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Re: INFERTILITY: FSH/LH levelsFrom: dr.narayan patel (anonymous@obgyn.net)Fri, 22 May 2009 09:07:13 -0500 (CDT)
At Fri, 22 May 2009, angels wrote: > >Dear Dr Patel > >thank you for your reply. >My blood group is A+. My hormone levels have always been taken on day >2-3 of my cycle. My cycles have been gradually getting longer over the >past 2 years, starting at about 24 days, to now 32 days. I also suspect >I may have a luteal phase defect as I ovulate only 7-10 days before my >period. It took us a year to conceive. >With my first pregnancy, we saw the baby's heartbeat on a scan at 6+5 (I >had had some light spotting a week prior to the scan), but started >bleeding again, more heavily, at 9 weeks. A second scan showed that the >baby stopped growing at about 7 weeks. >The second pregnancy I also had threatened miscarriage at 5 weeks, I was >given progesterone to support the pregnancy, although I bled lightly >again at 7 weeks and at 17 weeks. There was never any infection or any >obvious cause for the bleeding. I was admitted to hospital at 18 weeks, >due to pain and bleeding (clots). My 14cm subserosal fibroid was >degenerating and I was going into preterm labour. At 19+2 my waters >broke and my son was born minutes after(his heart was still beating and >there were no obvious abnormalities). >I have recently had a myomectomy to remove the 3lb fibroid and in a few >months time will hopefully be able to try again. Obviously we won't >know what effect the operation may have had on my ability to conceive >and carry a pregnancy, but I am concerned about why it takes us so long >to conceive, even when using ovulation predictors, and also so worried >about miscarrying again. >My consultant does not think the fibroid was the cause of the first >miscarriage, or the reason it took us so long to conceive, as it was not >impacting the uterine cavity or oviducts. He also cannot explain why my >cycles are getting longer every month. > >Again, thank you for your advice. > >At Sun, 17 May 2009, dr.narayan patel wrote: >> >>At Sun, 17 May 2009, angels wrote: >>> >>>I have had my FSH and LH levels checked a number of times over the last >>>10 years (suspected PCOS), and have always been told that they were >>>'normal'. However, I have only just been given the actual figures, and >>>although they are within the normal range (FSH between 9-11, LH about >>>2-3), FSH is 3 times higher than LH. Am I right in thinking that the >>>ratio should be closer to 1:1? I have fallen pregnant twice in the last >>>year, but it did take a year to conceive, and both pregnancies ended in >>>miscarriages. I am 27 years old and anxious to have a successful >>>pregnancy but worried about what these FSH levels may mean. >>> >>>Any advice would be greatly appreciated >> >>Hi, >>You have become pregnant twice it means you are normal.You >>have not mentioned ,at what term of pregnancy you had miscarrigeage. >>Was it delayed growth or no growth of embryo.We have to find out >>why you had miscarriage.What are your blood groops.? Do not worry about >>FSH and L.H. levels as they vary on which day of period blood is >>collected. >>Dr.Narayan Patel M.D. D.G.O. FICS >>Ahmedabad-380014 INDIA Hi,You recently had mymectomy of 14 cm degerating fibroeid weighing 3 lb. It is big fibroid and uterus will take few month to involute and come to normal size. i advice to wait at least3 months to 6 months post oprative and then get H.S.G.( hysterosalpingo graphy to know present condition of tubes and its patency. we will also know the paresent size of uterus after myemectomy. The procedure requirs expert gynecologist to so the job with x-ray immage intesifier facility. Then get treatment of fertility specialist.The second abortion i think is dut to probably big fibroid and that too degerating. Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.
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