March 2016 and was 5+2 weeks pregnant and still in MA. I took a blood test in February 2017 on day 2 of my cycle.
FSH 6,7
LH 4,9
Estradiol 201

I was pregnant in February but still in the womb. Do I have any chance of getting pregnant? I have a 28 day cycle and temperatures that confirm ovulation.
Is my train okay? What should I do?

Regards, Trine

1 answer SVAR
- Terje Sordal April 24, 2017
  
  Hello Trine
  I perceive your tests as normal. The chance of success may still be present, but is probably relatively significantly reduced due to the importance of age for the genetic content of the eggs that are released and fertilized. That is probably the reason why the pregnancies stop. The chance of having a child will be highest when using donor eggs.
  
  SVAR
Gravel March 29, 2017

It says on this page that normal FSH early in the cycle means that egg quality is good, while high FSH may indicate poor egg quality. But what does low FSH early in the cycle say about egg quality? (0,1 pmol/L and estradiol 0.05 pmol/L)

1 answer SVAR
- Terje Sordal April 05, 2017
  
  Hello Brita
  FSH in serum is given in IU/l, so assume that you mean FSH = 0,1 IU/l on estradiol 0,05 nmol/l.
  If this is correct, FSH is so low on low estradiol that it points to an overall failure in the pituitary or hypothalamus and says nothing about egg quality. In such cases, LH will also be correspondingly low and in some cases also low prolactin, depending on where the failure is located.
  
  SVAR
Therese March 04, 2017

Hello.
I am 29 years old and during a gynecological examination, the doctor wanted to perform several more tests. These were taken at 3-month intervals in 2017/2016:
FSH 9,5/11,5
LH 4,4/4,1
Prolactin 203/534
T4 Free 16,5/17,5
TSH 2,13/3,82
Eastdiol 109/153
AMH 12,7
Thy.perox.antis 121
The tests were taken on the 2nd day of my period and I started with 25mg levaxin after the first tests and increased to 50mg after the others. In addition, the gynecologist mentioned that my ovaries were small (I haven't used birth control pills or anything in over 3 years).
We have been recommended IVF, but my partner (who has normal sperm) believes we can do it ourselves. What do you think?

1 answer SVAR
- Terje Sordal March 22, 2017
  
  Hi Therese
  You have normal egg reserve (AMH) and ovarian quality (FSH). If you have regular cycles with ovulation and normal fallopian tubes, your partner may be right, but if you have been trying for a long time without success, your doctor may be right to recommend IVF. By long time, I mean you have been actively trying for 18 – 24 months without success.
  
  SVAR
Liv March 03, 2017

Hey,

I am 39 years old and my cycle is between 30-34 days. I took hormone tests on day 2 of my cycle and got the following results:

FSH - 4.2
LH - 5.2
Estradiol - 0.12
Testosterone - 1.3
SHBG - 38
AHM - 59 (Professional assessment regarding AHM: elevated ahm concentrations may be compatible with PCO and risk of overstimulation.)

Can you tell me something about how you see these results and my chances of getting pregnant?

Thank you in advance!

1 answer SVAR
- Terje Sordal March 22, 2017
  
  Hello Life
  Your tests look good. You have a high egg reserve and normal ovarian quality. The test results indicate a good chance of getting pregnant, but as you know, there are several factors that can play a role, such as fallopian tube function and sperm quality.
  
  SVAR
Lillian February 22, 2017

I'm almost 41 and have been through 5 IVF cycles with donor sperm in Denmark during 2015 and 2016. I've had a total of 7 conceptions, 2 of which were cryopreserved. I've had a MA at week 9 and a BO at week 8. I've had 2-3 chemical pregnancies in addition. I mean a weak positive test around test day but my period comes either on the day it's due or a few days late. Should I have my uterus examined for fibroids or other things that could prevent pregnancy before I start trying again in case there's something wrong inside? Or do you think this is due to bad luck and do I have a chance of success? My cycle is stable and I've only been told that everything looks fine by my previous gynecologist. I've recently had new hormone tests. Can you tell me anything about my chances based on these? Cycle day 2:
S-TSH:1,3 S-Free T4:14,1 S-FSH:11 S-LH:8 S-Prolactin:273 S-Estradiol-17beta:0,14 S-SHBG:63
Comment: * Comments hormone analyses:
Normal hormone analyses.

Cycle day 25:
S-TSH:1,1 S-Free T4:13,6 S-FSH:5 S-LH:6 S-Prolactin:488 S-Estradiol-17beta:0,34 S-SHBG:59
Comment: * Comments hormone analyses:
Normal hormone analyses.
S-anti-Müllerian hormone:6

1 answer SVAR
- Terje Sordal March 22, 2017
  
  Hello Lillian
  So you get pregnant easily, but it stops. Most likely it is because many of your eggs are genetically abnormal, as we see with increasing age in women. We always check the uterine cavity before starting treatment, so it may be a good thing to have it done before you try again.
  
  SVAR
Thale October 29, 2016

Hi, I am 37 years old and want to try to get pregnant. No medical history, regular cycle. I am single and have to travel abroad to a clinic. I have taken hormone tests on day 2 of my cycle and received the following results:
TSH 1.3
Free T4 14.4
FSH 13
LH 6
Estradiol-17beta 0.20
AMH 3
Would you say my FSH is elevated? AMH low? I've tried the Clearblue ovulation test and it's giving me a positive result. What would you say about my chances?
Thank you for your answer!

1 answer SVAR
- Terje Sordal November 11, 2016
  
  Hello Thale
  Your FSH is elevated and your AMH is low. Both points are negative and you should expect to have several attempts before you can expect success.
  
  SVAR
Live36 October 28, 2016

Hello.
Been through my 3rd IVF attempt.
No.1: 3 eggs out, 2 fertilized and inserted. Neg.
No. 2: only one egg matured, aborted.
No.3: 5 eggs released, 1 fertilized but stopped dividing after day 2, i.e. no implantation.
Blood tests: AMH 8,5 and FSH 8.
I'm going to take new FSH and estradiol tests now at my next period, but I'm wondering if the results of these tests will be affected by the fact that I've used Menopur and Elnova (after stimulation) in this cycle?
I can't take the tests again for the next cycle, as I will be starting the synphase for the next IVF attempt with my next period.
What do you think my forecasts look like?
I also had an MA regarding insemination 1 year ago. I'll be 36 in 3 months.

1 answer SVAR
- Terje Sordal November 11, 2016
  
  Hello Live36
  It doesn't look exactly promising, judging from the outcome of your three previous attempts.
  If you are going to take new hormone tests, they should be taken at the earliest in the first natural cycle after the bleeding that occurred due to the interrupted trial. Then the stimulation medications from the trial will not affect the test results.
  
  SVAR
Olin October 26, 2016

Hi! 4 years ago I had to have my left ovary removed due to a 15 cm cyst. It turned out to be a borderline tumor. After the surgery I have been going for check-ups every 3 months. I am now approaching 38 years old and 2 years ago I stopped using birth control to try to get pregnant. This has not been successful. I have been following the cyst on the remaining ovary for quite some time. It is now 7 cm and they want to operate on it as well. I was hoping to be able to take out my own eggs first, but was now told that they would not do that because of my age and that the amh value is below 1. I have regular periods. Is it really the case that there is no possibility that I can have my own children? I think this is complicated and now I am just waiting for the surgery date, so then I can just look forward to the menopause symptoms. A bit frustrated here, but what I am wondering is if there is anything else I should try or is there no point because of my medical history, age and test results?

1 answer SVAR
- Terje Sordal November 11, 2016
  
  Hello Olin
  I think it is unlikely that you will be able to have genetically your own children under the current circumstances. To have any chance of success with egg freezing, a relatively high number of eggs needs to be frozen, and there is little reason to believe that you will succeed when AMH is so low that it is not measurable (< 1 pmol/l). The chance of having children with frozen eggs is also low, especially when the woman's age in terms of reproduction is also high. The chance of being conceived with donor eggs is, however, high, but it is not currently allowed here in Norway.
  
  SVAR
"impatient" September 30, 2016

Hi

I turn 35 in a few days and have taken a blood test on the 2nd day to check my numbers for the first time (without my own doctor's referral). My figures show that FSH is 13 int.enh./L, LH 7,8 int.enh./L, S-Estradiol 0,09 nmo/L.

I previously had an MA and have been trying to get pregnant ever since, but without success, and I don't know what my chances are, as my own doctor is quite uninterested in helping.

1 answer SVAR
- Terje Sordal October 17, 2016
  
  Hello Impatient
  As I see it, your age is still within what we call a woman's most fertile age. Just because you've had a MA doesn't mean that the chance of it happening again in your next pregnancy is higher. Your FSH is in the upper normal range or just above. I don't know what your AMH is, but if it's low, you might want to seek help to get pregnant rather than trying on your own. You don't say how long you've been trying or how long it's been since your MA. That may be important for what advice you need.
  
  SVAR
Nilo September 28, 2016

Hi. I am a 28 year old woman. I have a child from before born in 2014. Then I quickly got pregnant within 1 month. We didn't even plan so it happened very quickly. But now we have been trying for no. 2 for 1 year now. Took a hormone test in July on the 3rd day of menstruation.

S-FSH 18,9 IU/l
S-LH 6,8 IU/l
S-Prolactin 196 mlU/l
S-Estradiol 0,09 nmol/l
Progesterone <1.5 nmol/l
Testosterone 0.61 nmol/l
SHBG 43 nmol/l
AMH <1

After this test I contacted Frøyaklinikken. She said it is impossible that you have so little AMH at this age. I will take another test in about a month. But she is trying to lower FSH with the help of natural medicines. I also get reflexology and acupuncture. I have had positive ovulation tests and have a menstrual cycle of 26 days. I went on the pill after the first child was born. Do you think I have a chance of getting pregnant??

1 answer SVAR
- Terje Sordal October 17, 2016
  
  Hello Nilo
  If you are going to have another child, you must seek help from a fertility clinic. You cannot wait any longer, as both the number of eggs and the function of your ovaries will suffer. You probably won't get as many eggs, but hopefully the quality of the ones you get will be good because of your young age.
  
  SVAR
Jo September 27, 2016

Hi
I am a single woman aged 41 with the following values:

AMH 4
S-TSH 2.2
S-Prolak 280
S-FSH 4
S-LH 5
S-Østrad 0.40
S-Progress 22

I have had two fertility treatments at a clinic in DK. A short one with menopur (412,5), which ended with only one egg (follicle of 33 mm), where I had 7 follicles at the first ultrasound, and now a long treatment with gonal-F (300) and downregulation first, which ended with none of the now 8 follicles developing at all. What do you think? The clinic will recommend donor eggs. Is that the only chance I have? and thanks in advance...

1 answer SVAR
- Terje Sordal October 17, 2016
  
  Hi Joe
  Your tests show simultaneously elevated values of estradiol and progesterone and must therefore have been taken approx. one week after ovulation. Then it is not possible to say anything about your basal FSH and thus about your ovarian function. Your AMH is not worryingly low for your age and it should normally be possible to get a woman of 41 years pregnant if she does not simultaneously have significantly elevated FSH early in the cycle (cycle day 1 - 2). I would therefore suggest that you have a new test of FSH and estradiol taken on the first or next day of your period, then I will be able to give you a better answer about your chance of success with your own eggs.
  
  SVAR
Pregnant with twins September 23, 2016

Hey
I am 38 years old and trying to get pregnant. Do I have a chance of getting pregnant again?

P-free 0.1
P-FSH 5.4
P-LH 4.2
P-Prolactin 270
P-SHBG 110
P-T3,free 5.1
P-T4,free 12
P-Testosterone 0,96
P-TSH 2.6

1 answer SVAR
- Terje Sordal October 17, 2016
  
  Hello Twins Pregnant
  It's difficult to give you an answer based on these tests. Estradiol is missing, which is important for assessing FSH and thus your ovarian function, and AMH to assess how many eggs you have in reserve. The tests are otherwise good and your age is still such that you can expect to get pregnant.
  Take another test but FSH, LH, estradiol and AMH on the first or second day of your period, and I'll give you a more reliable answer.
  
  SVAR
Nelly Ase September 21, 2016

Hey

I am 40 years old, soon to be 41, and I am wondering what my values say about the possibility of getting pregnant with the help of IVF with a donor. I am of normal weight, exercise regularly with a normal, healthy diet. I have had a gynecological examination this spring where everything looked fine for a possible pregnancy, without this being checked with a direct view to IVF. I have had blood tests this fall, but find it difficult to read and evaluate the test results myself.

AMH 7
S-TSH 1,1
S-Free T4 15,6
S-FSH 6
S-LH 2
S-Prolactin 96
S-Estradiol-17beta 0,14
S-Progesterone 6

I have been spontaneously pregnant twice before - in 1999 when I had an abortion and in 2011 when the pregnancy was completed without problems.

What do my blood test results actually tell me and what is the possibility/probability of me getting pregnant with IVF? Is there anything that might indicate that it can be done in one attempt, or whether I will probably need more?

1 answer SVAR
- Terje Sordal October 17, 2016
  
  Hello Åse Nelly
  Your tests are satisfactory. Your age suggests that you must expect that you will need a few attempts before you succeed, because some of the eggs that are fertilized will be genetically abnormal and therefore will not develop to the point of producing a child.
  
  SVAR
Marianne September 13, 2016

Hey!
Woman 32 years old, healthy and metabolic age measured at 19 so everything outside of fertilization status is tip top. AMH is low, measured at 3, follicles counted at 5 +3, FSH 18 on day 1, otherwise LH and estradiol levels are "completely normal" says the gynecologist. Normal cycles "by the clock" of 25 - 27 days depending on which side/month (never been over 28 days), and clearly noticeable ovulations on days 12 - 14 with all the symptoms that indicate EL. Mother + grandmother came of age around 50. Would you completely slaughter the possibility of one more child? 2 children, last born in 2014, 2 MA (08,13). The AMH measurement has risen from the test performed by you in 2014 with 3 levels..?! Then got pregnant naturally in the first cycle, with an "Unmeasurable AMH". (below 1). Will a high FSH early in the cycle ruin all chances, or will age and other health play a role?

1 answer SVAR
- Terje Sordal September 19, 2016
  
  Hello Marianne
  I don't know exactly what metabolic age is, but ovarian age is certainly higher than your chronological age. Your age and health count positively. Try it and see what happens, the quality of your eggs may be better than what FSH might indicate due to your relatively young age.
  
  SVAR
Hege September 08, 2016

Hey!

I turned 40 in March, and I'm wondering what you think about the test results I got. I picked up the results at my GP's counter today, and unfortunately either she or the lab forgot to include the AMH test.
The cycle has had some greater variation in the last six months, generally varying between 27-37 days, usually about 31/32. Normal weight (57 kg/164 cm). Not taking any type of medication, and has never been pregnant.

The samples were taken on cycle day 3:

S-FSH 10
S-LH 9
S-Estradiol-17b 0,17
S-Prolactin 157
S-TSH 2,4
S-FT4 (Free T4) 14,8
S-Free 3 T3 4,7

I'm very curious about how this will be interpreted. I understand that I have little time considering my age, and since I'm single I plan to try in Denmark. As soon as possible. What do you think about my chances? Should I consider IVF right from the start?

1 answer SVAR
- Terje Sordal September 19, 2016
  
  Hello Hege
  The tests look reasonably good, for her age (sorry), AMH should have been taken into consideration, but I would probably choose IVF, among other things because of the greater chance of getting pregnant per treatment.
  
  1 answer SVAR
  - Hege September 21, 2016
    
    Thanks for the answer! I've received the answer for AMH which is 56. It seems to be within the OK value, but could there be a risk of PCO?
    
    Otherwise reassured by your answer - I'll take the advice to consider IVF with me!
    
    Sincerely
    Hege
    
    1 answer SVAR
    - Terje Sordal October 17, 2016
      
      Hello Hege
      You probably have PCO, i.e. many egg sacs in the ovaries by ultrasound. It is natural with such a high egg reserve as you have. Your AMH is close to the border of what is called PCOS, which is a condition where in addition to many egg sacs at the same time there is rarely or no menstruation and or elevated androgen levels. Your cycles may be relatively long and your androgen levels (testosterone, androstenedione) I do not know. A hint of PCOS could it be?
      
      SVAR
LINE Aug 29, 2016

Hey,
I am a single woman of 41 years old, who has a question about fertility. I went to the gynecologist in April, and took some blood tests. I am considering starting insemination/IVF treatment, but I am unsure whether the estradiol value is high and whether it indicates reduced fertility. I was told that the tests looked normal. The blood test was taken on day 4 of the cycle: Values
fsh- 5.7, lh-3.8, shbg-100, s-progesterone- 1.7, s-oestradiol- 0.35 (ref. range: 0.20-0.75). What do you think about the chance of getting pregnant? Is it even possible to say anything about these values?
Thank you for your answer!

1 answer SVAR
- Terje Sordal September 05, 2016
  
  Hi Line
  I agree with you that the estradiol value is too high to say anything for sure about your basal FSH, but that's probably because you took the sample on cycle day 4. Instead, take the sample on cycle day 1 or 2. If FSH is 12.5 or lower with estradiol of 0,10 or lower, that's a good sign.
  I believe, based on the answers as they are, that you have a normal FSH.
  
  1 answer SVAR
  - LINE November 01, 2016
    
    Hi, I've been taking new blood/hormone tests. I get a s-oestradiol value of 0.36 (mmol supposedly) on day 2, with fsh of 8.2 and lh of 4.1. I get the answer that the tests are normal and fine - I feel frustrated, what should I think? The gynecologist knows what process I'm in..
    
    1 answer SVAR
    - Terje Sordal November 11, 2016
      
      Hi Line
      Your estradiol value is so high that it has already lowered your FSH value. Assume that your FSH at an adequately low estradiol value (0,10 nmol/l) will show to be above the upper normal which is 12,5 IU. In that case it is a sign of reduced ovarian quality. In that case it is unfavorable, but to what extent it depends on whether it is slightly elevated or significantly elevated. We will only know something about that if you take the samples early enough in the cycle.
      
      SVAR
Kari Aug 27, 2016

Hi. I am 27 years old and married to another woman.

We were thinking of starting Project Baby next year, using donor sperm. We don't have any children yet. My cycle varies from 28 to 34 days. But on average I'm around 30 days long.

I was early to measure my hormones. These were taken on cycle day 2:

CORTISOL: 169,4
AFP: 2,09
PROGRESSETRON: 1,68
PROLACTIN: 394,1
A-TPO: 15,36
SHBG: 102,3
FSH: 7,56
Contact: 7,19
ESTRADIOL: 0,133
AMH: 41,18

What do you think about my hormone levels in terms of getting pregnant? I used to think I might have PCOS/PCO since I tend to gain weight around my stomach, have some acne and a few dark hairs on my chin that I pluck out, but I have relatively high SHBG so maybe that's not the case after all? I'm otherwise slim. My SHBG is just below the reference range (25-110 nmol/L measured at the University Hospital of Northern Norway). So now I'm wondering if I might have estrogen dominance? Hehe, maybe I'm a bit of a hypochondriac now, but it can be easy to google yourself all over when the desire for children is so strong and you want everything to be checked out before we start trying. Thank you very much if you can take a look at my hormone levels and give me some input :) Kind regards, Kari.

1 answer SVAR
- Terje Sordal September 19, 2016
  
  Hi Kari
  You don't have a typical picture for a PCOS woman. The tests work well and you have a good egg reserve. There is a lack of testosterone and androstenedione in the test series, so I can't say anything about where your androgens are, but with such a high SHBG I agree that testosterone is probably normal. Some women have a genetic predisposition to increased hair growth without having to be hyperandrogenic. The estrogen value is normal for day 2 of the cycle. Find out when you want to start, find a good donor, and this will probably go well.
  
  SVAR
Oda Aug 24, 2016

Hey!

I took a hormone test and got the following results:

PS-ASAT - 25
B-ERYTHROCYTES - 5.00
B-EVF - 0.46
B-Hb - 14.9
B-LEUKOCYTES - 7.4
B-PHROMECYTES - 334
S-SHBG - 153
E-MCH - 30
E-MCHC - 33
E-MCV - 92
E-RDW - 12.0
PS-FOLATE - 10
S-LH - 3.3
S-FSH - 7.0
PS VITAMIN B12 - 217
PS CHOLESTEROL - 6.0
PS-25-OH-Vitamin D - 87
PS-ALAT - 27
PS-UREA - 3.6
PS-FERRITIN - 69
PS-CREATININE - 76
PS-TSH - 1.28
PS-T4-FREE - 12.8
PS-HDL-CHOLEST. - 1.5
PS-GT - 20
S-Prolactin - 322

I struggle a lot with unwanted belly fat even though I exercise 3-5 times a week, hot flashes, sweating, vaginal dryness and anxiety. I have been told that I have increased levels of male sex hormones, but I wonder what this means for my ability to get pregnant. What do these test results tell me? Is there any connection between the results of the lab test and the symptoms I am experiencing?

1 answer SVAR
- Terje Sordal September 19, 2016
  
  The tests indicate that you have been to a doctor who is probably good, but who does not know much about hormonal testing for infertility. Some important tests are missing to be able to answer your question. See a gynecologist with expertise in hormonal testing of women and it will be easier to give you an answer. It is also important when in the cycle the tests are taken or whether they are taken randomly if you are not on a cycle.
  
  SVAR
Dad Aug 05, 2016

Hi! My sweetheart has received test results after a blood test and we have become very worried about the possibility of having another child as the S-FSH is very high. She is 39 and I am 40, we have a child together who will soon be 6. In recent months we have started to make an effort to have child no. 2. The reason she took the test is that her menstruation has become somewhat "unstable" and she has had some delivery in the blood.

The results from the test are:
S-FSH 18
S-LH 13
S-ESTRADIOL-17BETA 0,10
S-PROGESTERONE 0,10

She's going to see a gynecologist in a few weeks.

How do you interpret the numbers?

What is the chance that she can naturally get pregnant if the sperm cells are active?

Is the S-FSH value so far outside the reference range that assisted fertilization is out of the question?

Hoping for a quick response! Thank you!

2 answer SVAR
- Dad Aug 05, 2016
  
  Sorry, S-PROGESTERONE should be 6 nmol/L.
  
  We had our first child almost on the first try, but as I said, it's been almost 6 years...
  
  1 answer SVAR
  - Terje Sordal September 14, 2016
    
    Hello again
    The information about progesterone was in the previous contact, so the answer will be the same. Give it a try and see what happens, that was probably one of the reasons why IVF was recommended last time too, maybe your chances are best with that treatment.
    
    SVAR
- Terje Sordal Aug 23, 2016
  
  Hello Dad
  It's good that you're taking action and asking about the chances. It's reduced due to your partner's ovarian quality. Unstable periods together with moderately elevated FSH with simultaneous elevated LH is not a good starting point. You haven't had her AMH measured, which says something about the woman's egg reserve, but in any case, the quality of her eggs is probably significantly reduced.
  Assisted fertilization may still be relevant, but primarily as a test to see if there is anything that could be of benefit to you in relation to the chance you might have by trying "on your own".
  
  SVAR
Stacey Aug 04, 2016

Hey
I am a 32-year-old woman who has never had children before.
I took a blood test on day 14 of my cycle and got the results:
FSH/LH imbalance. AMH values < 3 pmol/l are consistent with very low ovarian reserve or menopause.

S-Antimullerian hormone: 2*L(3-60)
S-FSH:10.8
S-LH: 4.3
S-Estradiol: 0.15

What are my chances of getting pregnant naturally? Can I get pregnant naturally? When should we seek further help?

1 answer SVAR
- Terje Sordal Aug 23, 2016
  
  Hi Stacy
  You can get pregnant naturally if everything else is normal, such as fallopian tube function and sperm quality in your partner. You have a low egg reserve and therefore not much time left. I would suggest that you seek help to increase your chances of getting pregnant in the shortest possible time.
  
  SVAR
Synne Aug 01, 2016

Hey!
I am 45 years old, have one child (IVF when I was 41) and would love to have another. I have undergone several IVF attempts in Denmark over the past year without success. I did get pregnant on one attempt, but miscarried at week 8. I took blood tests on cycle day 3 last month, and the results are as follows:
S-FSH 11
S-LH 2
S-Estradiol -17
beta 0,09
AMH 3

Is there any hope for me to get pregnant with my own eggs with these numbers - and not least; taking my age into account?

Best wishes, hopeful

1 answer SVAR
- Terje Sordal Aug 08, 2016
  
  Hi Synne
  The samples look good, considering the age. The biggest limitation in your case is probably the age itself and the importance it has for the genetic content of the eggs. The chance is certainly there, but unfortunately from experience it is very small.
  
  1 answer SVAR
  - Synne Aug 08, 2016
    
    Thanks for your answer. Would you consider another IVF attempt, or is there an equally good (read: small) chance of getting pregnant spontaneously?
    
    1 answer SVAR
    - Terje Sordal Aug 23, 2016
      
      Hello again Synne
      If all other conditions are in order, normal sperm quality, open fallopian tubes, normal cycle with egg development and ovulation are normal, the chances are just as good on your own judgment with IVF, if something is abnormal, a final IVF attempt can be made.
      
      SVAR
sunniva July 11, 2016

Hi. I'm 39 this fall and considering IUI 1-2 times (with donor), then IVF if necessary. I have no children yet.

Samples taken on day 3 of the cycle (in April):
FSH - 10
LH - 6
Estradiol - 0.11

AMH - 20 (sample taken in June)

Do I have a good chance of IUI or should I go straight to IVF? Everything looks good according to the gynecologist.

1 answer SVAR
- Terje Sordal Aug 08, 2016
  
  Hello Sunniva
  The tests are fine, age is starting to become threatening, but you still have the option to try a couple of cycles of IUI, provided you have had your uterine cavity checked to make sure it is normal. Good luck!
  
  SVAR
Camilla Jun 18, 2016

Hi. I went to a gynecologist and had blood tests on day 23 of my cycle. I have irregular periods and can have cycles from 30-42 days. I am 29 years old and had an MA a little under a year ago. I have been trying since then. The tests I was told looked abnormal and she said it showed results that indicated menopause. The results showed: FSH: 13
Contact: 68
Prolactin: 223
Estradiol-17beta: 0,84
Progesterone: 8
Testosterone: 2,6
Shbg: 53

I am very worried. Is there any possibility of getting pregnant or getting help getting pregnant with these answers?

1 answer SVAR
- Terje Sordal Jun 27, 2016
  
  Hello Camilla
  Then I can tell you with great pleasure that your samples are completely normal. The sample was taken at the exact time you received the ovulation signal in that cycle. The estradiol value corresponds to a mature egg, which triggers the ovulation peak, which consists of both LH and FSH rising, but LH is always higher than FSH, as in your case. During menopause, FSH is always higher than LH. The values therefore show the start of a completely normal ovulation!
  
  SVAR
Heidi Jun 09, 2016

My samples were taken on day 29 of a 30 day cycle.

Progesterone <3 (no specific value was obtained here)
Estradiol 0,13
Free T4: 16,4
TSH: 0,57
FSH: 8
Contact: 4

Are there any abnormalities in my tests? My doctor says everything is fine, even though I see that my TSH is high.

1 answer SVAR
- Terje Sordal Aug 23, 2016
  
  Hello Heidi
  Your tests match the day before or the day you got your period again, but they don't say anything about your fertility. You should probably see a gynecologist who is good at investigating infertility. A test taken the day before your next period doesn't say more than what I've mentioned and your TSH isn't high!
  
  SVAR
SO April 28, 2016

Hello.
I am 31 years old and wanted to investigate my fertility/how busy I am thinking I should have children, as my mother went through menopause a little earlier than usual.
I measured my AMH last year and it was 29,5 pmol/L.
Other values were then Progesterone: 35,4, FSH: 4,1, LH: 6,3, Estradiol: 0,66.
(I don't think it was measured at the recommended period of the cycle, so I don't know if they can be interpreted correctly. If they can, I would like to know what that means in terms of fertility as well.)

I just measured AMH again this year, about exactly 1 year later and now it is 12,7 pmol/L. Is it normal for it to drop so much in 1 year?
I don't really plan on having children in the near future, I thought I could wait a few years, but now I'm starting to get unsure because of the AMH value. On various sites on the internet I find that an AMH value of 12,7 corresponds to low fertility. Is that true? I know other values are important when it comes to fertility too, but I'm especially wondering what such a drop in AMH value means?
SO

1 answer SVAR
- Terje Sordal Aug 29, 2016
  
  Agree that the drop in your AMH was strikingly large in just 1 year. The other tests show that you have had egg development and ovulation. To assess the quality of your ovaries, we recommend a hormone screening early in the cycle (day 1 - 2 of the cycle). Low fertility is present when AMH is less than 3, so you are definitely not there yet. You can take a new AMH test at any time as a check and as a check whether the last test result is correct. If the new result matches the previous one, you should take a new test after a year as a follow-up and if it continues to fall, you should think again about when you want to have children. But as mentioned, take a hormone screening early in the cycle to check FSH for a low estradiol value.
  
  SVAR
Lene April 23, 2016

Hey,
I am 32 years old and an identical twin. My sister is currently undergoing IVF after trying to conceive for 2 years. She has been told that her egg cells have already started to age and their quality is therefore reduced. In addition, she has a heart-shaped uterus and a "septum" which makes it difficult to have a child (the child will not survive if the egg attaches to the "septum", I don't know the medical term).
I'm wondering if these problems are genetic and if there's a big chance I'll have trouble having children myself since we're monogamous? I haven't thought about having children yet, but if it turns out that it might be difficult later, I'll have to consider starting the process myself.
I hope you can help me with this issue.

1 answer SVAR
- Terje Sordal Aug 23, 2016
  
  Hi Lene
  Identical twins are genetically identical. Based on your information, I would suggest that you have your hormone status assessed early in your cycle (day 1 - 2) including the hormone AMH, which says something about your egg reserve. The assessment should also include an ultrasound examination with a water scan of the uterine cavity. You can have this done at our office in Oslo or Trondheim or at a gynecologist with experience in infertility assessment, depending on where you live.
  
  SVAR
going April 12, 2016

Hey!
I am 31 years old and my husband (31) and I have been trying to get pregnant for well over a year. It is a bit difficult to pinpoint ovulation as my cycles vary from 27 - 34 days.
I had my left ovary and fallopian tube removed 4,5 years ago due to a borderline tumor. I am now being followed up with careful checks and the right side looks perfectly fine. It is open (water test), has fine mucous membranes and uterus. I took hormone tests now and got these results on day 2 of my cycle:
Tsh- 2 mle/l
T4 -free - 9pmol/l
FSH - 9,5 u/l
LH - 4,1 u/l
Estradiol- 0,10 nmol/l
Prolactin- 210 mle/l
AMH - 20

I haven't had a follow-up appointment and I'm a little worried about my FSH. Moderate endometriosis changes were also found during the last surgery.

My husband's semen test shows:

Volume: 3,6 ml
Concentration: 49,8 mg/ml
Total: 179,2 m
Number of motiles: 95 m
Mobility: 53%
Fast mobility: 37%
Moderate mobility: 16%
Progressive motility: 25%

How do you interpret our chances to be? Feels pretty hopeless right now. Hoping for answers!!

going

1 answer SVAR
- Terje Sordal April 25, 2016
  
  Hello Ida
  Your tests are fine, both ovarian quality and egg reserve are normal. I also consider your husband's sperm quality to be normal. You ovulate about 12 days before your next period, which is around day 15 for a short cycle and day 22 for a long cycle. Sperm live and are fertile for several days, so with intercourse from day 12 to day 20, every 3 days, there should be no problem with sperm present when the egg is released.
  You have had a fallopian tube removed and have been diagnosed with endometriosis, so that could be a factor.
  If nothing positive happens within a few months, it may be relevant to consider getting help, in the form of in vitro fertilization.
  
  SVAR
Brit April 04, 2016

Hey,
I had my first child when I was 42. I got pregnant naturally after 10 months of trying. We then consulted a doctor and took tests: I had FSH of 14,5 on day 3 of the cycle. I don't remember the number for estradiol, but it was considered normal. (AMH was measured at 1, but it was wrong due to a failure in the measurement method from the manufacturer according to a report in VG, and it also didn't match the follicle count - had 7-8 follicles and normal size of the ovaries every month, checked 4-5 times during this period).

Breastfed for a long time, then got my period again only after 44. It is now a regular 25-26 day cycle.
I am now 44 and want to investigate the possibility of a sibling. FSH day 2 was measured at 15 (up from 14,5 when I was 41), estradiol 0,14 and LH 5. Ultrasound showed 5 eggs and normal size ovaries shortly after I stopped breastfeeding and my period returned.

My mother and my grandmothers both went through menopause late. I myself went through puberty late (I guess that's a negative).

I understand that FSH is elevated, but I got pregnant with FSH at 14,5. Are there still options? Would you recommend pergotime or femar? I assume IVF is not possible with FSH 15?

1 answer SVAR
- Terje Sordal April 25, 2016
  
  Hello Brit
  The chance of getting pregnant and having children at the age of 44 is very low. This is primarily due to the fact that the genetic content of the eggs is damaged over time. The tests and findings are reasonably good for your age, so you should not ignore the possibility that you can succeed again. You have a normal and regular cycle and therefore also ovulation. You should therefore not need pergotime or femar.
  
  SVAR
Chapada Diamantina March 31, 2016

Hello, I have an AMH UNDER 1 and measured again after 6 months and it was 2. I was told that I have almost no chance of getting pregnant or no one is accepting me for further treatment! Do I have any chance of getting pregnant? I am 31 years old.
The man's samples were absolutely fine.

1 answer SVAR
- Terje Sordal April 25, 2016
  
  Hi Tina
  We have seen before that AMH responses vary. You have a low AMH for being 31 years old, but if the quality of the eggs is good you should still be able to succeed, but you don't have much time. You can get an impression of the quality by measuring FSH and estradiol in a 1st day test. If FSH is 12,5 or lower on an estradiol that is 0,10 nmol/l or lower, I would be optimistic after all, but choose to seek help to get the most effective treatment possible, as time is a scarce factor for you.
  
  SVAR
Gunhild March 17, 2016

Hi, I turned 40 2 weeks ago. Been with the same man for 20 years, have gotten pregnant 4 times; Uncomplicated pregnancies and births in 2006 and 2009, pregnant on the first try. We tried for a short period for a 3rd child in 2013, ended up with SA at week 8. Then removed the hormonal coil in May 2015 and have been actively trying since. Got pregnant in September, saw heartbeats on ultrasound, but had MA and medical abortion at week 10, development had stopped at about week 7. Due to the desire for children and age, hormone tests were taken in February - 16, day 2 of the cycle; FSH 8, LH 7, Estradiol 0,17, progesterone 4, testosterone 1,4, SHBG 82, prolactin 320, normal metabolism.
New tests on day 21 of the February cycle; progesterone 39, prolactin 419, FSH 6, LH 5, Estradiol 0,34.
I then went to the gynecologist, day 2 now in the March cycle, he only found 3 antral follicles in one ovary. New tests showed AMH of 2, FSH 13, LH 9, Estradiol 0,10.

I am surprised by the big change in FSH last month, can it fluctuate from cycle to cycle, or has it increased "too much" do you think? Both samples taken on day 2, same lab. Have been referred for a sperm test, not yet taken. I think the problem lies with me with few eggs left and reduced ovarian function. We want another child, but would like to have some realistic expectations before we contact an IVF clinic. What do you think the chances are that we will get pregnant without help? And what are the chances with IVF? As long as the tests show that ovulation has occurred, is there hope that a good egg will be released occasionally? How long do you need from referral before the first round of tests, - assuming that you are satisfied with the gynecologist's assessment of both of us? I understand that there is no reason to wait if we are going to have help, in that case I want to try before the summer holidays and I guess I have to stick with my cycle. And last thing; we have a healthy child and one with an autism diagnosis, - is there an increased risk of having children with special needs with IVF + old age? Don't think about the conditions that can be detected by amniocentesis.
Thanks in advance for your feedback, great site!

1 answer SVAR
- Terje Sordal March 29, 2016
  
  It's not that surprising. Your AMH and FSH at low estradiol indicate that your ovaries are struggling a little more than might be expected based on your age. My assessment is that it's urgent and that you shouldn't try too long "on your own" before trying IVF. I still think the chance of having a child is higher with IVF than by trying on your own, but that you don't have much time. The variation between cycles is typical when ovarian function
  You're sure to drop a good egg every now and then, but when can be uncertain.
  Assuming all necessary information is provided, we need at least 14 days before starting treatment. Advanced age may be associated with known genetic abnormalities, but not the treatment itself.
  
  SVAR
Anna Johansson March 10, 2016

Hello!

I have always had an irregular period, during the time on minipills I barely had it once a year. I am almost 31 years old, last summer we went to a fertility clinic after having been without contraceptives for a year without getting pregnant. It turned out that I had an AMH of 1 and FSH of 7. The number of follicles has never been more than 7. Took a new AMH three months later as shown 4. We have been through one trial of IVF, we only got one egg that was fertilized and transferred but on RD14 I started bleeding after taking a positive test the day before. Before the next attempt, I will go for a higher stimulation of hormones. Is it the case that the probability for me to get pregnant is greatly reduced due to low AMH? Do I have better egg quality because I am young despite low AMH? why did the test show so different?

1 answer SVAR
- Terje Sordal March 14, 2016
  
  Hello Anna
  I have on several occasions experienced significant variation in the value of AMH in the same woman within a short period of time. At the beginning we thought that AMH was unambiguous and stable throughout and between cycles and changed little even if the woman used the pill or had a natural cycle. This is not the case, which is why we also count antral follicles. A total of at least 7 antral follicles is not bad and fits better with AMH = 4 than
  AMH = 1.
  The condition of the sample when it arrives at the laboratory can be important, it should be frozen. But there are obviously other factors that come into play and lead to significant variations.
  Your age is important when it comes to the quality of your eggs and you are still in what we call a woman's most fertile age, which is 25 - 35 years. Quality is more important than quantity.
  Keep your spirits up and you will see that you succeed.
  
  1 answer SVAR
  - Anna Johansson March 17, 2016
    
    Many thanks for the encouraging reply. The anxiety and confusion is great. When you are part of the public sector and do not go private, the follow-up is not particularly close and you are left with many questions. The first fertility doctor I saw didn't give me much hope and based my whole future solely on AMH despite everything else looking good. Soon we will be in trial two, we sincerely hope that it will give better results.
    
    1 answer SVAR
    - Terje Sordal March 29, 2016
      
      Hello Anna
      Good luck with your next treatment.
      
      SVAR
Marina February 29, 2016

Hey,

I turn 37 in 1 month.
I have been trying to get pregnant since November 2015.
Took hormone tests in January 2016
accompanying results:
S-TSH 1.51 mlU/in
S-Free T4 15.3 pmol/l
S-Free T3 5.8 pmol/l
S-Anti-TPO <10 kLU/I
S-FSH 9.0 UI/I
S-LH 4.6 UI/I
S-Prolactin 499 mlU/i
S-estradiol 0.19 nmol/l
S-AMH 13 pmol/l
S-Progesterone 51 nmol/l

The results indicated that there were normal findings.
I read online that FSH of 9 may be a bit too high. Estradiol also seems to be in the upper range of what is normal.

What do the results say about egg quality and shouldn't I wait too long to try IUI or IVF?

Thanks in advance for your answer,

Marina

2 answer SVAR
- Marina February 29, 2016
  
  PS FHS, LH and estradiol are taken on the 3rd day of the cycle
  Progesterone on the 21st day of the cycle
  
  SVAR
- Terje Sordal March 02, 2016
  
  Hello Marina
  With a progesterone of 51 nmol/l, the hormone screening was taken after ovulation. It is not the right time to assess estradiol and thus FSH. If these samples are taken on the same day, I feel that the estrogen value is a little low compared to the progesterone value. If the samples are taken at different times in the cycle, it becomes a little difficult to say for sure. Your AMH is good, you have plenty of eggs at your disposal. Age-wise, you have reached the point where fertility begins to decline, but you have not tried for more than a maximum of 4 months yet and should therefore not despair that you have not become pregnant yet. To be on the safe side, your partner should have a semen analysis done and you should have a hormone screening on cycle day 1 or 2. Then it will be possible to say something about your basal FSH and thus ovarian quality. If the sperm quality is normal and the FSH value is normal at an adequately low value of estradiol, you can just continue.
  The test will continue until closer to November 2016. Then there will be an 87% chance that you have become pregnant.
  
  1 answer SVAR
  - Marina March 05, 2016
    
    Hi Terry,
    
    Thanks for the encouraging words! We will of course keep trying and hope that this will work naturally :-)
    The partner has taken a SA analysis, the test result was "normal findings" with
    Volume 2,000 ml
    Concentration 40,9 M/ml
    Total sperm count 81,9 M
    Number of motile 64,6 M
    Motility 79%
    Rapid motility 67%
    Moderate motility 12%
    Progressive molility 47%
    
    Incidentally, hormone samples were taken on day 3 of the cycle, with the exception of progesterone which was taken on day 21 or 22 of the cycle.
    I plan to repeat the first hormone test on cycle day 1. Should I then take a progesterone test again as well?
    
    Regards,
    Marina
    
    1 answer SVAR
    - Terje Sordal March 07, 2016
      
      Hello Marina
      The sperm quality seems very good. You don't need to take progesterone on cycle day 1, it will be low and uninteresting at that time in the cycle. It is primarily estradiol and FSH and the ratio between them that are important in that test, as well as seeing that the other parts of the hormonal system show normal values.
      
      SVAR
Catrine Jan 14, 2016

Hey,

About a year ago I took samples on day 1 and day 3 of my cycle. My egg reserves were good and I was ovulating.

I don't know when in the cycle I ovulate, but when the tests on day 21 were good - could that indicate that I'm pregnant?

Thanks for reply.

1 answer SVAR
- Terje Sordal February 05, 2016
  
  Hello Catherine
  There is probably too little information for me to say anything specific about your ovulation. You don't say anything about your cycle length or what your estradiol or progesterone values were on day 21. In general, I can say that ovulation itself occurs 12 days before the first day of your next period. In a 28-day cycle, around day 16, in a 32-day cycle, around day 20. You get a positive ovulation test 24 - 36 hours earlier, that is, before the egg is released.
  
  SVAR
Karoline Dec 30, 2015

Hi.

In connection with an investigation for PCO (due to unwanted hair growth - which, however, I only have to a very limited extent), I had some blood tests taken earlier in the year.
As I am now considering trying to get pregnant within the next year, I am a little unsure if these tests are ok.

The first numbers were taken on day 21 of my cycle, and here are the numbers:
Progesterone 12,2 (declining to 10.9 on day 24)
Contact: 6.8
FSH: 2.9

Immediately, these numbers were considered slightly irregular, and I subsequently had blood tests taken on day 3 of my cycle, which were:
FSH 10,9
Estradiol 0.10
LH 11.9
Progesterone 1,3
AMH 14

Blood sugar, testosterone and TSH were also measured - all of which were normal. In addition, I was scanned, and there everything looked normal, and it was assessed that I did not immediately have PCO.
You could also see on the scan that I had probably just ovulated.

I have just turned 38 and have a normal BMI.
I have a regular cycle of 30 days (ovulation approx. day 18 according to what I can feel).
I have a tendency to light spotting around ovulation + a couple of days up to menstruation (normal cell scraping).

The figures were only assessed in relation to PCO. But how do you assess the numbers in relation to being able to get pregnant? And are we in a hurry to get started? (my husband lives in Denmark and I in Norway most of the time....so it requires a bit of planning).

I have also become a little worried about whether the very low progesterone on day 21 + 24 could become a problem? (and can the measurement be used at all, when I have probably ovulated a little late in the cycle).
I can understand, low Progesterone can make it difficult to get pregnant (short luteal phase) + increase the risk of miscarriage in pregnancy. Can I do anything myself to increase Progesterone?

With best regards
Karoline

1 answer SVAR
- Terje Sordal Jan 04, 2016
  
  Hello Caroline
  You have normal AMH and plenty of eggs, you are not in a hurry for that reason. FSH on day 3 is also normal so that the quality of the eggs is perceived as good. Your age alone indicates that you should not wait too long to have children as the number of genetically abnormal eggs increases rapidly after the age of 40. Your LH is high in relation to FSH on day 3, as we often see in women with PCOS. You ovulate at the right time in relation to your cycle length and a slight spotting at ovulation is not abnormal. It is possible that high LH early in the cycle negatively affects the eggs and that this may be behind a disturbed ovulation with slightly low progesterone on day 21. Ovulation has been seen by ultrasound. If progesterone is still low on days 20 - 21 in future cycles, you may consider trying vaginal progesterone support from the day after ovulation and until you know if you became pregnant. There are several medications for luteal phase support, such as Crinone and Lutinus.
  
  SVAR
Monica Dec 30, 2015

Hey!

We were investigated for involuntary infertility about 10 years ago. The man had normal sperm quality. I was diagnosed with PCOS and a blocked fallopian tube, was overweight. The conclusion was that the body tried to ovulate, but that the final maturation did not take place. We had a child 7 years ago with the help of a triple dose of Pergotime. (received many courses, the next step was IVF)

We haven't used contraception for several years now, I'm a normal weight, 36 years old and healthy. Relatively stable cycle of 28-30 days, but can suddenly become shorter sometimes. I have a short luteal phase from signs of ovulation to spotting and period, about 9 days. My gynecologist has "cleared" me of PCOS as the ultrasound no longer shows cysts on the ovaries.

Now the man will provide a new semen sample, and if it is normal, the gynecologist will perform a laparoscopy to check if one of the fallopian tubes is still open. If so, Pergotime will be relevant again, possibly IVF.

The gynecologist requested blood tests which were taken on cycle day 3:
Estradiol 0.05
FSH 6.1
LH 4.2

Got a short note that the tests were normal, but a little low Estradiol. What do you think about the tests and the odds going forward? Would you take other tests in addition?

1 answer SVAR
- Terje Sordal Jan 04, 2016
  
  Hello Monica
  I consider the blood tests from day 3 to be normal. In any case, you have a normal value for FSH with adequately low estradiol. It could be that low if the cycle was 30 days at the time the tests were taken. You have a blocked fallopian tube and therefore a "tube factor". I think it is a bit excessive to carry out such an extensive examination as a laparoscopy to check whether this is still the case. My recommendation would be IVF directly without further investigation than a semen sample from your partner. IVF was invented to help women with fallopian tube damage. Your circumstances otherwise seem to be normal.
  
  SVAR
Monica Dec 04, 2015

Hey!
I am 37 years old and have had several hormone tests done.
My partner and I had initially thought about insemination with donor sperm, but after doing some research, we see that many people go straight to IVF. What would you recommend when you see my blood test results?

AMH of 7 pmol/L

S-CREATI 66 [45 - 90]
S-eGFR (CKD-EPI) 102 [>60]
S-TSH 1.9 [0,20 - 4,0]
S-Free T4 14.5 [11,0 - 23,0]
S-FSH 10 [<12, cycle off]
S-LH 5 [<17, cycle off]
S-PROLAK 109 [0,10 cycle avh]
S-PROGES <3 [following phase<3, slope]
S-Testosterone 1.1 [<3,0]
S-SHBG 70 [23 - 100]
Free Testosterone index 0.2 [0,1 - 0,6]
S-Vitamin D 43 [50 - 150]
- Vitamin D3 43 [-]

1 answer SVAR
- Terje Sordal Dec 09, 2015
  
  Hello Monica
  I miss the estrogen value from the day the samples were taken. It is crucial to be able to say something about your FSH value and thus the quality of your ovaries. The AMH value is a bit low for your age, but it is still sufficient eggs at your disposal. The other important test results are normal. If FSH is < 12,5 IU when estradiol is 0,10 nmol/l or lower, you can try insemination up to 3 times before you possibly move on to IVF. If FSH is higher at adequately low estradiol, I would recommend IVF from the start.
  
  SVAR
Snoopy November 24, 2015

Hi, I am 38 years old and met my partner late. After 1 year of trying, I was diagnosed with blocked fallopian tubes. I understand that there is no point in opening them, is that correct? We started IVF a while ago. I started short treatment with a high dose, but unfortunately there was too little egg development and the trial was canceled. My AMH is 3,3, which is not very promising, i.e. I have a low egg reserve, I understand. In a month. I will be going for long treatment with a different agent than before. Do you think there is any chance for me? Is there any probability of stimulating more eggs with long treatment and is there anything I can do myself? (Dietary supplements, other treatment)

1 answer SVAR
- Terje Sordal Dec 01, 2015
  
  Hello Snoopy
  You have a low egg reserve, but not critically low. Regardless of the stimulation, you will produce relatively few eggs, but if the quality of the eggs is good, the result can still be good. It takes a lot before we interrupt a treatment because of few eggs in a woman with low AMH. We choose to retrieve the eggs we can get, we never know if there will be more eggs next time.
  The result will largely depend on whether you have normal FSH in a blood test from cycle day 1 - 2. It will say something about the quality of the eggs. IVF is definitely preferable to trying to operate on the fallopian tubes. You can only trust that the clinic will choose what they think is best for you based on the experience from the first attempt.
  
  SVAR
Anna November 16, 2015

Hi, my partner and I have started thinking about egg donation as the chance of getting pregnant with my eggs is apparently minimal. AMH<1.1 pmol, FSH 9.9 IU/L day 3 of the cycle. Progesterone about 7 days before menstruation: 0,7 nmol/L. After having an ultrasound of my ovaries, an expert had no doubt that the chance of success with regular IVF was very small.

Would you have considered it the same based on the information?

1 answer SVAR
- Terje Sordal Dec 22, 2015
  
  Hello Anna
  It's hard to say for sure based on the information you provide. Age will be important, FSH seems to be good, but if the estradiol value was 0,15 nmol/l or higher, your basal FSH (day 1) may still turn out to be elevated.
  If basal FSH is elevated, AMH < 1,1 pmol/l and your age is 43 or older, I would probably agree with the "expert".
  
  SVAR
Mari November 04, 2015

Hi, I am a 47 year old woman trying one last time. For us, there is no question of trying anything other than the natural way. I got pregnant 1,5 years ago but lost it. Now I have had my hormone levels measured and got the following:
FSH 16
LH 8
Estradiol 0,33.
I have received feedback that FSH indicates early menopause.
BUT the test was taken on day 12 of the cycle and not day 2 as you say is important. Should I take a new test on day 2? I still have a fairly regular cycle, with proven ovulation every month. I read online that if FSH is high it will be possible to lower it with treatment with ethinyl estradiol. Is this a known form of treatment in Norway? I am only doing this to know that I did what I could to have a child.
Yours sincerely Mari

1 answer SVAR
- Terje Sordal Dec 22, 2015
  
  Hi Mary
  
  You have elevated FSH even with moderately high estradiol. A sample taken earlier in the cycle, when the estradiol value is lower, will show an even higher value for FSH.
  Estradiol lowers FSH, but does not improve the chance of getting pregnant. FSH is high because the ovaries need stronger stimulation to function. Lowering FSH by administering estradiol from outside leads to weaker stimulation of the ovaries.
  You just have to keep trying, even if the chance of success is low. It happens that some cycles are better than others.
  
  SVAR
Linda October 05, 2015

Went to the GP and had hormone tests done as my periods are less frequent. All tests were normal/adequate, LH and estradiol, but elevated FSH 29. I am 39 years old, have an 8 year old child and am wondering if there is any chance of getting pregnant with high FSH. My husband and I have been trying for 2 years without any pregnancy occurring.

1 answer SVAR
- Terje Sordal October 15, 2015
  
  Hello Linda
  Your FSH is what we would see in a premenopausal woman. A bit strange that LH was normal, it is usually also elevated, but not as high as the FSH value. It would be interesting to hear what the values for LH and estradiol were. If your FSH is truly elevated, as it suggests, I think it will be difficult to get pregnant again.
  
  1 answer SVAR
  - Linda October 15, 2015
    
    Thank you very much for your answer. I don't know exactly what the LH and estradiol values are, just that the other test results were normal. What I'm wondering is whether it's worth the effort to try pergotime, as this was recommended by the GP if we wanted more children.
    
    1 answer SVAR
    - Terje Sordal October 28, 2015
      
      Hello again Linda
      Pergotime stimulates egg development and can cause more than one egg to develop in some people. It gives a greater chance of getting pregnant if more eggs are released, but it does not give better quality eggs. It certainly can't hurt to try.
      
      SVAR
Sara October 02, 2015

Hey
I have had these blood tests taken on day 2 of my cycle, can you tell me what they mean in my situation? I have endo. Two children without IVF, want another one and am considering IVF due to endo. How is the ovarian quality? Number of eggs produced? What can you say when you see the test results?

AMH 7
TSH 1,2 mU/L
FSH 9 U/L
Luteinizing Hormone 4 U/L
Free Thyroxine 14,7 pmol/L
Prolactin 122 mU/L
Estradiol 0,12 nmol/L
Progesterone <3 nmol/L
Testosterone 0,7 nmol/L

Progesterone on day 23 of cycle: 26 nmol/L

1 answer SVAR
- Terje Sordal October 05, 2015
  
  Hi Sarah
  FSH is normal and will be so even when estradiol is 0,10 nmol/l or lower.
  AMH is still okay, and you have enough eggs, but maybe in the lower part of the normal range for a 31-year-old woman.
  Basically, I perceive the conditions as satisfactory and if the conditions are otherwise normal for you and your partner, then the chances should be good, whether you try on your own or choose to go for IVF.
  
  SVAR
Gabrielle (29 years old) September 30, 2015

Hey,
I am 29 years old and had blood tests for hormone levels on day 3 of my cycle. The values were
FSH: 9
AMH: 14
Estradiol: 0,16
S-TSH: 2,6
S-SHBG: 85
S-prolactin: 508
My mother went through menopause early, in her late 30s.
Based on the above information, are the values normal? Do you think I should start having children or can I wait another 2-3 years?
Thanks in advance for your answer!

1 answer SVAR
- Terje Sordal October 05, 2015
  
  Hi Gabrielle
  I think you can wait another 2 - 3 years. When you take the samples on day 3, the estradiol value will often be so high that it can be difficult to say anything for sure about FSH, especially if it is in the upper part of the normal range in the 3rd day sample. Nevertheless, I think your FSH will be normal even when the estradiol value is 0,10 nmol/l. The AMH value is normal. To be on the safe side, I would check FSH, estradiol and AMH again in 2 years to keep track of any unexpected changes.
  
  SVAR
Afrodite September 07, 2015

I am a 41-year-old woman who is wondering about the possibility of getting pregnant. I have an 11-year-old child who was conceived through IVF. After the examination at the time, it was said that we should be able to get pregnant normally (despite endometriosis), but I was not. I now have a new partner for the last two years, and we have been trying to get pregnant for about 1 1/2 years. I took a series of tests in February, and we went through an IVF trial in Denmark in June. Only one egg was released, and it did not develop, so nothing was realized. In a conversation with the doctor in Denmark, a new IVF trial was not recommended because he thought the chances of success were relatively low (10-15%). If we were to try, he recommended Menopur as a treatment instead of Gonal F. Now we are unsure whether to try a new IVF trial or possibly egg donation. The tests in February showed the following: AMH 5, FSH 3,8, Estradiol 0,87, LH 3,4, progesterone 1.2. I see that many of the results are outside the reference range, including some that I have not mentioned here. Neither the gynecologist here nor the doctor in Denmark thought that the tests were any obstacle to trying IVF... What do you think about any further attempts? And if we are to consider egg donation, where can we contact for more information?

1 answer SVAR
- Terje Sordal September 24, 2015
  
  Hello Aphrodite
  Your AMH indicates that it should be possible to release more than one egg.
  I can't say anything about your basal FSH as this sample was taken near mid-cycle, with a high estradiol value (soon to be mature egg). To say anything more about the quality I therefore need a sample from cycle day 1 or 2, when the estradiol value is at its lowest and FSH shows its "true face". If you want more information about egg donation I would suggest that you contact "Önskebarn" who knows of good places.
  If you would like a more detailed assessment of your chances with your own eggs, I would recommend that you submit our form.Patient information"then we assist with the necessary tests and assessment.
  
  1 answer SVAR
  - Afrodite September 25, 2015
    
    The samples were actually taken on day 2 or 3. That's why I think they seem very "abnormal". Should I take more blood samples at different times in the cycle to be able to assess whether there is any possibility of trying with my own eggs?
    
    1 answer SVAR
    - Terje Sordal October 15, 2015
      
      Hello again Aphrodite
      Now you're making me wonder a little about the test results. If the estradiol value is stated in pmol/l, your test results are completely normal. If it is stated in nmol/l, as I expect, it corresponds to an almost mature egg and does not match a sample taken on day 2 or 3. In that case, I would take a new sample of FSH and estradiol on the next day 1 - 2.
      
      SVAR
Ingun July 09, 2015

Hello.
I (28 years old, 55 kg, 162 cm) have been through two IVF treatments (one interrupted because no eggs were fertilized) and one (ICSI) with blastocyst transfer (+ 3 frozen). Unfortunately negative. I had bleeding on test day and am now waiting for the next bleeding, I am almost four weeks overdue. I am so-called unexplained childless, but know that ovulation is the problem - it never shows up. Relatively regular cycles after I stepped down from training (then it went months between each time). I have heard talk of pituitary insufficiency - what is this and is there anything I can do about it?
Is it possible to start the next cycle with medication/hormones so that I can start the next attempt even if I miss my period?

1 answer SVAR
- Terje Sordal Aug 21, 2015
  
  Hi Ingun. The first attempt showed that there was a fertilization problem, no eggs fertilized by IVF. In addition, you say that you are not ovulating, so it is no longer "unexplained". If you are going to have a thaw attempt, it can be done in a "substituted" cycle. Then the uterine lining is built up with added estrogen and then matured with additional progesterone, before resetting. If you are going to start a new ICSI attempt, it may also be possible without prior menstruation. Hormone tests and an ultrasound will probably be necessary first to check that the conditions are otherwise suitable for it. Pituitary failure or abnormal pituitary function can be checked with hormone tests. Otherwise, an early pregnancy can cause your period to not come!
  
  SVAR
Mars Jun 12, 2015

Hey!

I am a girl of almost 23 years old. I was at a gynecologist who seemed very concerned about my egg reserves. He counted three eggs in one ovary, and four in the other. I took an AMH blood test, which showed that the AMH value was 5. I barely spoke to the people at the clinic, where they recommended that I start IV treatment considering my young age. They also said that it was not in the lowest range, which I also understand from the film above, but what does that really mean for my young age? Will the value most likely decrease in the future, and does that mean that I have a bad time? I am only 23 years old, and initially had no plans to get pregnant immediately, but my partner and I agree to put all contraception aside if time is running out for us. I have no idea how FSH is to be tested, or whether it has been tested, but at least I did not receive any information about what the value is.
I hope someone can answer me, I really need some advice on what I should do next...

1 answer SVAR
- Terje Sordal July 01, 2015
  
  Hello Martha
  Your egg reserve is very low for a woman of your age, it will drop and you are short on time.
  FSH is tested in a blood sample taken early in the cycle, usually on day one or two, together with the hormone estradiol. If FSH is 12,5 IU or lower at the same time as estradiol is 0,10 nmol/l or lower, the ovarian quality is fine. Your partner should have their sperm quality checked so that you don't waste time trying if the chance of success is reduced due to poor sperm quality. The bright side is that you have a partner you can imagine having a child with, so start first as last. If FSH is normal and you are not successful within 12 months. you should probably choose to go for IVF. If FSH is elevated you should go for such treatment earlier. You can send us information about yourself via our electronic patient information form If you want to talk to us about something, here.
  
  SVAR
Hope May 13, 2015

Hi Terje.
We are about to start IVF in Trondheim. After samples were taken for CD1 and CD21, this is the result; progesterone 53,6 (cd21). By the way, I have a luteal phase of "only" 10 days. I have found this out by measuring basal temperature for many months. Could this be the reason why I have not become pregnant, and why do you not include such "problems" in the investigation? Just curious.
On CD 1, the tests showed this: Estradiol: 0,25
FSH: 3,3
Contact: 4,2
AMH: 40,8 (not taken on cd1)
Would you say there is something abnormal about these?
You say that estradiol should not be above 0,20.. That's mine. What could be the reason for that?
And perhaps most importantly, what consequences will it possibly have for the outcome of IVF?
My estradiol values otherwise in the cycle are 0,81 mid-cycle and 0,61 on cd21.
Would you say that I have high estradiol levels? And is that negative in relation to my fertility?
By the way, I am 30 years old and otherwise very healthy and fit.

Hoping for an answer, I've been wondering about this for a while :)

1 answer SVAR
- Terje Sordal May 18, 2015
  
  Hello Hope
  
  The luteal phase lasts from ovulation itself until the day before the first day of the next period. Of course, we emphasize the length of the luteal phase, which is why we take 4 samples during a cycle. If the only thing we find in the examination is a too short luteal phase, we recommend progesterone supplementation from day 2 after ovulation until testing. In the event of a positive test, support is continued until the end of week 10.
  Estrogen levels are lowest early in the cycle and rise until ovulation. It is the growing follicle that produces estrogen, more as it gets larger. Estrogen levels vary from
  0,07 nmol/l on day 1 and to 1.0 nmol/l at EL. When the estradiol value is at its lowest, the FSH value will be at its highest (stimulating the follicles to grow). When the estrogen value rises, the FSH value drops in response to the rise.
  If I am to be able to say something about the basal value of FSH (highest value), the measurement must be done when the estradiol value is at its lowest, i.e. as early in the cycle as possible (day 1). If the estradiol value is higher than, for example, 0,20 nmol/l, the FSH value will not show its "true face". Your FSH is still so low at 0,25 nmol/l that it would be normal even at a lower estradiol value.
  
  Your samples look normal and your age is fine, so good luck with the attempt!
  
  1 answer SVAR
  - Hope May 27, 2015
    
    Thank you very much for the answer and good luck :)
    PS: I didn't mean to criticize you when I asked about the investigation. I've been to others and I think it's strange that they didn't find out that I have late ovulation and a short luteal phase.
    
    SVAR
else May 06, 2015

Hey,

I am 42 years old and single. Normal BMI. I have had blood tests regarding possible assisted reproduction in Denmark. AMH: 11, FSH: 14, Estradiol: 0,08. I smoke. Will quitting smoking help my FSH levels? I do not take any hormone-stimulating drugs. Is this a long shut, or do I have a chance of getting pregnant if I start.

Thanks in advance!

else

1 answer SVAR
- Terje Sordal May 11, 2015
  
  Hello Else
  AMH is normal, so you have a good egg reserve. FSH is slightly elevated and indicates that ovarian function is starting to decline a bit. Age means that it is starting to get longer between genetically normal eggs. The chance that you will get pregnant on your own is still there, but fertility is, as you understand, reduced. Smoking has a negative effect on a woman's egg reserve and will not be good if you were to get pregnant anyway. Your best chance of getting pregnant in the shortest possible time is probably IVF.
  
  SVAR
Kristin Beate Lorentzen May 05, 2015

Hi. I have just been to your gynecologist and had blood tests. I have been pregnant 3 times, two beautiful children and a miscarriage at week 14. I would like to give birth again but am a little unsure about the possibility because I have been sick half my life, youth (severe anorexia, been healthy for several years).
Blood tests taken on the last day of the cycle showed AMH 1,2 estradiol 0.04 progesterone 2.4 LH 6.7. I don't think FSH was taken then. Took new tests yesterday on the 1st day of the cycle.
What do you think??? We wish you another heartbreaker. Best regards Kristin

1 answer SVAR
- Terje Sordal May 11, 2015
  
  Hi Kristin
  You have a low egg reserve, meaning few eggs available. Too bad you couldn't give me your FSH value, then I could more easily indicate what your chances are. If FSH is elevated to 20 IU or higher on estradiol that is 0,10 or lower, I think the chances are minimal.
  If FSH is normal (12,5 IU or lower) there may still be a chance of success, if age is also on your side.
  
  SVAR
Mette April 20, 2015

Hi.
As I want to have children - but really want to wait a little longer - I have had some examinations/blood tests carried out to assess my fertility.

In January 2014, Progesterone was measured at 8.5 on day 21 and at 6.5 on day 24. Very low, so I was therefore referred to a gynaecologist, where the numbers (January 2014 on day 2 of my cycle) were as follows:

AMH: 25 pmol/L
FSH: 8,8 iu/L
Estradiol: 0,10 nmol/L
LH: 11,8 iu/L
Progesterone: 1,0 nmol/L
Sex hormone-binding globulin: 61 n/mol
Testosterone: 0.40 nmol/l
Thyroid peroxidase: < 10
P-Thyrotropin (TSH): 3,14 miu/L

A supplementary scan showed normal conditions with no signs of PCO.

Now, in March 2015, I had my AMH, FSH (and estradiol) repeated, which on day 3 of my cycle was:
AMH: 17,3 pmol/L
FSH: 9,3 iu/L
Estradiol: 0,11 nmol/L

My question is now: Should I be concerned about the originally measured (and low Progesterone), the large drop in AMH in just one year, as well as the rising FSH, in relation to postponing the desire to have a child for a while yet?

PS: I have just turned 36 (April), have a normal BMI and a regular cycle of 30/31 days.

I hope it works, to read my mail in Danish (I don't write very well in Norwegian :-))
Many greetings from Mette.

1 answer SVAR
- Terje Sordal April 24, 2015
  
  Hello Mette
  You have normal ovarian function (normal FSH at sufficiently low estradiol) and ovarian capacity (number of eggs). You don't need to worry about waiting a while to get pregnant.
  I don't think the low progesterone level means anything this early in the cycle. However, you have high LH on day 2 of your cycle, which can interfere with egg development. Not sure why you have such high LH. It's something we can see in women with PCOS, but you don't have any other signs of it. The changes in FSH are dependent on the estradiol level and AMH we often see can vary somewhat, but you still have many eggs available.
  
  1 answer SVAR
  - Mette April 26, 2015
    
    Many thanks for the answer.
    Regarding the elevated LH on day two of the cycle, it should be mentioned that 8 years ago (accidentally) I was diagnosed with cysts on the ovaries - although without other signs of PCO, why nothing was done (and I forgot all about it). I weighed approx. 10-12 kilos more than today, and was therefore overweight. Can the high LH possibly connected with the fact that I have previously had cysts on the ovary (and may have had a tendency to PCO?).
    The cysts are supposedly gone now according to the scan from 2014 (possibly due to the weight loss) and I happened to be ovulating at the time the scan was carried out.
    The only sign of PCO at the present time can be the high LH and in 2014 I had low Progesterone measured on days 21 and 24 of my cycle (Progesterone was there 8,5 and 6,5).
    Is it possible to have PCO, without which cysts are visible on a scan? And if so - is it something you treat when you don't have genes for the disease? And should it be included in considerations about postponing a possible pregnancy?
    
    With best regards
    Mette
    
    1 answer SVAR
    - Terje Sordal May 04, 2015
      
      Hello Mette
      Elevated LH along with long or infrequent periods may be a sign of PCOS.
      PCO means "many small ovarian cysts" as seen on ultrasound, and has nothing to do with cysts. If you have high AMH or many small ovarian cysts, you probably have PSOS.
      PCOS cannot be treated, but the chance of ovulation can be increased with Metformin and/or with simple stimulation with Letrozole or Pergotime.
      
      SVAR
marisol April 07, 2015

Hi, I'm here to ask you all, I'm a 37-year-old woman, I have 3 children, 18,17, 7, and 2000. But the oldest children are from my first husband. Now I'm remarried and we've had a child with IVF. She's a completely healthy girl. I can't get pregnant. I got an IUD in 5 and had it for 7 years, but then I got a big infection that made my tubes become blocked. I tried to fix it but couldn't. After I had my daughter at XNUMX, I got pregnant without the uterus. I had to go to the hospital and they took out the tube. It was completely destroyed. But hey, here's another one. On the letter from the hospital, they said that one was fine, normal, and slim with normal fingers. I don't know if the other one is blocked yet. I'm making an appointment with the gynecologist to check if the other one, which I know is blocked, would like to have it removed. It won't get pregnant without the uterus. Can anyone tell me about this with the tubes?

1 answer SVAR
- Terje Sordal April 12, 2015
  
  Hello Marisol
  Normally, it is not necessary to remove the tube if it is normal and open. The same applies if it is blocked all the way inside the uterus. If it is blocked all the way outside, at the ovary, there may be a reason to remove it. Pregnancy outside the uterus almost only occurs if the fallopian tube has been damaged beforehand.
  
  1 answer SVAR
  - marisol April 13, 2015
    
    hey thank you so much for your suar so when I go to ahus I can know they will be and see if one of the tubes is open for you now here I was a tube sex they took away when I got pregnant without from the uterus I here want a child for me my husband sex. but will do everything I can I got my last one with him with iv. so it went well but here got a healthy girl who is now 7 years old but you thank you so much for your suar thank you
    
    1 answer SVAR
    - Terje Sordal April 15, 2015
      
      Hello Marisol
      Glad the answer was helpful. You can get pregnant on your own if the other fallopian tube is open, but your chances will be best if you choose IVF treatment.
      
      SVAR
Soon to go for IVF after 20 months of training March 12, 2015

Hello.
I probably get all the answers I need, but I'm unsure about one little thing that no one has told me.
We have also been fully examined. I have regular periods, always 28-30, never more or less. Semen test is more than good enough. Progesterone on day 21- 53,6. I have also had my fallopian tubes checked, and they are both open. I have lots of eggs and good lining. FSH, LH and estradiol were taken mid-cycle at the GP (I now realise that this was the wrong time). At that time my estradiol was 0,81. FSH: 11 and LH 30,4. I have been worried that LH is so much higher than FSH. But, based on what you say, I don't need to worry about it? Do those values mean anything?
Estradiol taken on cd21 was 0,61. Isn't that a bit high? I had taken pergotime months before, could that be the reason for such high estradiol in the luteal phase? If not, could it be a problem?
I've taken an AMH test now, and will take new FSH, LH and estradiol on CD 2 in 2 weeks.
Based on this, can you say something about our chances of success with IVF?
It's no fun being inexplicably childless.

Greetings "a little worried"

Thanks for the answer! :)

1 answer SVAR
- Terje Sordal March 16, 2015
  
  Hello, you who have been struggling for 20 months.
  Your tests are perfectly fine based on where in the cycle they were taken. If you get a test result where LH is higher than FSH, it will always be when the ovulation signal comes. If FSH is higher than LH, it is always right before or after menopause! The tests show that you have both good egg development and good values after ovulation. Unexplained infertility just means that with the tests that have been done so far, a cause has not been found.
  IVF is a good treatment for "unexplained infertility". From what you say, everything seems fine and the chance of success should be good. Your age will be of significant importance, but I don't know anything about that.
  
  1 answer SVAR
  - Soon to go for IVF after 20 months of trying March 17, 2015
    
    Hi and thanks for the reply!
    I'm 30. So it's not a big concern yet I guess :)
    
    SVAR
Confused February 25, 2015

Hey

My partner and I have been trying to get pregnant for 6 months, using ovulation tests and finding ovulation. I have slightly irregular cycles, usually 35 days, but have had both more (when I have been traveling) and less. I usually ovulate on day 25, and then it only takes 10 days from a positive ovulation test to my period. I have been to a gynecologist who has taken blood tests, she says my hormone levels are completely normal, my fallopian tubes have been checked and they are open, and she can see that I have ovulated. Today she mentioned that I have many eggs and mentioned PCO, but when I asked if I have cysts she said that I do not have any cysts and my hormones are fine, so it cannot be PCO that I read about online? She has asked me to come back on day 18 of my cycle to "time" ovulation. Does that mean she is going to try to induce it? How can it be any better than getting it naturally? I get it every cycle. Should I worry? It seems like everything is fine, but when she mentioned PCO I got worried. I hope for an answer, because I just have more questions after seeing her.

1 answer SVAR
- Terje Sordal February 27, 2015
  
  Hi Confused
  You are not the only one who is confused when PCO is mentioned. It is an accident that the word cyst is used in this context. Most people associate a cyst with a large fluid-filled bladder in the ovary(s). A cyst in this context means many (12 or more) small follicles in the ovaries (between 2 - 10 mm). If the doctor found this, you have PCO. This is found in over 20% of all women. To have PCOS, you must have an elevated value for testosterone or androstenedione or long, rare or no cycles. With PCOS, we normally find an elevated LH value in relation to the FSH value, low SHBG and, as mentioned above, elevated or normal testosterone and often elevated androstenedione. Girls with an elevated LH value can get results on the ovulation test without there being an ovulation signal. Ovulation normally occurs 24 - 36 hours after a positive LH test. There should be at least 12 days from ovulation to menstruation. With a 35-day cycle, ovulation should occur no later than day 24, with a positive LH test on day 22. Follow your doctor's suggestions for ultrasound and possibly an ovulation injection. This will give you more clarity about what is happening and ensure possible ovulation.
  
  1 answer SVAR
  - Confused February 27, 2015
    
    Ok, but my hormone levels are exactly where they should be, and I have been diagnosed with ovulation, both by a gynecologist and on ovulation tests. I have also been to two other gynecologists who have not said anything about PCO. Could I have misunderstood her, and that she means something else? I am 178 cm tall, weigh 65 kg, and I see that PCO is associated with being overweight. I can't understand that that is what I have, and that no one has mentioned it before? Is it very difficult to get pregnant with PCO? Do you need help? We have only been trying for six months, and I know I am ovulating, so we have considered just trying on our own...
    
    2 answer SVAR
    - Confused February 27, 2015
      
      Does having many eggs mean PCO? I don't have abnormal hair growth either.
      
      1 answer SVAR
      - Terje Sordal March 16, 2015
        
        Hi again confused.
        As mentioned in my previous answer, PCO means that a man can see a total of 24 or more small egg sacs in the ovaries on ultrasound. There is nothing wrong with having many eggs as long as everything else is in order. That is rather positive. Incidentally, you have not tried to get pregnant for more than 6 months, and there is no question of "infertility" until after 12 months without success. You have been checked and found normal, have egg development and ovulation, so just keep at it and you will probably get pregnant.
        
        SVAR
    - Terje Sordal March 16, 2015
      
      Hello again "confused".
      You talk about how good everything is, that you have egg development and ovulation, that you are of normal weight and have not had increased hair growth and that the fallopian tubes are open. Why be so confused? Incidentally, there is nothing scary about PCO, it just means that the woman has more than 12 egg sacs in each ovary between 2 - 10 mm on ultrasound. If there are also rare or missing cycles, elevated values for testosterone and / or androstenedione, then we are talking about PCOS, which is probably what you read about online. Of those with PCOS, there are some who need help to have children, for example what we call "simple stimulation".
      
      SVAR
Tabi-Kathi February 17, 2015

Hey,
I have some questions about my semen sample.
My sperm test showed
"normal number of sperm with good overall motility, but few that move very fast."

So we didn't get an answer as to whether this was the reason my wife didn't get pregnant until now, we've been trying for 2 years. Her blood tests and keyhole surgery showed that everything was as it should be.

Can anyone answer this? Or have experience with my sperm sample?

Greeting

1 answer SVAR
- Tabi-Kathi February 17, 2015
  
  We are both 30 years old :)
  
  1 answer SVAR
  - Terje Sordal February 18, 2015
    
    Hi Tabi - Kathi!
    
    If your wife has a regular cycle, egg development and ovulation, a normal uterus and open fallopian tubes, it is likely that reduced targeted movement of the sperm cells may be the reason why it takes longer than usual to get pregnant. You can probably get pregnant on your own, but it can be difficult to say how long it will take. If you are stressed and impatient, you can get help to get pregnant faster with in vitro fertilization.
    
    If you would like our assessment, you can submit patient information form Our patient host will call you within a day or two!
    
    SVAR
lill February 13, 2015

Hey,

I am a 39-year-old woman who wants children with my husband. We both have children from previous relationships without hormone or IVF treatment. However, my husband was sterilized a few years ago, so we will have to use IVF if we want to have another child. I have had some blood tests done by my doctor to find out our options with IVF and PESA treatment. I would like to know a little more about what the "prognosis" is. The tests were taken on day 3.
FSH 10,0
LH 5,5
TSH 1,40
Estradiol: 0.15
Free T4: 12,3
Progesterone (day 21): 26,3

Haven't measured AMH yet. Otherwise, no illnesses and good health/form in general.

Can you tell us something about our chances of getting pregnant with IVF?
And is it the case that the ICSI method is used regardless of when sperm is retrieved with Pesa, or is it something that you may choose? I have become a little unsure about ICSI after reading about possible damage to the fetus.

1 answer SVAR
- Terje Sordal February 16, 2015
  
  Hello Lill
  The most important factor in your case is that your partner is sterilized and needs to have sperm extracted from him. epididymis (PESA) or testicles (TESA or TESE)We prefer TESE as it causes the least damage to the testicular tissue.
  
  The second most important factor is your age. Men produce a new generation of sperm every 3 months, while women are born with all the eggs they will ever have. With age, genetic damage occurs in women's eggs, but also in men's sperm, especially after the age of 45.
  
  Your tests seem to be good to me. AMH will tell you how many eggs you have available. I would recommend TESE / ICSI as a treatment for you, but your partner must have a diagnostic TESE first to confirm that it is possible to find sperm that can be used to fertilize the eggs that are retrieved from you. In my experience, children born after ICSI are as normal as other children. Your age is still such that you can expect a reasonably good chance of having children together if your partner has sperm that can be used to fertilize the eggs.
  
  If you would like help from us, you can send us an email. patient information form Our patient host Magnhild will contact you within a day or two.
  
  SVAR
Woman, 35 years old February 05, 2015

Hey,

In December I went through my first IVF attempt due to blocked fallopian tubes. I got pregnant, but 2 weeks ago MA was diagnosed. I was 9 weeks pregnant at the time. I am experiencing this very hard and am so afraid of not getting pregnant again. I will be 36 in April. The doctors at the clinic have said that I have good egg reserves and am therefore a fertile woman. They believe we will succeed again. You always read that after 35 years of age fertility decreases drastically, but is this individual? My blood test results are as follows:
AMH early in cycle: 33
FSH early in cycle: 4
FSH later in cycle: 6
S-Estradiol-17 beta early in cycle: 0,36

I also have a low metabolism, but I am on medication for this and adjusted the dose when I started IVF treatment. Are there other blood test values that are crucial for fertility?

What chances do you think we have of success? My partner is 41 years old and has top sperm quality. I am slim and live a healthy and active life. My greatest wish in life is to have children and it was so wonderful to be pregnant. I am so terrified of not experiencing it again. What do you think?

1 answer SVAR
- Terje Sordal February 08, 2015
  
  Hi Woman 35
  The way I see it, you will most likely get pregnant and have children! I understand that you were upset about what happened, but it has no bearing on how your next pregnancy will go. You are still at a good age and have plenty of eggs.
  
  1 answer SVAR
  - Woman, 35 years old February 10, 2015
    
    Hi Terry,
    Thanks for the answer, not least the uplifting answer :) It helps to hear a professional believe we will be very likely to succeed when the sadness and uncertainty are gnawing at us.
    
    SVAR
Lotte February 01, 2015

Hey,
I am a 32 year old girl who has struggled for 4 years to get pregnant. I have tried 3 IVF attempts and once pergotime - all unsuccessful. The doctors say that the test results and hormone values of me and my husband (34 years old) are normal: early in the cycle: s-ca125 11, tsh 1.4, free t4 17.2, anti-tpo 44, fsh 9, lh 5, estradiol 0.11, shbg 74. After ovulation, progesterone is at 19. The experience from the IVF attempts is that there are not enough eggs, about 4-10 are taken each time, many are fertilized but only once have I had top quality eggs inserted. No one has been able to conceive due to a lot of fragmentation. I have also tried prednisolone in the case, this has not worked either. I have had a laparoscopy and the only thing they found was a narrow cervix. Relatively stable cycles, but they have become shorter over the years between 26-27 days. Severe menstrual cramps. I have never been successful in getting pregnant and am therefore primarily infertile. Normal weight, healthy and active. I have been diagnosed with intolerance to a number of foods but the levels are not sky-high. What could be the reason for my failure to get pregnant? Any advice?

2 answer SVAR
- Lotte February 01, 2015
  
  Amh value of 18,6 pmol
  
  SVAR
- Terje Sordal February 02, 2015
  
  Hello Lotte
  As you already know, the hormone values and AMH are completely normal. You say that the man's hormone values are normal, how was the sperm quality? I assume that it is normal since you don't mention anything about it and that you did IVF and not ICSI. The progesterone value after ovulation seems a bit low, but it of course depends on how long after ovulation it was measured. I assume that you will get an ovulation signal no later than day 12 and that ovulation itself will occur on day 14. If the sample is taken on day 20, it may be normal, if it is taken on day 16, it is low. During the IVF treatments, you received support treatment with progesterone, so then you should have sufficient progesterone anyway.
  
  As I see it, 10 eggs is a sufficient and desirable number. It is only speculation as to why the quality of the embryos is poor. Normally you should have gotten a sufficient number of good embryos from 10 eggs to have some to freeze. Whether the problem is an egg factor or a sperm factor is difficult to say for sure.
  
  You mention food allergies. It is known that celiac disease can be negative for fertility and you do not adhere to a gluten-free diet. Your severe menstrual pain may be due to a narrow cervix.
  
  We have just introduced a special technique to clean the sperm sample before we fertilize the eggs. The method removes sperm cells in the early death phase, before other methods have the opportunity to detect it. This way we avoid fertilizing the eggs with sperm cells that are dying. If the poor embryo quality is due to a sperm factor, it is possible that such a separation could be useful in your case. Please contact us for further information.
  
  1 answer SVAR
  - Lotte February 02, 2015
    
    Thanks for the comprehensive and interesting answer. Is there anything that can be done/tested to investigate whether the poor embryo quality is an egg factor or a sperm factor?
    
    1 answer SVAR
    - Terje Sordal February 08, 2015
      
      Hello again Lotte
      Fertilize half of the eggs with your partner's sperm and the other half with donor sperm. But it's a bit of a demanding and difficult test to get done. My suggestion is to do sperm selection (new technology we've started with) and then ICSI with the good sperm. Then the bad sperm will be removed and the eggs that are mature will be properly fertilized.
      
      SVAR
Erika Jan 22, 2015

Hello.
I see that you write here that estradiol should be 1nmol/l or lower. This confuses me.
I have 0,07 nmol/l as of today, and am told that this is far too low, but that all other hormone tests are fine. For over 5 years I have been told that my estrogen level is far too low, and that I should start taking birth control pills to increase it, and that my period will then probably return. But I do not want to go on birth control pills, as it has some negative effects on me.
By the way, I lost my period when I was a normal weight (174 cm and 65 kg). I was then diagnosed with celiac disease and other intolerances after dramatically involuntarily losing weight (48 at my thinnest). Today I weigh between 54-56 kg and eat at least 3000 kcal/day on average. I need all this to keep my weight stable, but I haven't noticed any weight gain when I eat more than this either, which I find completely strange.

Otherwise, I have been put on a 10-day "course" of provera to see if there was any bleeding and to confirm if I could ever get pregnant if I wanted to in the future (I am now 25 years old), but I didn't. What do you think about all this? Do you have any advice? :)

1 answer SVAR
- Terje Sordal Jan 26, 2015
  
  Hi Erika
  
  Perhaps I have expressed myself unclearly. When it comes to our hormone analysis, we take hormone samples on cycle days 1, 10, 20 and 24 when the woman has a normal cycle length between 26 - 32 days. When I evaluate the sample from cycle day 1, I want an estradiol value that is 0,10 nmol/l or lower in order to be able to say something for sure about her basal FSH value (the quality of the ovary). Later in the cycle, estradiol will rise as egg development progresses and reach its peak just before the ovulation signal is triggered (LH). Then the estradiol value will be around 1,0 nmol/l. The estradiol value therefore fluctuates by a factor of 10 from very early in the cycle until ovulation. Therefore, you have a consistently low estradiol value if you are constantly around 0,07 nmol/l. That is also why you are recommended the pill. It will provide sufficient estrogen levels so that you do not lose calcium from your bones or get sore and thin mucous membranes. The progestin regimen (Provera) will make the uterus think that ovulation has occurred, when you stop taking the tablets it will think that you did not become pregnant and respond with a menstrual bleeding if you have had sufficiently high estrogen levels to build up a mucous membrane that can be rejected. Otherwise you will not have any bleeding.
  
  I would suggest that you submit our form for fertility check, then we will contact you and initiate a hormone test that will tell me more about your situation.
  
  1 answer SVAR
  - Erika February 19, 2015
    
    Thank you very much for your answer. I have now been to a new specialist at the hospital, and she said that I should take estradiol 100 mcg/24 hours for 3 months. This is to prevent osteoporosis and because the uterus was very small. She said it was impossible for me to get my period before the uterus had grown. Then we could try Provera to see if the uterus has grown enough in 3 months. I bought estradiol right away, but I am very scared when I read the instructions. It is strongly advised not to use estrogen without progestin and in addition the strongest dose. The risks it gives without progestin are frightening, serious and seem very likely. I was simply very worried and unsure. This was a good Dr. who I want to trust, but I would like to hear if you support this or advise against it?
    
    1 answer SVAR
    - Terje Sordal February 24, 2015
      
      Hello again Erika
      You can use Estradot for 3 months without any risk. Unilateral estrogen stimulation can be risky over a long period of time (years), but not over a few months. When you then receive progestin (Provera), the uterine lining will mature and come out as menstruation a few days after you stop taking the pills. I think you can trust your gynecologist.
      
      2 answer SVAR
      - Erika May 07, 2015
        
        This has not gone well. I quickly reacted strongly to the patch, and noticed that my mood became significantly more depressed and aggressive. In addition, I noticed increased hair growth in all the places on my stomach where the patch was attached. In the last month, the hair growth has become frighteningly strong, and it grows more and more every day, on ALL parts of the body. It grows where men have hair, and in the same way. This is incredibly sad for me. In addition, it itches everywhere, stings, burns, has acne, dry skin +++. I have called both the doctor and the hospital several times, but they just say that I have to wait until the appointment I have in two weeks. I am incredibly stressed and worried about how much hair I will have in two weeks. I really want this to go away, forever. I have never had hair on my stomach, back, arms, and so heavily on my legs and bikini line (+ also some on my face, skin and forehead). In addition, I had a little bleeding on Monday 1 week after I took off the estrogen patch. Then nothing more, until a little new bleeding 2 days later, that is, yesterday. I am so worried. This could be serious, but I am simply most worried about whether I will have to spend a staggering many thousands of kroner. As a student, I have no opportunity to do that, but this hair growth is not something I want to live with. My life was sad enough already, but at least I didn't have to hide my body before.
        
        What's wrong with me?
        
        1 answer SVAR
        
        Terje Sordal May 11, 2015
        
        Hi Erika
        You probably have too high a level of androgens. In any case, that is what usually causes increased hair growth, not estrogen patches. High levels of androgens are seen in women with PCOS, women with increased androgen production from the adrenal glands or ovaries, or women with a genetic defect in an enzyme system. Your gynecologist will be able to find out. I think you can be calm about the increased hair growth, hair normally grows slowly. If increased hair growth is due to abnormal androgen production, you can get support for treatment in Norway. Talk to your gynecologist about this. There are also some who have inherited a familial tendency for increased hair growth and then we will find nothing wrong with the hormones.
        
        SVAR
      - Erika May 12, 2015
        
        Elevated production of androgens? Is it testosterone and S-SHBG that are being tested, or is there something more?
        My testosterone value is <0,6 and S-SHBG is 47. S-FSH and S-LH are <1. S-prolactin is 207 and progesterone <3. I have no idea where the familial tendency might come from. My father doesn't have body hair, and according to my mother he never had it either. My mother doesn't have the kind of hair growth that I experience either. It doesn't run in the family in general, but maybe it goes back a long way?
        
        Otherwise, I am underweight, and have had a weight that varies from 53-59 for about 5 years now (174 cm tall). I have an energy intake of 3000 kcal on average per day, but the weight still does not increase. I have never had a problem with body hair, but it could be possible that this is a reaction to being too low of a body weight over a long period of time, even though it is very sudden, and has degenerated so to speak overnight, and does not stop either.
        
        Sorry that this conversation just keeps going on. But I feel you are very skilled in your field compared to the doctors I see, and have more answers to give.
        
        Regards
        Erika
        
        1 answer SVAR
        
        Terje Sordal May 18, 2015
        
        Hi Erika
        We measure testosterone, SHBG, androstenedione and DHEAS. Your values for testosterone and SHBG are normal. When nothing is wrong and there is no history of excessive hair growth in the family, it is difficult to say anything sensible about why you have suddenly had such a drastic increase in hair growth. Hope you will be wiser when you have been to the hospital for your appointment.
        
        SVAR
Charlotte Dec 06, 2014

Hi, I'm 40 years old and I've had my values measured. My doctor says it shouldn't be a problem for me to get pregnant, but an insemination clinic said the opposite after seeing the test results. AMH 4, FSH 7, LH 4, TSH 0,79, estradiol 0,06.

1 answer SVAR
- Terje Sordal Dec 25, 2014
  
  Hello Charlotte
  Your values are very good, except for AMH which is starting to get low. Based on this, you should be able to get pregnant on your own, provided that you have a partner with whom you want to have children now and that the other conditions are normal. This means that your uterus and fallopian tubes are normal and that your partner has normal sperm quality. You do not have such a large egg reserve that you should postpone trying.
  
  SVAR
ES Dec 02, 2014

Hey!

I am a 24 year old girl with no periods since January 2012. I have previously been on hormone therapy, so it is difficult to say whether it has ever been regular. My BMI is 20. Over the past two years, estrogen and AMH have been measured several times, and the values have been low each time. PCOS has been ruled out, and ultrasound shows that the ovaries look normal. I am not on any form of hormone therapy. The only supplements I take are calcium and vitamin D due to mild osteoporosis.

I have absolutely no chance of having children in the next two years due to studies. I also have no partner, and when the time comes, children with the help of a sperm donor are the only option.
Do I have any chance of having children at all? Who has the right to have their eggs frozen? Can you increase my chances when the time is right?

I have some of the values here, taken on March 26, 2014, April 20, 2014, June 10, 2014:
AMH has been at 8.3, 5.0, 7. 8 pmol/L and on November 07, 2014 at only 3 pmol/L.
Estrogen has been at 0.15, 0.12 and 0.17 nmol/L. Two weeks ago it was also low.
FSH has been at 5.0, 4.6 and 5.6 int. units/l
LS has been at 3.9, 5.4 and 4.6 int. units/l
Cholesterol has been at 6.75 (LDL 4.17) and 6.6 mmol/L (LDL 4.2 mmol/L).

Thanks for your input.

1 answer SVAR
- Terje Sordal Dec 25, 2014
  
  Hello ES
  Your hormones seem fairly normal in terms of FSH, LH and estradiol. The fact that AMH varies as much as it does in your case over a short period of time is somewhat surprising to me, but confirms what we have seen previously, that AMH values are not as stable as previously assumed. What surprises me more is your history of osteoporosis, previous hormone therapy and no menstruation since January 2012, after you stopped hormone therapy (?).
  It feels like there is something significant going on that is not clearly stated in the story. You will not be able to freeze your eggs as the rules are in Norway, but you can have your eggs frozen abroad, for example in Sweden. The quality will be the same as when they were frozen, and you should have frozen at least 10 eggs to have a reasonable chance of getting pregnant when the time comes.
  
  SVAR
Lene November 26, 2014

Hey!
I am a woman of almost 39 years, who stopped taking birth control pills a little over a year ago. I got pregnant in Feb-14, but had an MA in May. I have known PCOS, but fairly regular periods, between 35-40 day cycles. Today I received the results of a blood test that show the following:
AMH 76
FSH 6
LH 15
Estradiol 0,15
The measurement is made relatively early in the cycle.

My partner has an FSH of 19.

What do you think about our chances of getting pregnant naturally again?
Thank you for your answer!

Yours faithfully, Lene.

1 answer SVAR
- Terje Sordal Dec 01, 2014
  
  Hi Lene
  Your tests are as expected. High number of follicles that produce the hormone AMH, and elevated LH / FSH ratio. No answers that say anything about SHBG or androgens, which we normally check in everyone. Nor anything about metabolism and prolactin. As expected, you have a slightly long cycle, but thus also egg development and ovulation. the chance of getting pregnant in the "normal way" should be present. If your partner is a man, which I assume, based on the fact that you got pregnant together in February, then he should have his sperm quality checked. With an FSH as high as 19, I expect that he has significantly reduced sperm quality. If that is correct and your age is 39 years, you should seek help to get pregnant, as otherwise it may take a long time before you get pregnant again, and you do not have time to wait for that. Even if you have many eggs, the quality will decrease sharply with each passing year.
  
  SVAR
City November 11, 2014

Hi. I am a 25 year old woman who stopped taking birth control pills (Diane) 17 months ago. My period has not started since. I had blood tests that showed low FSH a year ago, and again two months ago. I have tried pergotime, this had no effect. The gynecologist thought injections with FSH would be the right treatment, and referred me to the IVF outpatient clinic. I was there today, and was then told to gain weight. I am 170 and weigh 53-55 kg, depending on what. I have no desire to gain weight. Based on what my gynecologist said, I was determined to get injections with FSH, but the doctor at the outpatient clinic thought I should try to gain weight first. I don't look sickly thin at all, I look completely normal. I eat when I am hungry, and try to stop eating when I am full. I don't have any kind of food refusal at all, and I'm very happy to be thin while having an effortless relationship with food. I run/hike/ski 1-3 times a week because I enjoy it, I don't do any strength training because I find it boring. Is it likely that my weight is the reason why I don't have my period, when I'm neither starving myself nor overtraining? Do you think I'll get my period back if I gain weight? Can it come back on its own if I just wait and do nothing? I started taking birth control pills when I was 15 because of acne. Before I started taking birth control pills, I had my period, fairly regularly, I think I remember.

1 answer SVAR
- Terje Sordal November 18, 2014
  
  Hi Linn
  Good that you are happy with your body and weight. When you weigh 53 kg, you have a BMI of 18,3. At a BMI < 19, menstruation may disappear due to underweight. Typically, you will not have a cycle and have low FSH, low LH and low estradiol. Then you will also not respond to stimulation with Pergotime or Femar. Then I think it is more physiological to increase weight than to continue with FSH stimulation. If you do not have a cycle with a BMI > 20, there is reason to investigate further mtp pituitary failure.
  
  SVAR
Marianne October 30, 2014

Hello.
I am 32 years old and have been trying to get pregnant since March 2013, when I stopped taking birth control pills. I had a miscarriage in August 2014.
I had some blood tests and found out I have a vitamin D deficiency.

The tests also showed LH and FSH values, and I was very interested in whether this could have anything to do with why it takes so long. This was not discussed with the doctor, as I only found out the day after which day of the cycle I was on.

The samples were taken on cycle day 10, and the result was:
Ovulation was based on my own calculation with temperature, on day 16, but this is uncertain.
LH: 13
FSH: 12

Could this have any bearing on my problem getting pregnant?
What other information might be relevant?
Can Total IgE have a significance? I have been diagnosed with psoriasis and am being investigated for psoriatic arthritis.

Parathyroid hormone: 7.2
Vitamin D: 44
TSH: 1.44
FT4: 17.8
TIBC: 88
Hemoglobin: 14
Iron: 21
Total IgE: 93

1 answer SVAR
- Terje Sordal November 06, 2014
  
  Hello Marianne
  There wasn't much to deal with, but the values for LH and FSH in the sample from day 10 may indicate an initial rise and the ovulation hormones. It is at ovulation that we see that LH is higher than FSH. Need the value for estradiol and progesterone from the same day to be able to say something more certain about this.
  IgE above the reference range indicates allergy, especially atopy. Which reference range applies depends on which laboratory analyzes the sample. However, I do not believe this has any bearing on whether you will get pregnant or not.
  
  SVAR
Mari October 26, 2014

Hi! I am considering IVF. I took the test on day 3 of my cycle. I have studied the answers above but am confused about the different units of measurement so would be very grateful if you could comment on my results :)
I am 34 years old.

S-TSH 2,65 mIU/L

S-FT4 17.0 pmol/L

S-LH 6.5 IU/L

S-FSH 8.8 IU/L

S-PROLACTIN 261 mIU/L

S-SHBG 76 nmol/L

S-TESTOSTERONE 0.5 nmol/L

S-ESTRADIOL 200 pmol/L

S-progesterone < 0.5 nmol/L

1 answer SVAR
- Terje Sordal November 18, 2014
  
  Hi Mary
  The age is fine. I understand your test results to be the same. The estradiol value is a little higher to be able to assess FSH with certainty, but as I see it, the value will be normal even at an adequately low estradiol value (100 pmol/l or lower). When the sample is taken on day 3, it is to be expected that the estradiol value will be as in your case. We take such samples on day 1 or 2 of the cycle and then the estradiol value is lower and FSH is more representative. In any case, your test results seem normal and reassuring.
  
  SVAR
Ingrid October 21, 2014

Hello.

I became involuntarily single at 34 and am a bit stressed that my ability to have children is ebbing away. I will soon be 35. Normal weight, non-smoker and active. My mother had a child when she was 45 (without help) so I am clinging to hope a bit. I went to the doctor and had a blood test on the 2nd day of bleeding to get an indication of how things are. Now I am afraid that FSH is high in relation to LH and that maybe that is a bad sign? Here are the test results:

Free thyroxine: 16
FSH 11,4
LH 6,8
Progesterone <1
TSH 2,45
Estradiol 0,11

Can you say something about this?

Regards Ingrid

1 answer SVAR
- Terje Sordal October 26, 2014
  
  Hello Ingrid
  Your FSH is completely normal. When you take a blood test early in your cycle, FSH will be a little high because the estradiol value is low. FSH stimulates the ovary to develop eggs. As the egg grows, more estradiol is produced and FSH will be lower, more similar to the LH value. If you have AMH measured, you will also know how many eggs you have to go on. We have an offer called "fertility check", an offer for women and men who want to know more about their own fertility.
  
  SVAR
Olga October 13, 2014

Hello.
I went to the doctor because I haven't had my period since May.
I am 24 years old and got these values on the test:
LH 0,9 IU/L
FSH 6,3 mIU/L
Prolactin 40 mIU/L
Androstenedione 2,6 nmol/L
SHBG 39 nmol/L
Testosterone 0,6 nmol/L
Estradiol 53 pmol/L
Progesterone < 0,5 nmol/L

My partner and I don't plan to have children for a couple of years, but I'm afraid it might be difficult when we first want to because of low FSH. The doctor wrote Low FSH despite very low estradiol. Very low LV. But that doesn't tell me much. Do I have reason to worry? What other options do I have in that case?

1 answer SVAR
- Terje Sordal October 14, 2014
  
  Hello Olga
  My first thought is that you may be underweight (BMI < 19). In that case, your cycle can be normalized if your weight increases by a few kilos. In some people, stress or overtraining can lead to a lack of a cycle. Another possibility is that there has been damage to the pituitary gland so that it does not function normally, in which case you will need help to initiate egg development and ovulation. Women on the pill may also have similar values, but then SHBG will usually be higher. In any case, I believe that you can get your cycle on your own if the problem is weight, stress or exercise-related, or get treatment that will help you when the time comes. In the meantime, you should strive for sufficient estrogen levels to protect your bone mass, for example by staying on the pill until you plan to get pregnant. If your cycle does not return quickly after that, you should seek qualified help, for example from us!
  
  SVAR
Hilde October 06, 2014

Hello!
In our family, we seem to have a hereditary tendency towards early menopause (around 40 years old).
I was wondering if you could say anything about these values in relation to a possible early menopause (they were taken on day three of menstruation):
S-FSH 13,4 IU/L
S-LH 8,6 IU/L
S-Estradiol < 0,10 nmol/L
Greetings woman 39 years old

1 answer SVAR
- Terje Sordal October 08, 2014
  
  Hello Hilde
  FSH shows a tendency to increase, not alarming, but a small signal that the ovaries need a little extra push to develop eggs. AMH would provide additional information. There is about a 70% chance that the daughter will follow the mother in terms of time for menopause. Don't wait too long if you are planning a pregnancy. We also have an offer for fertility check and counseling which you can read about here.
  
  SVAR
Cecilie September 15, 2014

Hi! I took blood tests on the 7th day after the first day of menstruation, can you tell me the chances of getting pregnant with these results: fsh:16 Lh:10 Estradiol-17b:0,39 Pogestron:1? Thanks in advance :) best regards Cecilie

1 answer SVAR
- Terje Sordal October 14, 2014
  
  Hi Cecilia
  When FSH is higher than LH, it is a signal of impaired ovarian function. When FSH is as high as 16 IU at the same time as estradiol is as high as 0,39 nmol/l, it is a significantly negative signal in terms of the chance of getting pregnant.
  If the estradiol value was adequately low (0,10 nmol/l or lower), I'm afraid that the FSH would be up to 25 IU, i.e. premenopausal value. Sorry!
  
  SVAR
confused September 15, 2014

hello :)
I am 28 years old and have been referred to the laboratory to measure FSH. The sheet says that I should take it at ovulation. After reading here, I am very confused. Here people measure on the 1st, 2nd and 3rd day of menstruation and so on. When should I go down to the doctor's office to take it? I would really appreciate an answer.

1 answer SVAR
- Terje Sordal October 14, 2014
  
  Hello 28 years old
  Normally we measure FSH early in the cycle (day 1 - 3), and it should always be measured together with estradiol. Without the simultaneous estradiol value, nothing can be said about your ovarian function. If you want infertility investigation or fertility test I think you should contact someone who can do this, such as us.
  
  SVAR
Ksenia Aug 27, 2014

Hello.
I am 39 and want to get pregnant. I have 3 children from a previous marriage. My husband is 42. My values for 1 cycle day
Fsh 3,9
LH 5,3.
Do you think there is hope for us to have children naturally? Can I get pregnant with assisted reproduction?

1 answer SVAR
- Terje Sordal September 06, 2014
  
  Hello Ksenia
  There was a bit of information, but assuming that the estrogen value (estradiol) was 0,15 nmol/l or lower, I would say that the FSH value is normal. You should also have your AMH value checked, your man's sperm quality checked, and an ultrasound of your uterus and ovaries. If everything is normal, it's only your age that is pulling you in the wrong direction.
  The woman's age is important when it comes to the quality of her eggs and thus the chance of getting pregnant. Don't wait too long before checking if you can get help to get pregnant.
  
  SVAR
Anne Aug 19, 2014

Hi! I just got the results of the blood tests I took to check my chances of getting pregnant. I'm turning 39 in a couple of months. The results were disappointing because AMH is 1, but I still have a little hope. I'm wondering what the tests say in relation to egg quality. If I understand this correctly, FSH doesn't say anything about egg quality because the estradiol level was too high to be able to say anything for sure about FSH. I'm going to take another AMH because I'm under stress now, and that could affect the test. So to be sure, I'll take it again when I'm out of the stressful situation. But shouldn't I take estradiol and FSH again too? Because if the quality is good, then surely it's possible to retrieve eggs? I got my period on Monday and took the test on Friday the same week, i.e. day 4-5. Should I take it earlier in the cycle in relation to FSH and estradiol?
I got the following results on day 4-5:
Contact: 3
Progesterone: <3
Free Testosterone Index: 0,2
SHBG: 50
AMH: 1
FSH: 4
Testosterone: 0,9
Estradiol-17beta: 0,36

I am very grateful for the answers as I have finally found the man of my life and hope that it is not too late for me to have children, even though I realize that things are not looking bright.

1 answer SVAR
- Terje Sordal September 08, 2014
  
  Hi Anne
  I agree with you that FSH and estradiol should be taken earlier, on day 1 or 2 of the cycle. I'm less sure if AMH is affected by stress. You probably have normal FSH at adequately low estradiol, but you probably won't get many eggs, but a few good quality eggs may be all you need to have a child!
  
  SVAR
Lola Jun 19, 2014

Hi Terje! I wonder if I can be pregnant with these test results. I am 45 years old.0-para.Blood samples taken on 3 m/cycling day:
S-DHES -3,3 micromol/L
S-oestradiol-0,7
S.-progesterone<1
S.FSH-7,1
S-LH -4,7
Testosterone<0,7
S-SHSB 51
Thank you for your reply as soon as possible. MVH:

1 answer SVAR
- Terje Sordal Aug 01, 2014
  
  The tests look fine. Your age will make it more difficult to get pregnant now than before due to age-related changes in the genetic content of the eggs. You seem to have ovaries that are "younger" than the equivalent of 45 years old, so you should see that a little miracle can happen after all
  
  SVAR
Hilde Jun 11, 2014

Hey!
I have been trying to get pregnant for a year, and have now taken some hormone tests. I was on birth control pills for many years but quickly got my period back. Mostly regular, but some slightly shorter and longer cycles, always positive on ovulation tests. I am also 30 years old and a little overweight, and have never been pregnant. The tests were (coincidentally) taken on cycle day 23, and based on the ovulation test this was 7-8 days after ovulation. I got my period 5 days after the tests were taken.
S-FSH 2 U/L
S-LH 5 U/L
S-Prolactin 1005* mU/L
S-Prolactin corr (PEG) 786 mU/L
S-Estradiol-17beta 0,38 nmol/L
S-Progesterone 25 nmol/L
S-SHBG 39 nmol/L
Wondering if these values are relatively normal for this part of the cycle or if something indicates that I won't be able to get pregnant without help? Thanks in advance for your answers!

1 answer SVAR
- Terje Sordal Aug 01, 2014
  
  The tests match well with the time in the cycle. Still reasonably high progesterone and estradiol. The prolactin value is elevated and should be checked early in the cycle. If it is still high, it should be corrected, for example, with a low dose of Parlodel (1,25 mg at night) and checked again after a month. Otherwise, it looks good.
  
  SVAR
Mia Jun 05, 2014

Hey,
I (34 years old) and my spouse have been trying to get pregnant for about 3 years. I have been examined and among other things was told that I have weak ovulation. What does this mean? Here are the test results for day 2 from last year (I was 33 years old),
FSH: 9.2 IU/L
LH: 9.6 IU/L
SHBG: 58 nmol/L
Prolactin: 233 mIU/L
Testosterone 0.7 nmol/L
Estradiol 110 pmol/L

Day 21:
FSH: 5.7 IU/L
LH: 7.1 IU/L
Progesterone 19.1 nmol/L

We have been through IVF, we got 14 eggs, 6 fertilized, only one of good quality, no pregnancy. So wondering what are my odds of getting pregnant with such an FSH value on day 2.
Thank you in advance for your reply.

1 answer SVAR
- Terje Sordal Aug 01, 2014
  
  The FSH value on day 2 is normal and the corresponding estradiol value is fine. This indicates that your ovarian function is normal. The number of eggs that were retrieved indicates that you have a normal number of eggs available (normal ovarian capacity). The number of good embryos was low, but may well be higher in later attempts.
  
  SVAR
In a wild nest May 26, 2014

I forgot to ask what tests are needed to find out if I'm still fertile.

Keep going.

1 answer SVAR
- Terje Sordal Jun 02, 2014
  
  Hello "You are lost"
  As long as you are on the pill, only AMH can be measured to give an indication of your fertility potential. FSH and estradiol will only give a meaningful result when you have returned to a regular cycle, usually after 3 months.
  
  SVAR
In a wild nest May 26, 2014

Hello.

I want to find out if I am still fertile. I am 42 years old. I am currently on birth control pills, is it possible to take adequate tests while I am on birth control pills? How long do I have to be off the pill to get accurate results?

Thank you in advance for your reply.

SVAR
nino May 18, 2014

Hey
I got my period on May 1st, and finished on May 7th. After two days I had some that looked like my period, but darker. I have this planned. I have spoken to my doctor, but have not received enough answers. I am going to schedule a talk with a private gynecologist. I was going to ask Terje what could this be? Is it a disease? I am very worried during this time.
Sincerely,
nino

1 answer SVAR
- Terje Sordal Jun 02, 2014
  
  Hello, Nina.
  I don't think it's a disease. This can happen once in a while. In some people it's due to disrupted ovulation in the cycle before or a previous cycle, due to stress, medication use or by chance. Your gynecologist will be able to give you a more certain answer to
  what could be causing this.
  
  SVAR
Trine May 15, 2014

Hi! I took the exam in the fall of 2012 with you.
The results showed AMH 1.1, S-FSH #<0.1
It should be said that I had been using birth control pills for two years, and had a lower BMI than I do now.
Could the pills have anything to do with the results? And could the fact that I have gained weight (6kg) have changed that?
I have also read online that AMH tests have shown incorrect results in several people? Could this be the case for me?
I am 23 years old.

1 answer SVAR
- Terje Sordal Jun 02, 2014
  
  Hello Trine
  The weight gain may give new (better) values for your FSH, LH and estradiol values. The "kits" the labs received were faulty.
  to analyze AMH some time ago. It may have also affected you. Suggest that you take a new first-day test + AMH to be on the safe side. Neither we nor the laboratories were aware that the measurement results for AMH could be too low due to errors in the delivery from the manufacturer of the equipment the laboratory relied on (the kits) to analyze AMH.
  
  SVAR
Cecilie April 10, 2014

Hey!
We have been trying to get pregnant for over a year. I am 25 years old and have been suffering from spotting after stopping the pill in Feb. 2013.

I had blood tests on cycle day 2. I was told that these were normal, but from the answers you give here I'm starting to think that they are not normal after all;

Free T4: 14,4 pmol/l
FSH: 6,6 IU/l
LH: 5,6 IU/l
Prolactin: 236 mIU/L
SHBG: 128 nmol/l
Testosterone: 0,65 nmol/l
TSH: 1,07 mIU/l
Estradiol: 0,28 nmol/l

What does this tell you? Could it explain the spotting? Are my ovaries dysfunctional? Now I'm incredibly scared of what this really means, and whether we'll ever become parents :(

Cecilia.

2 answer SVAR
- Cecilie April 11, 2014
  
  Additional info:
  
  I had pretty heavy spotting 1-2 days before what I thought was the first day of my period, so it's actually hard to know that the test was taken on cycle day 3 (maybe 4). In addition, I've struggled a lot with circadian rhythm, sleep and stress, could this affect the result?
  
  I also had weakly positive hcg tests the cycle before the one registered with blood tests. If I was actually pregnant, could this be seen in the blood tests? Unfortunately, progesterone was not taken, it seems.
  
  SVAR
- Terje Sordal April 29, 2014
  
  Hi Cecilia
  Your estradiol level is a little high in this series of tests. It could have been taken a little earlier, but your FSH is so low that I think it would have been normal anyway. The tests do not provide any evidence that you would not be able to get pregnant provided that all other conditions are normal, such as sperm quality, ovulation and fallopian tubes.
  
  1 answer SVAR
  - Cecilie May 02, 2014
    
    Thanks for reply!
    
    Is a progesterone level of 24,1 on day 23 OK? I don't understand what is causing the spotting (cell changes, polyps, etc. have been ruled out)
    
    Prolactin was elevated just before ovulation, (above normal values for St. Olav's hospital) but this is common from what I understand? They ran a peg-fellation or something like that, which was within the normal range.,,
    
    1 answer SVAR
    - Terje Sordal May 12, 2014
      
      Hi Cecilia
      Progesterone levels appear to be normal for a cycle of 26 - 28 days. If you still think the spotting may be due to progesterone deficiency, you can try supplementation with, for example, Crinone vaginal gel in the last 14 days before the expected next menstruation.
      It is true that prolactin is often elevated around ovulation.
      
      SVAR
Gunhild March 26, 2014

Hey!
I am 28 years old, my husband is also 28.
I stopped taking birth control pills in January 2013 (had been using Yasmin since we started dating when we were 18) and it has taken a very long time to get my period back. (Before birth control pills, my periods were completely regular, my cycle was about 31 days) Until 2013, I only had 4 periods, no regular cycle. I was diagnosed with PCO-like ovaries due to long-term use of birth control pills. During a water scan, it was considered that the fallopian tubes were possibly not open, but since I have never had chlamydia (or other sexually transmitted diseases) or endometriosis, the gynecologist interpreted it as a random spasm. (?)
At the last ultrasound in Jan 2014, the ovaries had normalized, the gynecologist chose not to refer me further as she thought I would get pregnant within 6 months. My cycles are still long (the last one was 39 days). I am previously healthy, of normal weight and do not take any medications.

Tests taken on day 3 showing s-Fsh 4IE/l, s-Lh 2.0IE/l, s-estradiol 0.11 nmol/l. S-progesterone 2nmol/l and s-prolactin 181 mIE/l. My husband has completely normal sperm quality.

My question is, do you think we can get pregnant normally or do we need help? Will my cycle still get shorter with each period? I want children very much!

Regards.

1 answer SVAR
- Terje Sordal March 31, 2014
  
  Hello Gunhild
  Your hormones seem normal and do not explain the long cycle. Water scanning is not suitable for assessing fallopian tubes, for that we use ultrasound contrast. Your cycle was a bit long before you started taking the pill, so I think you have a predisposition for long cycles. If you are going to try further yourself, it is crucial to clarify whether the fallopian tubes are normal.
  If wanting to have children is starting to become a problem for you, I would suggest that you consider whether IVF might help you have the child you want within a reasonable period of time.
  
  SVAR
Marlen March 13, 2014

Hi. I am 34 years old and in a relationship where it is basically not suitable for children right now. My mother went through menopause early (about 42 years old) and I started menstruating early (10 years old), so the thought of "burning out early" is definitely with me. I am currently taking birth control pills (Loette) and want to stop taking them for a period of time to find out if I am still fertile/how fertile I am.

In relation to assessing fertility during/after birth control pill use, when is it recommended to have AMH and FSH measured after stopping birth control? Is FSH measured on day 3 of the first cycle reliable? Can AMH be measured when using birth control pills at the same time?

1 answer SVAR
- Terje Sordal March 24, 2014
  
  Hello Marlene
  You can measure AMH even if you are on the pill. Measuring FSH requires that you have a natural cycle. I would probably wait until the 2nd or 3rd cycle after you stopped taking the pill. Take FSH + estradiol on the first day of the cycle rather than on the 3rd day of the cycle. Then the estradiol value is lower and you get a truer value for your basal FSH. If FSH is 12,5 IU or lower on an estradiol value that is 0,10 nmol/l or lower, it is normal.
  
  SVAR
Silje March 06, 2014

Hi! I am a 23 year old girl, I have been trying to get pregnant for a year now without success. My blood tests on day 3 of the cycle are FSH 8.0, LH 2.8, Estradiol 0.11 and progesterone <3. I have not been diagnosed, but I have many cysts on my right ovary and mild superficial endometriosis. I am wondering what the chances are for natural fertilization?
Greetings Silje

1 answer SVAR
- Terje Sordal March 10, 2014
  
  Hi Silje. Your tests seem normal. The chance of natural fertilization will depend on whether the fallopian tubes are also normal and on the sperm quality of your partner. Mild superficial endometriosis may be a bit of a negative factor, but not necessarily. It probably depends on whether it is active or advanced.
  and whether it has caused changes around the fallopian tubes/ovaries (adhesions).
  
  SVAR
Anita November 15, 2013

Hi, my values (taken on the 2nd day of menstruation) show the following: FSH: 7, LH: 3, Estradiol: 0,06*, Progesterone: < 3, SHBG: 24. I am 35 and have been diagnosed with PCOS since 2006. What are the chances of natural conception or artificial insemination based on my starting point? I have lost 12 kg in the last 8 months to improve hormone balance and now weigh 69 kg.
Greetings Anita

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) November 25, 2013
  
  Hello Anita
  Congratulations on your weight control, 69 kg sounds good, but I don't know how tall you are! You don't have typical PCOS test results. LH is normal compared to FSH, which is normal. SHBG is low and indicates a relative hyperandrogenic state, as can be seen in women with PCOS. If all other conditions are normal, such as sperm quality, fallopian tubes and uterus and your only problem is long or absent cycles, simple stimulation with Pergotime or Femar can be of great help.
  
  SVAR
Mette October 31, 2013

Hey, straight to the point ;D

I am 45 years old and my husband is 46 years old, we have children from before but not together. I got pregnant 1/2 year ago, but bled it out. We want to try again so can you give us a feedback after my hormone values:

Amh: 2 pmol/l, (does this mean very low ovarian reserve or menopause?)

s-tsh: 1,6 mU/L
s-free t4: 16,9 pmol/l
-"- t3: 4,9 pmol/l
s.fsh : 9 U/L
s-lh : 6 U/L
s-prolactin: 164 mU/L
s-estradiol-17beta : 0,06 nmol/L
s-progesterone: <3 nmol/L
s-testosterone: <0,6 nmol/l
S-SHBG: 56 nmol/L

My husband's sperm quality is good, I assume since I got pregnant six months ago?
I use natural progesterone cream after ovulation, and my gynecologist says if I get pregnant I have to take blood thinners and extra progesterone.

Best regards from a hopeful couple.

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) November 03, 2013
  
  Hello Mette
  Your hormone tests are fine, normal FSH with low estradiol. AMH is low and means that you don't have that many eggs available, which you don't normally have at 45 years of age. I don't know if you need "blood thinners" or progesterone, but neither will do any harm. In that case, I would probably suggest 75 mg of acetylsalicylic acid daily and a daily dose of documented effective vaginal gel as progesterone support until week 10.
  
  SVAR
Kath October 10, 2013

Hello.
I am 37 years old and have given birth to 2 children. The last one 4 months ago.
The baby died, and we desperately want a new pregnancy.
Got my period again after 6,5 weeks.
The first cycle was only 15 days, but I'll take that as startup problems.

On the second cycle, I got a positive ovulation test on days 17 and 18 and a negative one on day 19. (meaning ovulation occurred on day 19) I got my period on day 26.
On the third cycle I got a positive ovulation test on days 19 and 20. At the same time I went to the gynecologist and she said that I had ovulated, saw the follicle on the left ovary and I had a uterine lining of 1,6 mm. I said that I thought I would ovulate that day, or the next day because I had a positive ovulation test. But she then said that no, I had ovulated.

She said that my ovulation should have been the week before since I was on day 20 of my cycle, and that my cycle was about 26 days. She said that you always get your period 14 days after ovulation. It's fixed, but it can vary from period to ovulation. I had taken ovulation tests, and they had been negative.

I said I was afraid of a defective luteal phase because my last period was only 6 days after the ovulation test. But she didn't care. Everyone has 14 days from ovulation to their period, she said.

She then took a progesterone blood test, and she called me now and told me that it was only 2,4, and that ovulation had not occurred. She was very surprised by this.
I asked her why she said I had ovulated on the ultrasound? And then she said that she assumed it had happened because of the thickness of the uterine lining and that I was on that day in the cycle that she saw a follicle. But she didn't see if it had ruptured.

I then said that I thought I had ovulated the day I had the ultrasound, and that I should come and take another blood test next week. (a week after I think I ovulated) But that's when I also get my period.

As I have found out, I now have a luteal phase of 6 days.

I went to my gynecologist for a post-natal check-up, and took the opportunity to ask a few questions. But I haven't become any wiser, just more nervous.

She doesn't usually do fertility testing, so I'm wondering if I should be tested for a defective luteal phase?

I don't have time to wait several months, both because of my age and because we would like to have 2 more children before it's too late. So waiting for another cycle is not what we want.

What do you advise me to do? Blood test investigation? Can I start taking hormones to correct my cycle, so that I can have a proper cycle again? (I had a normal luteal phase previously)

Sincerely,
a slightly frustrated and stressed Kath

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) October 13, 2013
  
  Hi Kath,
  
  I would recommend you to go to patient information form which you fill out and send to us. You will then receive blood test requests for an entire cycle, which will show what is happening with you. When all the tests are available, you will receive an assessment of your cycle and possible treatment suggestions if there is anything that seems abnormal.
  
  SVAR
Marie October 06, 2013

Hey!
We have been trying to get pregnant for 6 months without success, I am 39 and he is 38.

He took 2 sperm samples last year, the first was bad (unknown for what reason), while the second was perfectly fine. Can it fluctuate a lot, and should he take the sample again this year?

I've been to the GP and had a lot of blood tests etc., but after reading a bit on the blog here, I'm a little unsure about a few things.

day 14 of cycle: S-LH: 55,3 S-FSH: 20.0, S-Estradiol: 865 (no units of measurement)
Day 21: S-progesterone: 46.8 (no units of measurement)
Day 23: S-progesterone: 25.7 (no units of measurement)

The GP said everything looked fine, but after reading here I think that FSH taken on day 14 doesn't really tell you much?

I have also been to a gynecologist at Volvat for an ultrasound examination, and was diagnosed with 2 uterine fibroids. The gynecologist said that it was not necessarily a problem, but sent me for a salpingogram to check that one of the fibroids was not pressing so that the fallopian tubes were closed. On examination they said that the uterus was larger than normal, there was a problem with closing the cervical canal and flushing the canals. Probably not enough fluid was pressed up to get a really good passage, but it had the impression of open tubes.

I have also had my AMH measured (blood test at the hospital), but only received test results without explanation. The test was taken on day 10, and was told it had to be taken before day 11.
AMH: 7.7 pmol/L. Is that a normal, good value?

Not sure if I should continue to see my GP, not sure if he has full control over this field... or if I should have all the tests done again by a gynecologist at Volvat? Who can then make an overall assessment?
Can I get a referral to a public gynecologist from my GP instead?

We are not married, and have not been living together for 2 years yet, so we probably cannot get help from the public sector for assisted reproduction for a long time yet, but I feel that the biological clock is ticking very fast. Do you think it is perhaps important that I get this assessment done in the public system, so that we can get rights to possible assisted reproduction in the public sector? Or does it not matter if we take the assessment at Volvat?

Thank you very much for any advice you can give us!

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) October 06, 2013
  
  Hi Mary
  
  It should not matter where you are examined, as long as the necessary examinations and tests are done so that the clinic you are seeking treatment from gets the answers they want in order to decide whether you need assisted reproduction. It is normally quicker to be examined privately, and much has already been done. Your GP or other doctor can also refer you to an appointment with a gynecologist.
  
  Your hormone tests are normal. The reason you have high LH and FSH in the test from day 14 is that you are right at the time of the ovulation signal, when both LH and FSH rise. This fits well with the estrogen value that shows that you have a mature egg (865 pmol/l).
  The tests from day 21 and 23 show that you have ovulated. The AMH value is fine for your "age". You still have a good egg reserve. What you are missing from the hormone tests from day 1 or 2 of the cycle (FSH / LH / prolactin / estradiol / testosterone / SHBG / TSH and FT4). The most important thing in this test is the value of FSH at a low estrogen value. That is, it says something about the "quality" of the ovaries.
  
  When your partner has shown normal sperm quality in a sample, you must assume that it is good. There is reason to believe that there was something special in connection with the first sample, either with the sample collection itself, the sample handling, or perhaps a feverish illness in the weeks before the sample was taken.
  
  You are probably right that the biological clock is ticking fast. If you get married, the waiting period rule does not apply, and if you can document long-term cohabitation, it is conceivable that it will be accepted even if it has not been exactly 2 years.
  
  SVAR
sofia October 05, 2013

Hi. I am a 23 year old girl who has been trying to get pregnant for a year. I have pcos, and have been pregnant twice before which ended in miscarriage. I have lost 12 kg now and I continue to lose weight. I took a double pergo course and the results of the blood test on day 21 were:
S-LH: 10,8 IU/L
S-FSH: 3,2 IU/L
S-ESTRADIOL: 1369 pmol/L
S-PROGESTERONE: 121 nmol/L
Could you please explain it to me?

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) October 06, 2013
  
  Hello Sofia
  
  You have developed and ovulated more than one egg. We can see this from the high estradiol value and progesterone value in the 21st day test. I would think that ovulation came a little late in the cycle, not so many days when the test was taken, perhaps on the 18th day of the cycle: FSH - value is low, as it would be with such a high estradiol value. LH - value is a little high, but probably falling after the LH peak itself, or a little high due to the high estradiol value. Then we can hope that there will be one child and not more. It is always best to have one at a time!
  
  SVAR
Maria October 03, 2013

Hello.
I am a woman of almost 30 years old. I had tests done at a gynecologist which showed the following values on cycle day 3:

S-fsh 10
S-estradiol 0,16
S-LH 7
S-FT4
Amh 4
S-testosterone 1,1
S-SHBG 81
S-FT4 15,6
S-prolactin 271
S-tsh 1,1

I had a miscarriage and am now 20 weeks pregnant, where everything looks good.
What can you say about my values, isn't AMH low? And how fast will it drop?

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) October 06, 2013
  
  Hello Mary
  
  Great that you are pregnant, doing well and have come this far! I agree with you that the AMH value is low for your "age". The FSH value would probably have been a little high if the sample had been taken earlier in the cycle when the estradiol value was adequately low (< 0.10 nmol/l). This means, as I see it, that you should not delay having the children you want. You probably belong to a group of women who will enter menopause early. How early is difficult to say. We often see that the AMH value varies quite a lot between samples and it is not uncommon for it to be higher in a later sample, which it really should not have been. There is therefore uncertainty associated with the answer to AMH. Nevertheless, you should take the numbers as an indication of what was suggested above and not delay later pregnancies if you want more children.
  
  SVAR
Annette September 26, 2013

Hi, thanks for your reply.
It was good to know that the previous blood test looked normal and that I had not entered menopause.
Last week I took new blood tests 1 day after my period started.
I received the following response:

S-FSH 5

S-LH 4
S-Estradiol-17beta 0,08

S-SHBG 31

Does this look normal? And what does S-SHBG mean?

Regards Annette

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) October 06, 2013
  
  Hello Annette
  You have completely normal FSH with a low and fine estradiol value, a sure sign that the quality of your ovaries is normal.
  
  SHBG (Sex Hormone Binding Globulin) is a protein that primarily binds testosterone in the blood, but also to a certain extent estradiol (estrogen). The protein is produced in the liver and the amount is affected by several factors. Birth control pills will normally increase the amount of SHBG, while high levels of testosterone will lower SHBG. The reason is that neither SHBG nor testosterone can be measured when they are combined (SHBG + testosterone). A woman with normal testosterone but very low SHBG has more testosterone than the testosterone value alone indicates, as much is bound to SHBG. This is called an "occult" hyperandrogenic state.
  
  SVAR
Ginger September 23, 2013

I am 48 years old, got pregnant in January 2013, without any treatment, it turned out to be a CMP. HCG has become normal (=0,8 at the last measurement) I am in a waiting period. I want to try to get pregnant again and am interested in knowing more about my own ovarian capacity and function. Where can I get FHS and AMH measured, at my GP or at a specialist?

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) October 06, 2013
  
  Hi Ingerd
  You should take FSH and estradiol on cycle day 1 (or as close as possible).
  If FSH is 12,5 IU or lower and estradiol is 10 nmol/l or lower, ovarian function is normal. You can take this test at a fertility clinic or hospital.
  
  AMH must be sent to a hospital that does this test frozen. This means that it should be taken at the hospital directly or at a doctor's office that can send the sample so that it reaches the hospital in a frozen state. If the sample does not reach the hospital in a frozen state, there is a chance that the AMH value measured is too high.
  
  SVAR
Annette September 16, 2013

Hello,

I am 35 years old, have 4 children, we are considering having another child.
I had a blood test at the doctor last week which showed the following:
FSH 15, LH 41, estradiol-17beta 0,74, testosterone 1,9, s-SHBG 32,
The samples were taken the day/day before I ovulated.
Have I gone through menopause?
I have had heavy menstrual bleeding but regularly (5-6 days of bleeding) for the past 2 years after I had my last period.
Children in 2011.

Greatly appreciate the response!

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) September 18, 2013
  
  Your tests are a classic example of what can be found just before ovulation itself, when both LH and FSH rise. The estrogen value shows that you have a mature egg that triggers what we call "surge". This is completely normal and not a sign of menopause, quite the opposite.
  
  SVAR
Cecilia September 13, 2013

Hi. I am a 38 year old woman and was told by my doctor after a hormone test that I had either ovulated or was in early menopause? FSH was at 52 and LH at 29
This test was taken at the very end of the cycle 9 Sep (still no period). I had my last period 9 Aug but had a break a few days after menstruation which is usually normal and with about a 28 day cycle which is now somewhat delayed probably due to the break. I don't understand any of this and have been feeling bad with headaches and hot flashes at night after this break and that's why we took the hormone test. Since I have a partner without children and we have talked about wanting one together but that is completely ruled out with your values?? I'm really curious as this came as a bit of a surprise to me.
Regards, Cecilie

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) September 18, 2013
  
  Just before ovulation itself, we can find elevated values for both FSH and LH, but so that LH is significantly higher than FSH. In your case, FSH is significantly higher than LH and the sample was taken late in the cycle. Together with the other symptoms you mention with irregular bleeding, spotting, hot flashes and headaches, I firmly believe that this is about the onset of menopause. In that case, the chance of achieving pregnancy is unfortunately minimal or very low.
  
  SVAR
Nora September 04, 2013

Hi! I have some questions about hormone levels and premature menopause. I had severe anorexia in my teens that caused my ovaries to stop functioning - amenorrhea. I went on Trisequens to get my bleeding back, which worked. I stopped Trisequens after about a year and still had regular bleeding. Normal BMI. I haven't been able to get pregnant. The doctor says it's not an increase in FSH/LH. Rather low levels. Low levels of estrogen/progesterone which may indicate anovulatory cycles. Ultrasound shows poor results with eggs. The doctor thinks I should use hormones.
Can the ovaries be permanently damaged after an eating disorder? Is there anything that can restore function and ovulation?
I'm in my early 30s. I want children.

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) September 18, 2013
  
  Much has been written about the consequences of previous anorexia, perhaps most notably about later pregnancy, the time of birth and the birth weight of the child. As you have experienced, a body weight that is too low will disrupt the menstrual cycle and could cause amenorrhea (no menstruation). Then you will not have egg development and ovulation and will probably not get pregnant either. When body weight normalizes, most people will regain regular cycles. In a study of 100 women with previous AN, 86% of the women regained normal cycles within 6 months after they achieved 90% of their normal body weight. Some women with previous AN will still have amenorrhea despite weight gain (10 – 30%), either because they still have an abnormal eating pattern or because of exercise or stress.
  
  As I understand it, you should have a normal chance of getting pregnant despite previous AN as long as you have regained the cycle of egg development and ovulation. If you have low values for FSH, LH and estradiol, this indicates that there is still something affecting the overall system that controls the cycle, or that you have impaired pituitary function for other reasons (hypo-hypo-gonadism). In that case, you will be able to get egg development by stimulation with FSH and LH supplied from outside. You say that the ultrasound shows poor results with eggs. Then I would suggest that you have a test for the hormone AMH, which precisely says something about how many eggs you have available. If this value is very low, it supports the ultrasound finding and you should start treatment for infertility. I don't think this is due to previous AN, but rather is genetically determined or due to, sorry, age. I don't know how young you are!
  
  SVAR
herring September 02, 2013

hei.

I am a 25 year old girl who took my blood tests on day 23 of my 32 day cycle.
them were: estradiol 0.48 FSH: 4 LH: 8.1
Would you say this sounds good?

with kind regards, silje...

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) September 18, 2013
  
  What I can say about your tests is that you are either developing an egg or that you have ovulated. If progesterone had also been taken at the same time I would be able to say which of the options was correct. FSH and LH are not of particular interest at this time in the cycle and will be normal when the estrogen value is as high as 0.48 nmol/l.
  
  SVAR
Hormone Talk | The Light of the Heart July 18, 2013

[...] Sorry for being so one-track, but this is after all a blog about testing and all that goes with it. I think I've written a lot about HCG in the last month. Now I've got the test results back from the Hormone Laboratory at Aker, which show AMH (egg reserve). Here's a link that explains a bit about AMH and FSH. [...]

SVAR
electrical Jun 14, 2013

Ok! Thank you so much for your answer!! Then just keep trying the "natural way". It's the best if it can work like that...!! :D They say it can take up to a year before everything normalizes after taking the pill too, so... And they say FSH can vary at my age. And I only have the one measurement now. Time will tell...

SVAR
Camilla Dahl Jun 09, 2013

Hey!

What size should the follicles be when the Ovitrelle injection is given? This is to avoid immature eggs.
I have had 3 IVF attempts, but have had immature eggs. The follicles have been between 14-15 mm on the day Ovitrelle is to be inserted.

Regards
Camilla

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) July 12, 2013
  
  Hello Camilla
  We insert Ovitrelle as soon as the three largest follicles are 17 mm, or the day before or the day after. This applies to short protocol (antagonist). With long protocol (nasal spray), Ovitrelle can be inserted when the three largest follicles are 18 - 21 mm.
  Sometimes you have to consider individually, depending on the overall follicle picture, letting something grow "too big" to include something that is smaller but is perceived to be more important to include.
  
  SVAR
Elin May 30, 2013

Hello!!

I am 40 years old.

Samples taken on day 2 of the cycle:

FSH: 17
Contact: 9
Estradiol: 0,14

Have a regular cycle.
Stopped taking birth control pills about 9 months ago.
Is there any hope of getting pregnant without help?

1 answer SVAR
- Elin May 30, 2013
  
  I also took a test on day 21 of my cycle.
  
  FSH:7
  Contact: 10
  Estradiol: 0,38
  SHBG: 115
  Progesterone: 60
  
  SHBG measured on day 2 of the cycle was 95.
  
  1 answer SVAR
  - Elin May 30, 2013
    
    Progesterone below 3 on day 2 of cycle.
    
    1 answer SVAR
    - Terje Sørdal (gynecologist and responsible physician) Jun 12, 2013
      
      Hi Elin, of course there is hope of getting pregnant on your own, probably as high as if you chose assisted fertilization. As you already understand, your FSH value is a fairly clear sign that age is taking its toll. We can't do anything about it, neither you nor we. If all other things are normal, such as sperm quality and fallopian tube function, then you have both egg development and ovulation and a chance of getting pregnant. What will be decisive is whether the egg that is released has such a normal genetic content that it will continue to develop normally after it is fertilized.
      
      SVAR
Hopeful May 28, 2013

Hi, I stopped taking birth control pills in February 2012. In January 2013 I got these values: TSH 4,45, FT4 14,2, anti <10. LH 4,4, FSH 3,7 and estradiol 126 pmol/L. These were taken on the 1st day of my cycle because of the upcoming weekend. I have had a temp but my temperature doesn't stay high after ovulation, which was found with ovulation tests. Progesterone is measured around 16 seven days after ovulation. Very irregular period. 29-43 days. I'm keeping fit but my weight has increased. Ultrasound now showed 8 cysts on one ovary. The other was normal enough, said the gynecologist. Could this mean that my cycle isn't starting? Are the values okay? I'm really getting on with high TSH..... We're going to use a clinic in Denmark and they want progesterone at least 25. I feel a bit desperate because no one can give me an explanation. I felt that the gynecologist didn't have time or interest in me. Asked me to try in 6. Med and test the guy's sperm afterwards. Didn't get wise! Regards, unsure

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) Jun 12, 2013
  
  Hi Unsure
  Agree that TSH is a bit high, maybe a low dose of Levaxin could be in order, for the record? Your values otherwise seem OK. I wouldn't put too much emphasis on the fact that progesterone is 16 seven days after ovulation, take a test soon after ovulation and it will probably be high enough, even for Danish clinics. The number of antral follicles seems normal to me, 8 is a good number, don't know what it was on the other ovary. Why go to DK, when we see such good ones in Norway?
  
  SVAR
Marlin May 20, 2013

Hi, I took a hormone test the day before my period. The reason is that I have irregular periods and that the doctor did not inform me that FSH and Estradiol should be measured on cycle day 3. We have been in contact with several treatment institutions, but no one has asked what day of the cycle these tests were taken, nor have they asked me to take new tests. My results were then FSH: 7,6 IU/L, Estradiol: 166pmol/L, LH 12,0. Even though these were not taken on cycle day three, can this say anything about my egg quality, or should I take a new test? I have very high AMH, due to PCO. Age is 27 years.
Thank you in advance

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) May 22, 2013
  
  Hello Marlin
  Thank you for your inquiry. It is absolutely crucial for the assessment when in the cycle the hormone samples are taken. I agree with you that it is surprising that this is not widely known. If one is to assess the ovarian quality (FSH), it must be done when the estradiol value is sufficiently low, i.e. early in the follicular phase. Often day 3 will be a bit late, especially in women with short cycles or in "older" women. We therefore recommend that the sample be taken on cycle day 1. Your FSH of 7,6 IU/L is normal, but the estradiol value of 166 pmol/l (0.166 nmol/l) is a bit high. I believe that the estradiol value should be 100 pmol/l (0,10 nmol/l) or lower in order to make an adequate assessment of FSH. However, from experience, I believe that your FSH will be normal (12,5 IU/L or lower) even at an adequately low estradiol value.
  
  You are young and should expect normal egg quality. In women like you, with normal FSH and high AMH, the challenge will be to find a stimulation protocol and hormone dose that produces an adequate number of eggs while avoiding hyperstimulation problems.
  
  SVAR
MF May 14, 2013

Hey!

I took blood tests on day 3, but I'm a little unsure if this was day 3 of the cycle, because I only had bleeding 1 week after ovulation (but had bleeding for 7 days, as much as during menstruation, a few days longer). I had a laparoscopy last month that disrupted the cycle somewhat, I think. I read on their site that s-estradiol must not be above 0,2 if you are to say anything about ovarian function. These are the values I got: FSH: 1,8. LH: 0,9, Prolactin: 240. And estradiol: 0,38.

Does this mean that I will be rejected when referred for assisted reproduction due to an estradiol value above 0,2 (since the tests are not valid for determining ovarian function)?

Hope you can answer me on this :)

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) Jun 12, 2013
  
  Hello Monica
  No, it doesn't mean that! We want the estradiol value to be 0,10 nmol/l or lower, in order to be able to tell you for sure about your ovarian function (the quality of your eggs). Your FSH value is so low that I expect it to be normal even at an adequately low estradiol value, but we will probably ask you to take a new sample on the 1st day of bleeding to be sure. What was the AMH value?
  
  1 answer SVAR
  - MF Jun 18, 2013
    
    Thanks for reply.
    
    I took new ones now on day 2 (maybe it was day 1): FSH is at 5 and LH at 2. But estradiol is still a bit high: 0,16. Doesn't it look like it's getting that much lower then?
    
    AMH is only analyzed at Aker Hospital and they are having problems with the analysis because they lack reagents and are very late. So I haven't received an answer to it. It can take many weeks, even months before an answer according to them. Feels a bit discouraged when you have to wait so long for the "verdict".
    
    So this doesn't look so good in other words? By the way, I'm 32 years old.
    
    1 answer SVAR
    - MF July 23, 2013
      
      My AMH value is 43.
      
      2 answer SVAR
      - MF July 27, 2013
        
        I have had cycles of 37-38 days after the laparoscopy in April this year (before the lap it was 31 days).. Can a long cycle affect the estradiol value on day 1? I took new tests on day 1, and the estradiol is still above 0,1. It was 0,15 and the fsh had then increased to 6,6.
        
        Does this mean that IVF cannot be started? Does this mean that ovarian function is too poor even with an AMH of 43?
        
        Hope you can answer me on this :)
        
        SVAR
      - MF July 27, 2013
        
        They showed on the lab that I had a PCO ovary. They used heat on one ovary. Can this affect the estrogen level?
        
        SVAR
Bea May 09, 2013

Hey!

Thanks for an informative page!

I have just turned 35 and we (partner 36) are starting early testing. In my case, AMH shows 12 and FSH 8 (on cycle day 3 where estradiol < 0,06). I have irregular EL and suspect that it does not happen every cycle (which is 31-40 days). The first swim test of the man shows a total number of 13,8 M, concentration of 5,5 M/ml and motility of 43%. I understand that this is very low. Given that the man's result is on an extended test:

What are our odds of having children "naturally"? And can we succeed with IVF with you? And which method is best?

Greetings "she who would rather know a little more to mentally prepare herself" :)

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) Jun 12, 2013
  
  Hi Bea
  Your tests seem to be fine, normal number of eggs available and normal FSH at a low estradiol value. The cycle is a bit long and a bit variable, so that ovulation, if it occurs, comes at different times. You can expect ovulation about 12 days before your next period, but you don't know when it is until you get your period! The number of sperm cells is a bit low, but the motility is not that bad. If the conditions in the uterine cavity are normal and the fallopian tubes are open, you are a couple who can get pregnant when the right sperm cells are in the right place at the right time. However, it may be uncertain when this will happen. If you want children within a foreseeable period of time, IVF, possibly with microinjection (ICSI), would be the right thing to do.
  
  1 answer SVAR
  - Bea November 21, 2015
    
    Hi Terry,
    
    Again: a very informative blog post.
    
    When I was 35 years old in 2013, FSH was 8 (oestradiol 0.06) and AMH 12. I had a well-formed son on my second fresh attempt (via ICSI) in 2014 (after a chemical pregnancy, an SA and a "vanishing twin" in the last pregnancy). On two fresh attempts I had two eggs transferred both times (including 1 frozen the first time). I had a long and short protocol with Puregon respectively.
    
    I am now 37 years old. My FSH is now 6 (estradiol 0.07) and AMH is 9.
    
    Are we short on time? We are going to have an initial interview for sibling trials in the public sector this December, but I wonder if we should go around privately..???!? And would we be eligible to get a 3-pack from you? I will be 38 years old in 2016..
    
    (The male has a low number (about 5 million) and 100% headless and tailless..).
    
    1 answer SVAR
    - Terje Sordal Dec 01, 2015
      
      Hi Bea. You will get a 3-pack with us, but you don't seem to have a critically bad period either. You are a little over a woman's most fertile age, but still have good eggs and normal ovarian quality.
      
      SVAR
Eliza April 08, 2013

Hey,
I am a 33 year old woman. I have two children aged 4 (2009) and 6 (2007). I have been trying to get pregnant for the last two years, I made an appointment with a gynecologist at the end of April (2013). I got pregnant at the end of January (2013) but I started having brown spotting at week 8 (continuing for 3 weeks) and had a miscarriage at week 11.
I have received a printout of the laboratory sheet (samples taken on 28.11.12); S-Fert78/S-FSH-13,7/S-LD 147/S-Progest 4,1/S-LH 76,2/ S-SHBG 43/S-Testostr 2,0/S-Østrad 381. Next to progesterone, testosterone, østrad is the letter M (I don't know what it means). With these samples, could I have problems getting pregnant and could it be the cause of a miscarriage?
Thank you very much!

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) May 01, 2013
  
  Hey,
  
  It's always sad when a pregnancy ends in a miscarriage, especially when you've been trying for as long as 2 years. It would be a good idea to have the gynecologist do an examination of you and your partner, he can probably find the reason why it's taking so long for you. It's hard to say anything specific about your tests, but it seems like they may have been taken at the time in your cycle where you get the ovulation signal. Normally, the estrogen level should be higher, but I've seen such hormone levels many times before. If what I'm saying is right, it doesn't mean you have a problem. The reason for a miscarriage is normally that there is something genetically wrong, so that life is no longer possible.
  
  SVAR
Thea April 02, 2013

Hi, I came across this page while surfing for understanding values on hormone tests FSH, LH. I am early pregnant about 4+3, and a week ago I took hormone tests. The values on these were terribly high: FSH/24*, LH/26*. Is this normal in a pregnancy?, and could this be an indication that there will be bleeding?

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) April 05, 2013
  
  Hello Thea
  Is it possible that you had late ovulation in this cycle and that you have had the FSH and LH peak associated with this? I cannot give you any other explanation for the elevated value of these hormones, as they may or may not tend to be elevated in early pregnancy.
  
  SVAR
CB March 22, 2013

Hello.

My husband and I have been trying to get pregnant for over a year now. I am 33 years old and my husband is 31. I have just received the results of some blood tests I have taken in connection with our wanting to try IVF fertilization. The test results are as follows:
FSH=7 iu/l, LH= 3 iu/l, estradiol 0,16 and AMH=2pmol/l.

Are these values useful for IVF treatment? I know that my AMH value is very low...and therefore the public health service has informed us that it will be difficult, almost impossible, for us to achieve pregnancy with assisted reproductive techniques. What do you think? Is there hope for us?

We know we can get pregnant, as we have gotten pregnant twice in the past year. Unfortunately, both ended in miscarriages, and the last one happened in February. I have my period every month, and am otherwise healthy...

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) April 08, 2013
  
  Hello CB
  
  The estradiol value at the time of the test is a bit high, so it is not possible to say anything for sure about the FSH value, but it seems to be normal even at an adequately low estradiol value (< 0,10 nmol/l). As you know, the AMH value is very low for a woman of your age. When AMH is low, but FSH is normal, we expect to retrieve few eggs, but of good quality. If AMH is low and FSH is elevated, we expect to retrieve few eggs of poor quality. Send us our "Patient Information Form" and a copy of the investigation so far and we will give you feedback on how we view the chance of success with assisted fertilization. The patient information form can be found here.
  
  SVAR
Molly March 15, 2013

Hi, I'm trying to ask a question out into cyberspace :-).

I am a woman of 39,5 years. I have two children, aged 13 and 10. I had them on my first attempt with one ovary. Now I have met a new man and I want so much to have a child with him.

We have had a test round with a gynecologist and have come up with the following values:

semen sample - absolutely beautiful

My values:
AMH <1,1
Contact 5,9
FSH 13,2
Prolactin 190
Estradiol 262
Progesterone 30,8

Is there any chance here?? I understand that it looks bleak. I have had a month of PERGOKU, and I am actually going to take another month. Should I not take this. Am I eligible for IVF?

I now have a cyst on the one ovary I have left. I have also had conization for cell division. I am otherwise healthy and fit and am really willing to make an effort to make this happen.

Hear from you.

Greeting
Molly

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) April 01, 2013
  
  Hi Molly
  It is questionable whether it is getting a little late. You have previously gotten pregnant quickly and had two children. Your partner has normal sperm quality. Based on that, the low AMH value and the hormone test results, it seems that it is primarily the number and quality of the eggs that are the problem. Because even IVF does not help with this.
  
  1 answer SVAR
  - Molly April 01, 2013
    
    Hi, can't IVF produce multiple eggs, one of which could perhaps be used?
    
    I have a 28 day cycle.
    
    I was considering contacting you.
    
    Do you recommend not doing so?
    
    Greetings Molly
    
    1 answer SVAR
    - Terje Sørdal (gynecologist and responsible physician) April 05, 2013
      
      Hi Molly
      Please contact us and we'll see what we find out. Normally, we see that women with low AMH and elevated FSH respond poorly to stimulation and develop few eggs even on high doses of hormones.
      
      SVAR
princess83 March 14, 2013

Hi. Forgot to write that I am normal weight. Thanks for the answer. Regards Prinsessen83;-)

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) March 31, 2013
  
  Hey!
  
  PCO, or polycystic ovaries, means that at the same time, in the same ultrasound image, you can see 12 or more small egg sacs in the ovary. This will be found in more than 20% of all women, without them having any problems from this. What is called cysts are follicles or egg sacs. In addition to the ultrasound finding, you have infrequent menstruation / ovulation. Assuming normal sperm quality in your partner and open fallopian tubes in you, I would think that you can be well helped with simple stimulation with Pergotime or Femar.
  
  SVAR
princess83 March 14, 2013

Hi, I am a 30 year old woman who has been diagnosed with PCOS by a gynecologist due to ovarian cysts. I have my period about 7-9 times a year and am afraid of not being able to get pregnant. The gynecologist says that there will be no problem since everything is fine "down there" except for the PCOS cysts. I took blood tests at my GP and the results were: c-peptide 308, FHS 10, LH 13, oestradiol 0,13, progesterone 4, testosterone 3,2, SHBG 55, FTINDEX 0,6. Then it said that it was normal free index. Based on these results, will I have a hard time getting pregnant? If so, what help will I need?

SVAR
Eagerly trying February 28, 2013

Hey!

I'm waiting for an evaluation for secondary habitual abortion, but I have some questions. My gynecologist isn't very good at answering...

I'm turning 39 soon, and had my first child 18 months ago. We had been trying to get pregnant for a couple of years without success, but finally it worked out and I had a completely problem-free pregnancy.

Nine months after the birth, we started trying for number 2, but three attempts have all ended in miscarriage. A SA at week 9 (the fetus measured only 6 weeks), a so-called chemical abortion, and now a SA discovered at week 9 (the fetus again measured only 6 weeks).

The doctor speculates that the cause is a chromosomal defect in the eggs, which is quite possible given my age. I have been offered an examination, but then I have to take a break from trying while this is happening - so a few months. I would prefer to change gyn, but then the wait will be even longer.

My question is, is it appropriate to take a break at my age, or is it better to keep trying (and possibly failing) as quickly as possible and hope that I eventually come across a 'healthy' egg? So far, I've actually had an easy time getting pregnant, but both fertility and egg quality are declining faster now, right?

I feel physically and mentally strong enough to try again for a few rounds, and although I would like to have an evaluation, I feel like time is running out if I have to wait!

OR is there an advantage to investigating first?

One more question: I have read about the use of DHEA possibly improving egg quality and reducing the chance of miscarriage in women over 35. Is this considered serious studies, is such treatment offered in Norway - or something similar?

Thanks for the answer!

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) March 03, 2013
  
  Dear "eagerly trying"
  As you say, it seems that you are getting pregnant easily now. The reason why it is going wrong is probably because many of the eggs have genetic defects and do not continue to develop normally. The way we investigate repeated early miscarriages, it normally does not take more than one cycle. Then we have checked for autoimmune factors, coagulation factors, genetic testing of both partners and ultrasound examination of the uterine cavity (water scan). I do not think that you reduce the chance of later pregnancy significantly if you are tested for this, although I, like you, believe that egg quality is the main reason why things have gone wrong sometimes after you were lucky enough to have a healthy child.
  
  SVAR
nigella February 27, 2013

Hello.
28 years old and childless. Never used birth control and never been pregnant. I rarely have periods, but I had some pills that I was supposed to take about every 3 months to get my period. I have taken them a few times when I remember. Otherwise, I have had my period by myself maybe 4-6 times since I was around 20. Before this, my periods were fairly regular. I had a twin cyst and the left ovary removed in Fjord. I have cysts on the other, several small ones. But not sure about PCOS. I was told by my sus that I should try to have children before the cysts on the right ovary grew. Here I was referred to a fertility clinic in Haugesund, but I'm wondering if I should go private... My question is what are my fears about getting pregnant? And what is this process? Straight to the point or more investigation? Should I start but stop menstruating or not. Do I have to be downregulated?

Greetings hopeful

1 answer SVAR
- nigella February 27, 2013
  
  By the way, I took the pergotime course to trigger ovulation after the monthly course. I took blood tests that showed that I had not ovulated. I was told not to do this anymore because it could make things worse since it didn't work as it should."
  
  1 answer SVAR
  - Terje Sørdal (gynecologist and responsible physician) March 03, 2013
    
    Dear hopeful
    
    It is not entirely clear to me what has been done in terms of the examination of you and your partner, but the fact that you have not become pregnant, as long as it is between each time you have a cycle, is easy to understand. The probability that it is the ovulation problems that are the main cause of the infertility is probably high, but your partner's sperm quality and your fallopian tube function should also be examined. If the sperm quality is normal and the fallopian tubes are open, you can probably continue stimulation with Pergotime for a few more cycles. It is not that uncommon for the ovaries to not respond to the first stimulation, but to later stimulations with a larger dose of the medicine. Talk to a gynecologist in your area about this, and you will probably find a solution.
    
    SVAR
Crab February 21, 2013

Hey
In May 2011, my partner had testicular cancer that spread to his stomach, among other things. (He is healthy today :))
During surgery on the posterior abdominal wall, the nerve that "controls" ejaculation was damaged, so it now goes straight to the bladder. So we need help getting pregnant.
I have been examined at St.olav and was told that I am in premature menopause. FSH at about 16 and AMH was so low that it was not measurable in the last blood test. I have had one attempt with stimulation of 400 IU. Only 2 egg sacs, one with 3 eggs and the other with 0 eggs. With microinjection, none of the eggs would be fertilized. We are not getting any more attempts at St.olav and they actually advised us not to try privately as the odds are so low that it would be like throwing money out the window. Everything is egg donation.
My question is really, are you single?

I am 32 years old and we are so lucky that we have a healthy and happy boy who is almost 2 years old :)) but I really want a sister or brother.

Thanks in advance for your answer.

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) March 03, 2013
  
  Dear Siri
  Based on how you describe your hormone levels and the outcome of the experiment at St. Olavs Hospital, I would have to agree with the assessment they have given. The alternative could be what you outline or also consider adopting a child who could need a good home to grow up in.
  
  SVAR
Britt February 04, 2013

Thanks for the quick response. What I'm wondering, and perhaps not much research has been done, is whether some women can be low producers and have low AMH their entire lives (unless of course it goes to zero at some point)?

If only a few follicles are recruited to produce eggs, then AMH will be low, but shouldn't the reserves of follicles last a long time? I had late puberty, was 18 at first menstruation, had menstruation a maximum of six times before I turned 20. My mother and my grandmother were late for their generations (14-15) - and my mother didn't go through menopause until c. 56. My grandmother had her last child when she was 47. It would have been very interesting to know their AMH results. It's not surprising that women with low AMH get pregnant less often if they recruit relatively few eggs at a time. But if you do it all the time, would that mean that the reserves can last longer? Only in one research report have I found it mentioned that it doesn't say anything about the number of follicles (which I've read cannot be stimulated with hormones, but which can be increased since). For my part, I had an FSH of 14.5, and that wasn't good either (heavy workload and bad environment, homeopath thought my system had shut down for a period because of this, I changed jobs in the fall). But Aleris didn't stress about this, it seemed like they were rather considering the general condition and what they could see on ultrasound. And that I responded to pergotime. They didn't want to run a natural cycle, but a short regimen of hormone courses. We were going to think about IVF until the summer. Now we'll see if that becomes an option, or if it's enough with the sprout.

But I would like to encourage those with low AMH by saying that there is a lot that people don't know about AMH either!

SVAR
Britt February 01, 2013

Hey,
I wonder why you are so firm about AMH? It seems to me that most of the medical profession has "fallen in love" with AMH, because it can be measured at any time in the cycle, and there is a certain correlation between a decrease in AMH and menopause (but nowhere near a 1:1 ratio). Ref. various medical sites "AMH is produced solely in the granulosae cells of pre antral and antral ovarian follicles." But it does not say anything about the reserves that are in the primordial or primary phase. (One of many sources: http://www.ivf1.com/AMH-Ovarian-Reserve/)

If a woman doesn't recruit that many at once, the reserves can last a long time.
For my own part, I had an AMH target of 1.0 (pmol/l) when I was 40. Then my relatively new girlfriend and I stopped using birth control. My doctor was very negative at first, but three months later she told me about two other of her patients with the same value, who had become pregnant naturally. I was referred to Aleris, who took it all with crushing calm. The doctor said that it was possible to have children with low AMH, and that I was far from menopause. My grandmothers both had children well over 40. At pre-ovulation checks, I had 7-8 eggs - not an abundance, but definitely something to work with, if I chose IVF. Once you could see two eggs that wanted to be released. I tried pergotime twice, then two and three eggs were released respectively. I went for check-ups about eight months after I became pregnant naturally, in 11 trial periods. I am still in the first trimester and a lot can go wrong, but I must say that I am amazed at the staunch attitude that characterizes some clinics based on what I read online about everything unexplained with AMH. Medicus also replied to my inquiry that I would not receive treatment, based only on AMH and my age. Fortunately, Aleris was more open-minded, and maybe I will not even need IVF if everything goes well now.

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) February 04, 2013
  
  Hello Britt
  
  Thank you for your comment and for being so engaged.
  
  I would like to clarify how I view and evaluate AMH.
  
  AMH is a hormone produced in the ovaries by the group of small preantral to antral follicles and inhibits the recruitment rate of primordial follicles and inhibits FSH recruitment of antral follicles. The hormone is secreted to some extent into the blood and can therefore be measured.
  
  The value indicates the number of follicles in the group of follicles that produce AMH. There is a stable ratio between the different types of follicles in the ovary, therefore AMH can be used to say something about ovarian reserve.
  
  For me, the AMH value alone is not decisive for whether we offer treatment.
  
  At least as important is the FSH value at an adequately low estradiol value (< 0,10 nmol/l). This value says something about the quality of the follicles. If the woman has normal ovarian function (normal FSH) but reduced ovarian capacity (low AMH), we will normally offer treatment. We see it as being possible to obtain a low number of eggs, but with good quality. If AMH is low and FSH is elevated, we normally do not offer treatment, especially if the woman is also old (> 43 years). We cannot ignore the importance of age alone for the quality of the eggs.
  
  SVAR
Wondering Jan 21, 2013

Hey! :)
I'm currently having blood tests with you, and I'm looking forward to the consultation and the way forward.
Now I'm wondering a bit about various things now in the initial phase of my private investigation.

I underwent a public examination, but was not taken seriously. I was told nothing but that the tests were fine and that I shouldn't stress too much. My roommate has tested (normal) and we are going to take another test there to be 100% sure.

I only have the AMH result, and it was 57,8 pmol/l. (Something my GP said was good. I'm turning 28)

I got a printout of my medical record, where the gynecologist mentions PCOS. I had several small cysts, but he tells me that there are not enough to be PCOS. I am 165 and weigh 75. I am losing weight, and I am trying to eat healthy and exercise.

What will happen at the consultation? Could I have PCOS? Will it be enough to treat with Pergotime or can we go straight to IVF? I don't know the results of the other tests now, but I will get an answer to this when they come/and we go to the consultation.

I have been pregnant twice before, but had an abortion at a young age, and lost it in SA (2 years ago with the same partner)

We have been trying to get pregnant for almost 6 years in total.

Thanks for the answer :)

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) Jan 22, 2013
  
  Hey!
  
  At the consultation we will:
  - go through test answers
  - see partner's sperm test results
  - do an ultrasound of your uterus and ovaries.
  
  We will also want to check that the conditions in the uterine cavity are normal and whether the fallopian tubes are open or blocked. This is usually done at a later visit.
  
  Regarding PCOS or type of treatment (Pergotime / test tube), we will come back to it after the consultation(s).
  
  SVAR
Anne S. Dec 02, 2012

Hello.

I am 42 years old today and am trying to get pregnant. Since I took out the coil, my cycles have been 21-28 days, more stable at 25-26 days the last few months. I am ovulating, have measured for the last three months and the results of the blood tests have been good.
However, I have an AMH of <1 and according to a letter from my gynecologist I have "severely reduced ovarian function". My GP didn't quite understand how it was connected since I am ovulating. Can you explain this? Do I have any chance of getting pregnant?

I've tried a round of Pergotime without any success so far, but I got a 28-day cycle afterwards. Is this related? Could my cycle be longer because I've used Pergotime?

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) Dec 02, 2012
  
  Hi Anne
  
  I assume you took out a hormonal IUD since you are noticing your cycle after the IUD was removed. Your AMH indicates severely reduced ovarian capacity (number of eggs available). You don't say anything about the FSH value, which absolutely must be seen against the current estrogen value, as these two hormones have a direct influence on each other. The estrogen value should be 0,10 nmol/liter or lower to be able to say something for sure about the FSH value. With high estrogen values, everyone will have a normal FSH value. FSH is important to know something about, as it is primarily what says something about ovarian function (the quality of the eggs). Women can ovulate right up until menopause, so it's not that strange, but the chance of getting pregnant and having children is greatly reduced if the quality of the eggs is reduced (FSH elevated at an adequately low estrogen value). As you can understand, I am not as concerned with the AMH value as the FSH value when it comes to the chance of getting pregnant.
  
  The cycle may have been regulated by the Pergotime regimen, or it may have regulated itself due to the time that has passed since you removed the IUD. As you know, there are many other factors that are also important in whether you will get pregnant, such as the man's sperm quality and your fallopian tube function. I would suggest that you submit our patient information form and a copy of the samples taken, then I will be able to give you a more specific answer.
  
  SVAR
Johanne.a November 13, 2012

I just have to add that I have never had a cycle. My periods come very irregularly and rarely (every 2-3 months). Regular when I take birth control pills. My mother also had some irregularities but it improved as she got older and especially after pregnancy and childbirth, she said. Regards Johanne.

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) November 13, 2012
  
  Hi Johanne
  
  Based on irregular/infrequent periods (ovulation) and what you describe as classic PCO ovaries, you probably have PCOS. This is a condition found in 5-10% of all women and among many women who have problems getting pregnant. Most people with this problem will develop eggs and ovulate with the help of simple treatment. The fact that the blood tests taken from you are normal is only positive. My advice to you is to stay on the pill until you decide to get pregnant. Often the ovaries will cycle in the first few months after you stop taking the pill and then you will be able to get pregnant. If you do not get a cycle or the cycle becomes less and less frequent, it is time to seek help. When you feel it is time to see us, first fill out the form "Patient information" which you can find on our website, we will quickly contact you back for further arrangements.
  
  SVAR
Johanne.a November 13, 2012

I have had irregular/rare periods since I first got them at 12 1/2 years old. I am and have always been a normal weight (BMI 22), my blood pressure is very good, and I have had a full hormone check twice with two different GPs, and also done the same with a gynecologist twice and they were able to tell me each time that everything looked fine. Not too high testosterone, etc. My GP also took other tests in addition; including glucose load, C-peptide, cortisol, etc. Everything was as she said "in the best direction of the normal range." All tests were taken when I have been off the pill. However, an ultrasound shows a lot of cysts on the ovaries. You can really just Google PCOS ovaries, and then you see mine. I didn't start taking the pill until I was 22, and was diagnosed with PCOS when I was 19 on an ultrasound. Last year I went on Diane and the internal ultrasound showed PCOS ovaries despite this. Otherwise Diane works well for some blemished skin.

How is this possible with normal blood tests? Gynecologists and doctors seem so positive and say that it will probably not be a problem to "retrieve the eggs". Could it be early menopause? Both mother, grandmother and great-grandmother had their first child well over 30 without problems due to their own wishes and careers. I am 28 years old and want to get pregnant next year. Would it be just as good to see you immediately after stopping the pill, or should I try myself first? I am 28 years old. Thank you very much for your answer.

SVAR
hopeful October 20, 2012

Hi:)
I'm wondering if you have any good advice for me on the way forward based on these tests taken on cycle day 2:
FSH:17
Contact: 5
Prolactin: 155
Estradiol:<0,06
Testosterone: <0,6
SHBG:44
AMH:<1
A little info: I am 35 years old and we had a girl with IVF in the summer of 2010 and now want a sibling:) I have never taken these tests so early in the cycle before, so unfortunately I have no values to compare with.
Thank you very much for your answer :)

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) November 13, 2012
  
  Hi hopeful,
  
  It doesn't look good. The AMH value tells you that you have a very low egg reserve (few eggs) and the FSH value, which is elevated, tells you that ovarian function is also impaired. A bad combination if you want to get pregnant. I consider the chance of success to be very low.
  
  SVAR
Anette October 14, 2012

Hey!

Thank you so much for the very informative pages! Reading about concrete examples from others makes it all so much easier to understand than reading tables and diagrams.

I am 42 at the moment, and was lucky enough to have a healthy child through IVF on my first try almost two years ago. We tried IVF pretty quickly after my husband and I got together at the time because we didn't want to wait and see and maybe even get another round before it was too late.

Now we would like to have a sister or brother for our child, and I am lucky enough to have "good" hormone levels as far as I understand.

Day 2 values measured in the last cycle were:

FSH: 6
Estradiol-17Beta 0,09
AMH: 19

From what I see online, it seems like I have almost "too good" numbers for my age. I've had slightly long cycles most of the time since I started menstruating (around 31 days when I was young and between 26 and 28 the last year before my last pregnancy/now so I'm wondering if a hint of PCO may have been involved... I was moderately overstimulated during my last pregnancy and received doses of 142 IU during stimulation, 18 egg sacs, 9 eggs, 6 fertilized and 3 good enough to use/freeze.

I have just done another attempt where I first started a freezing attempt but the embryo did not survive thawing for insertion. Then went straight to downregulation without going through a cycle and got 7 eggs, 6 were fertilized normally, two were inserted but no pregnancy, and none were frozen. Was given 142 IU this time too. All the egg sacs except one seemed a bit small at the last ultrasound before the ovulation injection, but I am not exactly an expert in the field as I succeeded on the first attempt last time.

What I'm wondering is whether the hormone numbers can say anything at all about the quality of the egg reserves at my age, and thus the likelihood of success with new attempts, or do they only say something about the quantity?

Does the fact that I succeeded on my first attempt the year I turned 40 say anything about the likelihood of success now and possibly also say something about the quality of my egg reserves? I know that such things drop at my age.... (By the way, AMH was 27,8 in early summer 2010, and FSH/Estradiol were normal at the time.

Sincerely,

Anette

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) October 21, 2012
  
  Hello Annette
  I agree with you, the test results are very normal for a woman who is about to turn 42. We should be happy about that and see it as a good starting point for new treatment, without completely ignoring the fact that age itself can have a certain impact on egg quality. An assessment of the test results alone indicates that ovarian function (quality) and ovarian capacity (number of eggs) are still completely normal.
  
  SVAR
Mai October 04, 2012

I am 39,5 years old. I had blood tests on day 3 of my menstrual cycle showing high Fsh 14-17, AMH very low < 1. I wonder if there is any chance for me to try IVF in a natural cycle. I have had 2 miscarriages in the past. Thank you for your understanding. May

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) October 21, 2012
  
  Hello May!
  
  Why should you try IVF? You probably don't have blocked fallopian tubes since you have been pregnant and your partner probably has good enough sperm quality for the eggs to be fertilized. Your biological clock, as shown by the test results, shows that you have reached a stage where the egg quality and number of eggs are greatly reduced. The chance of getting pregnant and the chance of having a child is therefore low and will not be increased by doing IVF. So the best you can do is to wait and hope for a genetically normal egg that is fertilized and continues to develop normally.
  
  SVAR
Catrine September 30, 2012

Hey
I am a woman of 23. I went to the doctor because of infrequent periods and lack of pregnancy after trying for 2 years with my partner. I was diagnosed with PCO by ultrasound at the gynecologist. I have many, but immature eggs, but my weight is within normal limits (176cm 66kg = BMI of 21,3). No other signs of PCO with acne, facial hair, etc.
I was given Metformin (without anyone checking my insulin first:s) + Provera for three months. I had bleeding every time, but most of the time I wasn't ovulating. A test taken on day 4 of my cycle showed:
TSH= 2,35.
FT4= 15,6
LH = 2,8
FSH = 6,2
prolactin=72 (ref 95-975)
androstenedione= 2,1
testosterone= 0,6
estradiol 59 (ref 80-2100)
Too low progesterone and estrogen.

The rest is ok, or not?

Then tried a pergo cure. Day 12 after the last pill, progesterone was measured: 2,9 nmol/L. I was told that I probably haven't ovulated now either. I just got a prescription for Trisequens which I will take for three months, then try a new pergo. The doctor wrote that it "would build up my hormones". But I'm starting to get skeptical about all these pills that are meant for both diabetes (metformin) and menopause (trisequens)... and those that are meant for ovulation (pergo) don't seem to have the intended effect, but instead lots of side effects.

Is it normal not to ovulate after pergo?

Is there anything I can do to increase hormone levels? Any lifestyle advice? -eat more of something, less of something? I would say that I live a regular and varied life, and don't really understand why I'm not ovulating.

Is IVF possible for me? Is it preferable to Trisequens? Is it normal to give Trisequens to women at 23?

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) September 30, 2012
  
  Hello Catherine
  
  It was a lot at once. You have been diagnosed with PCO ovaries, meaning many small egg sacs in the ovaries. You have infrequent periods and are not getting pregnant after trying for 2 years.
  
  Your hormone levels are fine, you have normal FSH levels and low estrogen levels, which indicates that you have normal ovarian function.
  
  The ultrasound examination says that you have many small follicles and thus normal ovarian capacity. If your partner has normal sperm quality and you have open fallopian tubes, there should be a good chance of getting pregnant with stimulation with Pergotime in single, double or triple doses, depending on the response to the stimulation. If this does not work, the next step will be stimulation with FSH.
  
  We normally follow up stimulation with Pergotime with a blood test for progesterone and estradiol on day 20 of the cycle. This will allow us to see if there is egg development and whether ovulation has occurred or will occur. Alternatively, follow-up with ultrasound of the ovaries and uterine lining from cycle day 10 and onwards as needed to monitor egg development. If you would like us to help you with the assessment or treatment, please submit our form patient information, then we will contact you back.
  
  SVAR
ingwild September 22, 2012

Hi, I'm 24 years old and I've had a pelvic exam. It says:
normal size of uterus, empty cavity, endometrial thickness 7 mm, no sun
rt. ovary shows multiple GFs largest one measuring 7mm
left ovary shows multiple GFs one measuring 9 mm
clear both adnxia
no free fluid in cul-de-sac.

want to understand what it means and whether it is normal or has no chance of having children

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) September 30, 2012
  
  Hello Ingvild
  It sounds fine, normal uterus, normal endometrium (uterine lining), multiple follicles seen in both ovaries, largest on the right side 7 mm, largest on the left side 9 mm. I would think that the examination was done right after the end of menstruation, or at any time if you are not having a cycle. The description does not provide any evidence that you would not be able to get pregnant, on your own or with help if it were necessary for other reasons.
  
  SVAR
Wondering September 18, 2012

Hi! I'm a girl in my mid-twenties trying to get pregnant. We thought it would be easy, which turns out it's not. My doctor did some tests, which they said were okay considering that I haven't been "investigated further" yet. I suspect that these are just reassuring words while I wait for more tests, ultrasound of the ovaries, etc. to see a specialist. (I've been referred to a gynecologist, but haven't heard anything yet). This uncertainty is bothering me a lot, and I have no idea when I'll get follow-up or further investigation. Can you tell me if I'm right that these are not good test results?

S-Estradiol 1.69. S-LH 116.4. S-FSH 19.1. It should be mentioned that I have not regained normal menstruation after stopping birth control pills, and that the tests were taken on a random day when we do not know the cycle. The doctor claimed that the high values could be considered normal if I had ovulated at this time, but I can not find any facts to support her opinion. I still think these are dangerous results, and want to know what we are facing first and foremost so that we can use time and the young age to help.

What do you recommend I do next? What investigation should I expect and what tests need to be taken?

Thank you very much for your answer :)

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) October 21, 2012
  
  Hello Wonder!
  
  Estradiol = 1,69 nmol/l corresponds to at least one mature egg or a hormonally active follicular cyst. The brain (pituitary gland) will perceive this and give a signal to ovulate.
  
  The samples seem to have been taken at exactly the time this happens and have included the rise in both the LH hormone and the FSH hormone (surge). I assume you had your period 12 - 14 days after the samples were taken. As you understand, I interpret the samples as normal for your situation. If you want to know what else I think about the investigation, you can find more about this on our websites, e.g. here..
  
  SVAR
Wondering September 15, 2012

And it was Gonal-F that was used in the treatment, not Puregon. I wrote it wrong on the fly.

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) October 21, 2012
  
  Hi "Wondering",
  
  An ex.u. pregnancy is not considered a habitual abortion, it has other causes. However, you had three consecutive early spontaneous abortions before this and are therefore to be considered a habitual aborter. I do not know what investigations have been carried out on you. We check for coagulation disorders, autoantibodies, uterine malformations, myoma and polyps in the uterine cavity in addition to hormone screening on cycle days 1, 10, 20 and 24. If the investigation, as outlined above, shows normal findings, I would certainly have had an answer to the FSH value early in the cycle (cycle day 1 or 2). If FSH was elevated (>13,5 IU/L) and and AMH = 1 pmol/l I would have concluded that the main cause of repeated failed early pregnancies was due to reduced egg quality, i.e. a high number of genetically abnormal eggs. Even though many eggs are genetically abnormal and stop, there will also be normal eggs that will be able to lead to pregnancy and birth. If you can handle it, just keep going, there may still be hope for a normal pregnancy.
  
  SVAR
Wondering September 14, 2012

Forgot to mention that we have a daughter who is almost 4 years old, who came on the first try (naturally), I just turned 36, and the ultrasound in connection with the attempt in August showed a very thin uterine lining.

SVAR
Wondering September 14, 2012

Hello.

I would like a second opinion here. After 4 miscarriages (the last one most likely an ex.u that resolved itself) I was examined for habitual miscarriage. The examination showed nothing special except that the ultrasound showed few developing egg sacs. AMH was below 1, blood tests for FSH etc. were not taken. In August, I had an attempt with low-dose stimulation Puregon 75iu per day, but the ultrasound showed only 1 small developing egg follicle. I had taken DHEA for 2 months beforehand. The attempt was then interrupted and I was told that there was nothing more to be done.

Is all hope lost? Can we still try on our own, as we can still get pregnant easily, or is the risk of further miscarriages too great?

SVAR
Hilde September 12, 2012

Hey!

We have just been rejected for our application for IVF at Rikshospitalet. We got a real slap in the face here, because the background to the application was my boyfriend's poor sperm quality. I have been pregnant 4 times before (terminated), and thought I was very fertile, even though I will be 38 years old in 3 months. The rejection was due to my low AMH value which was 2. The other values I was told were normal:

estradiol 0,99
sfsh 3,9
Contact 1,8

The samples were taken on the 2nd day of menstruation.

What do you think about my values? We were recommended to visit a private clinic.

Thank you for your answer!

Hilde

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) October 21, 2012
  
  Hello Hilde
  If your AMH = 2 pmol/l, it means that there are very few eggs available in the ovaries.
  The values for FSH = 3,9 IU/L and for LH = 1,8 IU/L are normal. FSH will always be normal if the estradiol value is high enough. You state estradiol as 0,99, if the units for estradiol are nmol/L the estradiol value is high (mid-cycle value) and the FSH value cannot be interpreted. If the estradiol value is stated as pmol/L it corresponds to 0,099 nmol/L and is a sufficiently low value to be able to interpret FSH, which in your case would then be normal.
  From experience, based on what you are telling me, I would assume that the estradiol value was 0,99 nmol/l, i.e. high on cycle day 2. In that case, this is a bad sign, especially in combination with AMH = 2 pmol/l. If you sought treatment with us, I would take a hormone test on cycle day 1 or 2 until I got a test where the estradiol value was 0,10 nmol/l or lower, so that I got an interpretable value for your true FSH value in the early cycle.
  If FSH was elevated (> 13,5 IU/L), we would also be cautious about recommending treatment.
  
  SVAR
Silje September 11, 2012

I can mention that the FSH and AMH samples were taken right after the aborted attempt (4 days after egg retrieval), so late in the cycle. Could that have anything to do with the FSH?

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) October 21, 2012
  
  Hello Silje
  
  When a woman has FSH 0,7 IU/L, she is either still "downregulated" or has reduced secretion of FSH from the pituitary gland (hypogonadal hypogonadism). In your case, it may be that you were still downregulated after treatment with a nasal spray (GnRh analogue). If, on the other hand, you were stimulated in an antagonist protocol (Orgalutran or Cetrotide), the FSH value should not have been so low. In that case, the low value may be due to reduced secretion of FSH from the pituitary gland. Women with reduced pituitary function need both FSH and LH to develop eggs (e.g. Menopur). The outcome of the first two attempts, when you were stimulated with pure FSH (Gonal F), may point in the direction that you have reduced pituitary function and will get more and better eggs when you are stimulated with Menopur.
  AMH is not affected by when in the cycle the sample is taken or whether it was taken shortly after an aborted attempt. AMH = 5 pmol/l is a relatively low value for a woman who is 28 years old. You still have enough eggs available, and their quality should be good at your age, but you will probably reach menopause earlier than if you had a higher AMH value. When did the women in your family enter menopause?
  As you can see, there are a number of assumptions in this answer, as the background information is sparse. At your age, you should have a good chance of getting pregnant. If it is the case that your pituitary function is impaired, you should develop good quality eggs, but the number of eggs may be lower than if you had a higher value for AMH. I hope this makes you a little wiser.
  
  SVAR
Silje September 11, 2012

Hey Hey,
What a great and informative site! We have been through two IVF attempts with gonal f and have had few eggs with poor quality. Took an amh test a year ago that showed 3, and took new tests now that showed 5. Also got an fsh result of 0,7 (doesn't tell me much). Going to start another attempt with menopur at the next mestruation. Do you think we have a chance with my numbers? I am only 28 years old and have never been pregnant. Sambo has good quality.
Can we succeed in any way or is it hopeless?

SVAR
nysgjerrig September 02, 2012

Hello.

Can you achieve pregnancy naturally with an amh of 6 Picomol per liter? (25 years old)

and what makes someone with low amh make it harder to get pregnant naturally? is it even possible?

Is the chance of success greater with IVF?

How many egg sacs can I count as remaining when my amh is 6?

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) September 05, 2012
  
  Hey curious.
  Of course you can get pregnant with AMH of 6 pmol/l, provided that ovarian function (normal FSH on low estradiol) is normal, but you shouldn't wait too long. The egg reserve and thus AMH can drop quite quickly in some people. If everything else is normal, you don't need IVF. The chance of getting pregnant in an IVF cycle is about twice as high as in a natural cycle, but also much more demanding! I don't know how many eggs you have left, but I would think about as many as a woman of 38 years old.
  
  SVAR
emerald Aug 22, 2012

Hello.
My husband and I are so-called inexplicably childless from the past. However, we have become pregnant 3 times with IVF and once naturally (in the middle of an IVF downregulation). The first 3 pregnancies we lost due to cervical insufficiency, the last pregnancy resulted in a miracle born in August 2011, after I had an abdominal cerclage operation in August 2010 and subsequent IVF in December.
In the first test that was done (2008) I had these values: FSH 3 IU/L, LH 1,6 IU/L, Estradiol 0,09 nmol/L, Progesterone 4nmol/L. Cycle day 3 I think I remember.

I am now 37 years old, and we are thinking about trying for siblings. It doesn't seem like I'm ovulating on my own (EL tests), but I do have fairly regular but long cycles (35-36 days). Should I just keep going with new IVF, or do you recommend an AMH first? Or new hormone tests in general?
I tried Pergotime once several years ago, but only had heavy bleeding and no ovulation. Is it worth trying again now?

My husband has had normal sperm tests throughout.

thanks for the answer!

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) Aug 27, 2012
  
  Hi! I recommend new hormone tests including AMH. The test should preferably be taken on cycle day 1 or 2. The estrogen value will then be lower and the assessment of the FSH value will be easier. The purpose of the test will be to advise you whether the conditions are still suitable for IVF treatment or whether the chance of success has been significantly reduced. Your husband should provide a new sperm sample.
  
  As you understand, I would recommend that you consider new IVF treatment.
  
  SVAR
Heidi Aug 18, 2012

Hey,
I am 38 years old. I am wondering about the possibility of success with IVF with these values on day 3 of the cycle:
FSH: 8 U/L
LH: 4 U/L
Estradiol: 0,10 nmol/l
And a low AMH of 4.
I have 2 children, the youngest is 18 months old.

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) Aug 20, 2012
  
  Hello Heidi!
  
  Why IVF? If you were in need of such treatment the last time you got pregnant, I would say that your hormone values indicate that ovarian function is normal and that ovarian capacity is still within the normal range, so the chance of a new pregnancy with IVF should be good!
  
  SVAR
Tonje81 Aug 16, 2012

Hey!

I took hormone tests on day 3 when we were struggling to get pregnant. Initially, we thought the problem was with my partner, but he provided a sperm sample and was told that the test was completely normal. I am a doctor myself, so I have reasonable control over what these hormone tests say, but I would like some feedback. I have fairly regular cycles, in recent months it has varied between 25 and 29 days. From January to March, my cycle was regular at 28 days, after that it has varied by a few days. Not sure if that may have affected the fact that I am quite stressed out in relation to possible infertility. My hormone tests: estradiol 0,23. Progesterone 2. FSH 16,6 and LH 7,8. I have a fibroid, and have therefore gone for annual check-ups with a gynecologist, and have been told that everything else looks normal. Do you think there is any hope? From what I have read, it seems that my FSH value and estradiol value are too high? Thank you for the feedback as we really want to have children.

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) Aug 17, 2012
  
  Hey!
  
  The estradiol value is reasonably high. If you take estradiol and FSH on day 1 of the cycle instead of day 3, I am afraid that we will see a value of 20 or higher for FSH. In that case, it is a very negative prognostic value in terms of the chance of pregnancy. However, many years in the field have taught me that nothing is impossible, even if it may look dark at first.
  
  1 answer SVAR
  - Tonje81 Aug 17, 2012
    
    Thanks for the answer. This was of course very discouraging. I know that until maybe the last 4 months I have known when I have ovulated, when I have observed the so-called "mucus plug". Does this mean in principle that I am in menopause at the age of 30, or is it simply just my ovaries that are wrong? I am looking at it quite darkly to have to struggle with menopause symptoms already now.. The chances of pregnancy are now independent of any IVF attempts? Are you saying that no one will make such an attempt on me here in Norway?
    
    1 answer SVAR
    - Terje Sørdal (gynecologist and responsible physician) Aug 20, 2012
      
      Dear Tonje 81
      One of the saddest things I experience as an IVF doctor is when young women who want to have children show signs of severely reduced ovarian function far too early, as it seems to be the case with you. The symptoms of menopause may still linger for a long time, but I think the chances of pregnancy are quite small. I have nothing else to deal with than the test results you have given me. If you wish, I will be happy to follow your hormones through a cycle and give you feedback. If so, please submit our form ”patient information”, then we will contact you back.
      
      SVAR
Girl24 years old Aug 06, 2012

Hi. I am a 24 year old girl who has a low amh of 6, but fsh should be good. Only harvested 4 eggs during 1st IVF on high doses of hormones. Got pregnant on 1st IVF but had a MA at the beginning of week 8. This is a mental roller coaster and I feel like I need some time before I started the process again, but I wonder how quickly my fertility decreases with amh of 6? Can I wait 6 months to 12 months before I start taking medication again or is it recommended to start as soon as possible? I feel that the body and psyche need a break to rebuild themselves ...

Greetings girl24

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) Aug 08, 2012
  
  Hello girl24!
  
  It varies from person to person how quickly AMH drops. You say that FSH should be good, meaning that ovarian function is normal, even if the number of available eggs is lower than expected for a woman of your age. As I see it, you should not wait longer than 6 months before the next attempt, and preferably no more than three months.
  
  1 answer SVAR
  - girl24 Aug 15, 2012
    
    thanks for the answer.
    
    How soon can you accept me as a patient? And can you start taking medication as early as 1 period after a MA? I have had 2 curettages and 1 medical abortion to get the fetus out. The last curettage was July 23. When should my period be in place at the latest? And is it normal to have irregular periods in the first months after a MA?
    
    in the last attempt I went on synarela nasal spray (about 4 or 5 weeks weeks) and gonal f 225 IU for 9 days and 300 1 day. and 13.000 IU ovitrelle. as I said only harvested 4 eggs. Would you give me higher doses of hormones to develop more eggs? should I expect the same number of eggs or fewer eggs in later attempts?
    
    Is it even possible to achieve this, or is time too short? Can I expect an extremely early menopause?
    
    hello girl24
    
    1 answer SVAR
    - Terje Sørdal (gynecologist and responsible physician) Aug 17, 2012
      
      Hi girl 24,
      
      You should have a natural cycle after MA before starting new treatment. You got pregnant, which suggests that the chance of success is there. You needed fairly high doses of FSH to make 4 eggs, so I would probably start with a higher dose of FSH in the next attempt.
      Otherwise, I don't know enough about you to say anything about menopause, but if you would like to be considered for treatment with us, please visit our website, fill out the form patient information and send these to us, we will contact you back and provide a more detailed assessment of the situation. We do not have a long waiting time for processing.
      
      SVAR
vanilla Jun 25, 2012

I got pergotime after a year of trying, and my period is very irregular. My period has been regular for the last two months (5 weeks apart), but now when I start taking the pills on the 4th day of my period and take blood tests, my period is not coming. It was previously gone for 4 months too (Dec-Apr).
The ultrasound of the ovaries was fine, by the way.
Can you start pergotime without having your period?
I feel like it will be a long time to wait several months without my period again now if it disappears again.

And why do you have period pain even though your period is gone?
(have taken grave tests which have been negative).

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) July 26, 2012
  
  Since the pregnancy test was negative and you still haven't had your period, you can use Primolut N tablets, 1 tablet 3 times a day for 7 days. You can expect menstrual-like bleeding a few days after you stop taking the tablets. The day the bleeding starts is the first day of your cycle, start Pergotime on the fourth day of your cycle.
  
  When it comes to menstrual pain, it is probably caused by hormonal changes that are sufficient for the uterus to perceive them as a signal of menstruation, even if they are not sufficient to trigger bleeding.
  
  SVAR
her Jun 05, 2012

hello!
Can you show up at the sampling center at St. Olavs and ask for
Are FSH and AMH being checked?
Or do you need to spend an hour with us?
Sincerely,
her

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) Jun 07, 2012
  
  Hello Ella
  
  You must have a referral from a doctor to have samples taken at the testing center at St. Olav. The doctor is responsible for why the samples are being taken and for communicating to you what the test result means. If you want to have a meaningful assessment of FSH, estradiol must also be requested, and the sample must be taken when the estradiol value is low, i.e. early in the cycle, i.e. on the first or second day of bleeding.
  
  SVAR
Karoline May 19, 2012

Hey!
I am a 29 year old girl who has been using birth control pills since I was 19, with only a few breaks. After I didn't get my period back after stopping the pill at the age of 20, I went to a gynecologist and was diagnosed with ovarian cysts. I took blood tests that showed a classic PCO profile. I had no other symptoms such as increased hair growth, acne, etc. I am slim and always have been, never had problems with my weight. I weigh 58kg and am 170 cm tall.

So about 8 months ago I decided to stop taking the pill because I eventually want to have children with my partner.
3 months after stopping the pill I went to my gynecologist and the ultrasound showed a normal ovary and one with some signs of PCOS. Even though it was borderline as she said. I still hadn't gotten my period back after stopping the pill.

4 months after stopping the pill, I had a kind of short bleeding for about 2 days.

After 7 months without any further signs of menstruation, I decided to take a blood test profile to see what my blood values looked like. The results were as follows:
FSH: 6
Contact: 6
Estradiol: 0,07
Progesterone: 6
Testosterone 1,2
SHBG: 54
Free t4: 16,9
tsh: 1,0

My doctor is now therefore in doubt whether I actually have PCOS, I have no physical symptoms, only ovarian cysts on one ovary and this does not have the classic PCOS characteristics, in addition, my blood tests are a bit borderline in terms of PCOS.
Still, I want children with my partner. What options do we have with these blood values?
Why are my estradiol levels so low when LH and FSH are normal?

Yours sincerely, Karoline

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) Jun 03, 2012
  
  Hey!
  
  Basically, I think you just haven't "got going" yet after stopping the pill. Some girls can take up to a year to get their periods back.
  
  Ultrasound of the ovaries in girls who are not ovulating can be similar to PCOS. The hormone values are consistent with not yet ovulating, but not with PCOS.
  
  I would like to believe that a simple stimulation with Pergotime will be able to get the ovaries to cycle.
  
  SVAR
Snow White May 09, 2012

Hi. We have previously had one attempt with you and 3 attempts at St.Olavs, all 4 IVF/ICSI have been aborted after egg retrieval due to immature eggs. The last attempt we got 12 eggs out, of which 11 were immature and the last one split incorrectly, the attempt before that was almost the same with 10 eggs out, 9 immature. My last blood tests taken in March 2012 on day 3 were, FSH-7,9, LH-3,6, Estradiol-0,18, AMH at 4,6 picmol. I am 33 years old and my husband is 30 years old and has always had great sperm tests. I have never been pregnant before, neither of us has had children before. Is there any hope for us? The doctors always mention egg donation as an alternative after aborted attempts, but we don't feel quite ready for that since the blood tests are apparently within normal limits, besides low egg reserve, but as I understand it, 12 eggs out is also normal. Do you have any tips on what can be done differently? On ultrasound, the follicles were a uniform size of 18mm. Could it be that mine should be somewhat larger to mature? Should I be stimulated for 1-2 days longer, do we then risk the eggs perishing before retrieval? I have tried 3 different hcg injections, and most recently took double Ovitrelle.. I have mostly only used Puregon 225-450, and also tried 75 menopur on one of the attempts. I have been on nasal spray for 2-4 weeks and injections for 9 days. I have always had regular menstruation of 25 days +/- 1 day and always a positive ovulation test around day 9-10, and also took blood tests that show ovulation. Can we do it on our own when the amh is so low, I have never tried pergotime, could it be something? We get a little tired of all these long hormone courses that only lead to interrupted attempts, we feel like we're standing still :( I can also mention that last year I was diagnosed with an elevated TSH of 7 and started on 50mg levaxin, so now my TSH is 3,6. Otherwise slim and healthy.

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) May 29, 2012
  
  Hello Snow White
  
  Here there were many questions about many factors at once.
  
  Let me start with a question myself – why ICSI when the man's sperm quality is completely normal and the problem is immature eggs? What is the main reason you need assisted fertilization?
  
  Immature eggs tend to mature more if they are allowed a few more days before hCG, so I think your suggestion makes sense.
  
  It is probably not just AMH that is in the lower normal range. A 33-year-old woman should not normally need doses of FSH of up to 450 IU. You should take FSH and estradiol on the first day of your cycle. It is not possible to say anything for sure about your FSH when estradiol is simultaneously as high as 0,18 nmol/l. It is probably above 12.5 IU if estradiol is simultaneously 0,10 nmo/l or lower.
  
  Please contact us again to take such a 1st day test.
  
  I agree with you that the number of eggs retrieved is normal. The quality of the eggs may be impaired if it turns out that FSH is elevated with adequately low estradiol.
  
  It is important to let the eggs develop long enough before the ovulation injection is given. Questions about egg donation may seem a little premature when you are producing so many eggs.
  
  SVAR
Eline Larsen May 04, 2012

Many thanks for the answer!
Now the results are in for AMH, which is 9 picomoles. Is this low? I see that normal values can go all the way up to 60 and am therefore unsure how good the result is even though it is within the reference values.

Regards, Eline

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) May 08, 2012
  
  With the values you have for FSH and estradiol, together with an AMH of 9 pmol/l, I think it looks promising. It seems as if both the function and capacity of the ovaries are still well preserved, which bodes well for fertility.
  
  SVAR
Eline Larsen April 25, 2012

Thanks for a great and informative page!

I am a woman of 40 1/2 years. I have a son of 18 months and got pregnant in January 2010 (on the first try). My husband and I want another child. We have been trying a little "on and off" since last fall and have probably had about 5 "proper" attempts where I should have been right in terms of ovulation timing. I have had one (possibly two) pregnancy(s) during the trial period. The one I am absolutely sure of ended with a SA in week 5. Considering our age, we want to map out our chances of getting pregnant quite early in the process. I have therefore taken blood tests at 2 in the cycle:
metabolism= normal
S-FSH 8 U/L
S-Estradiol- 17be 0,13 nmol/L
LH 3 U/L
All the test results are listed as normal. However, I don't know how "good" they are. From what I've read, the FSH:LH ratio may seem somewhat high, although not alarming(?). However, it is stated in some places that less importance is placed on the ratio here than on the actual levels of the two hormones. I haven't received the answer to AMH yet. Do you have any thoughts on my "fertile status" based on the answers that are available?

Thank you in advance.

Regards, Eline

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) April 25, 2012
  
  Hello Elina
  
  Thank you for the nice feedback.
  
  You seem to have normal ovarian function. Your FSH is normal at an adequately low estradiol value. This indicates that the quality of the follicles (ovaries) is good. AMH will say something about the number of follicles you have at your disposal. Based on the information available, I would think that the chance of pregnancy is good, considering your age. In your age group, it will still be the case that more eggs have abnormal genetic material and that pregnancies that stop occur more often than in younger women.
  
  SVAR
Bluebell April 24, 2012

Hey!

I am 38 years old, and my husband and I want another child. We have a 3-year-old boy. But I haven't had my period in 2 months. I went to the doctor last week and had hormone tests done. FSH was 5,4, estradiol 0,11, TSH 2,42, LH 18,7, testosterone 1,9, free thyroxine 13, HB 13,9, SHBG 13, HCG < 1. Are these tests normal? Is there anything that indicates that I will have difficulty getting pregnant? I have taken a pregnancy test that was negative. And is there anything from these tests that can give an answer to why my period is delayed?

Thank you very much in advance for your answer!

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) April 25, 2012
  
  Hello Bluebell,
  
  Difficult to get pregnant as long as you are not ovulating. The value for LH is high and the value for SHBG is low. The high LH value inhibits egg development and the low SHBG value indicates elevated testosterone levels, even if the testosterone value is normal. This is a hormone profile we often see in PCOS. Simple stimulation with Pergotime should be the first choice and will often lead to egg development, ovulation and pregnancy. Normally we start with Pergotime 50 mg daily for 5 days from the 4th day of the cycle and follow up with a measurement of estradiol and progesterone on the 20th day of the cycle to check that egg development and / or ovulation occurs. If this does not happen, you can try a double dose of Pergotine (100 mg daily) in the next cycle. If you do not have a cycle, you can, in consultation with your gynecologist and after an ultrasound examination, have a bleeding induced with a progestogen course. The first day of bleeding will then be the first day of the cycle.
  
  SVAR
Terese March 20, 2012

Hey,

I am turning 38 soon and have been told my AMH is 0,07. I have not been told my FSH. Does this mean my chances of getting pregnant are very low? Should I consider freezing my eggs (I live in the UK)?
I'm single and quite lost.

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) March 29, 2012
  
  Hey,
  
  Whether AMH is given in micrograms per liter or picomoles per liter, the value is very low. This should mean that there are very few eggs left at your disposal. If FSH is normal, there may still be a chance of achieving pregnancy using your own eggs. If FSH is elevated, it means that the quality of the eggs is also reduced, and then the chance of achieving pregnancy with your own eggs will be very low.
  
  If you do not intend to get pregnant anytime soon, and the quality of your eggs is considered normal, you may want to consider freezing your eggs as you must expect that the AMH value can drop rapidly in a woman of your age.
  
  SVAR
Life Irene February 21, 2012

Hi. I turned 45 in November 2012. I have a child who is now 5 years old and we live with her father, her and I. My partner and I have been together for 10 years. We have been trying to have a second child without success. I just got the test results from the gynecologist and since FSH was high (2) and LH (30) and estrogen (18). These tests plus more were taken on day 0,1 of the cycle, so they couldn't help with hormones. The test results taken on day 5 of the cycle were within the reference values. Otherwise, an ultrasound was done and everything is fine. Is there any hope that you can help us?

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) March 04, 2012
  
  Hello. In our opinion, a woman who shows such high values for FSH at the right time in her cycle will have such a low probability of achieving pregnancy that we would unfortunately not be able to offer treatment.
  
  SVAR
wondergirl February 14, 2012

I am a 24 year old girl and have undergone a regular fertility evaluation. Laparoscopy (everything looked normal) Slightly large ovaries with cysts that they punctured in some of them. Fallopian tubes open. Have been diagnosed with PCOS. Am overweight with a current BMI of 32 (highest BMI 37) Was told that the hormone tests that have been taken are normal (have not been given a value), but was told that my LH value was somewhat high once... taken hormone tests in 2-3 cycles. IVF is the next place. So I took an AMH test which showed AMH at 6. Which is quite low for someone my age? and not least with a diagnosis of PCOS. How can this be so low? and what are normal values for someone my age? And do we have any chance of achieving this? I have no children from before. My husband has normal sperm. I have taken new hormone tests (AMH, estradiol, lh, fsh, etc. on cycle day 2) and am waiting for the results before we get any definitive information about whether pregnancy is possible. I have been pregnant before, but had an abortion. (16 years old)

Based on what you hear, could you offer us treatment with what is stated above?

Greetings, wonder lady.

1 answer SVAR
- Terje Sørdal (gynecologist and responsible physician) March 04, 2012
  
  Hi! First I would recommend checking if your AMH is stated in micrograms per liter. Today AMH is stated in picomoles per liter, and your value will be nearly ten times higher than what is stated in micrograms per liter. This would fit better with the fact that you have PCOS.
  
  Can you check this and give us feedback so we can look into the rest of your question :)
  
  1 answer SVAR
  - wondergirl March 06, 2012
    
    My AMH value is categorized as low fertility. I think it is measured in pmol/L. Without knowing this for sure. I was told that my AMH was very low in relation to PCOS and my age of 24. I have now taken FSH, ESTRADIOL, LH, etc. and have been told that these blood tests are good. (I was not given values)
    
    http://www.drmalpani.com/amh.htm
    
    Does this scale look correct?
    
    Can you answer the rest of the question for me then?
    
    Thank you very much.
    
    1 answer SVAR
    - Terje Sørdal (gynecologist and responsible physician) March 16, 2012
      
      When it comes to the grading on this scale, I believe it is more correct to call AMH values ovarian capacity rather than "fertility potential" because AMH only says something about how many eggs are available in the ovaries, and not necessarily about the quality of the eggs, which is most important when it comes to being able to get pregnant.
      
      If your AMH value is given in Picomol per liter, I agree that it is unusually low for a woman with PCOS. However, if it is given in micrograms per liter, it will be normal for a woman in your situation.
      
      Assuming that the other hormone values are correct, we can see no reason why you should not be offered treatment with us. If you would like a more detailed assessment, you can submit patient information via our electronic form and load results from previous studies via our secure web solution here.
      
      SVAR
Stine November 24, 2011

Hi, I'm 21 years old and a while ago I took some hormone tests, they were taken on day 3 of my cycle.
I understand very little of these answers, and since my GP is making new excuses for why I can't get a referral to a gynecologist, I'll have to consult you.
My values are:
FSH: 6,8 IU/L
AMH: 21,4 pmol/L
Estradiol: 0,15 nmol/L

What I'm wondering is whether these are normal values?
Thank you very much for your answer in advance!

1 answer SVAR
- Terje Sordal November 24, 2011
  
  Hi Stine. The test results show that you have normal ovarian function and normal ovarian capacity. So the tests are normal. Terje.
  
  SVAR
Gunn November 16, 2011

Hello.
I just turned 42, and have met the man of my life :-) we are now cohabiting. He sterilized himself about 15 years ago :( but still have a strong desire that our highest wish, to have a child together, will come true. I don't have children yet. I just got the results of my blood tests: FSH 2,2 LH 3.1 Estradinol 0,64 and AMH 1 What chances do we have? and do you have anything to offer us?

1 answer SVAR
- Terje Sordal November 21, 2011
  
  Hi Gunn!
  
  Great that you have met the man of your life, but based on your information I would think that it may be difficult to have children together naturally, or with the help of in vitro fertilization with your own eggs. Your AMH is very low, assuming it is measured in picomoles / L. FSH 2,2 when estradiol is as high as 0,64 nmol / l does not mean anything. When the man has been sterilized for 15 years, you have to assume that he is sterile anyway. As it stands, I think it will be difficult to offer help with the methods we have in Norway.
  
  SVAR
Magnus Sordal Jun 23, 2011

Hello, you two hopefuls!

Spoke to a doctor here at Medicus about this. It is very difficult to say anything based only on the FSH value. We would like to have the other hormone values from the same sample to give an assessment.

When it comes to collaboration with foreign clinics that offer egg donation, we do not have it as we are not allowed under Norwegian law to participate in such treatment.

I recommend that you contact us and send us test results from previous investigations so that we can make an assessment and provide feedback on this with the hormone tests.

SVAR
two who hope Jun 23, 2011

Hey,

Woman is 35 years old and has FSH=18, thus too high a value for further treatment in the public sector.

I'm considering IVF with you, for example, but I'm unsure of the chance of success with that FSH value.

Therefore, looking at the possibility of egg donation, do you have any collaboration with clinics abroad?

Regards

SVAR
Birgitte April 11, 2011

Hey!
Thanks anyway for a straightforward and realistic answer. Donor eggs are not an option for us. I have two beautiful, grown children, and my husband already has children, so it's not the end of the world for us.

1 answer SVAR
- Camilla March 26, 2013
  
  Hey!
  I have had 2 children with IVF previously (in 2007 and 2010). One fallopian tube is a bit twisted, otherwise there doesn't seem to be any reason why we can't have children on our own. We really want another child, but I'm now over 40 and no longer respond satisfactorily to the hormone preparations. I'm going to try in a natural cycle to see if my hormone levels are ok.
  Last time they were like this:
  FSH 17*
  LH 13
  Estradiol 0,16
  
  Can you tell me something about how you see these results and my chances of getting pregnant?
  I would be very grateful for an answer.
  Kind regards, Christianne
  
  1 answer SVAR
  - Terje Sørdal (gynecologist and responsible physician) April 01, 2013
    
    Hello Christianne
    To put it bluntly, I think the chances of you succeeding in getting pregnant and having children even with IVF are low. The tests show moderately elevated FSH even with a not-so-low estrogen value, which indicates that ovarian function is significantly impaired and thus also the quality of the remaining eggs. You have to think about the situation and how far you are willing to go.
    
    SVAR
terje April 11, 2011

Hi Birgitte,
You can never rule out the possibility of pregnancy, but based on what you have said, I must say that the chance of this happening is extremely low or virtually non-existent. If you are going to get pregnant, you will probably need treatment with donor eggs.

SVAR
Birgitte April 07, 2011

Is there any possibility of treatment?
I am 43 years old and newly married, and have been trying to get pregnant for two years. During this time, my hormone values have varied greatly, and premature ovarian failure is suspected. Fsh has varied from 80 to 14. I have used Trisequens and DHEA supplements to reverse or mitigate this condition if possible. I rarely menstruate on my own. Last winter I went on two Pergo courses, and after the first the doctor could see one egg that was fully mature and one that was almost mature, and put me on a double course. I had a positive ovulation test for 8 days. No blood test was taken to see if ovulation had occurred. At the same time, AMH was taken, and it was less than 1 pmol/l, and Fsh was 82 and LH 52. My question is: is it possible to do anything for me? Is there a treatment, or do I just have to accept that we can never have children? I would be very happy to get a final answer.

SVAR
Magnus Sordal March 08, 2011

Hi Inger!

I've spoken to Terje here about your question. He says you should get an FSH and AMH test and discuss the results with your gynecologist.

SVAR
Angel March 07, 2011

I am 50 years old and my husband and I are considering IVF abroad. I have my period about every 3 months. Do I still ovulate even though my periods are less frequent? And is there a chance I can get pregnant?

SVAR

About ovarian function (FSH) and ovarian capacity (AMH)

About FSH

About AMH

Who is most important?

We always assess AMH as part of the fertility assessment.

RELATED ARTICLES

MedicusPodden – male fertility

MedicusPodden – treatment with sperm donation

Diet and fertility