My labs seem fine but I don't get it

[Anonymous]

Can someone help me understand my labs and why this is so damn hard.

AMH 6.99
FSH 7.5
LH 6.7
Prolactin 10.1
TSH 2.41
Estradiol 37
Dhea 93


Vitamin D 25
Testosterone total 48
Testosterone free 9.1
Hydroxyprogesterone 56
T4 1.4
T3 3.5

[Anonymous]

Is your doctor not explaining your labs to you?

[Anonymous]

Anonymous wrote:Is your doctor not explaining your labs to you?

Ugh they just say we don't understand every seems fine but it's not.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Is your doctor not explaining your labs to you?

Ugh they just say we don't understand every seems fine but it's not.

Can you see another reproductive endocrinologist? Your TSH though normal is higher than what I was told is desirable for TTC.

[Anonymous]

I'm sorry, OP. Many of us fall in the unexplained infertility category. Have you done a semen analysis yet?

[Anonymous]

PCOS. My labs were similar - two doctors missed it. My third did a hysteroscopy and discovered several polyps. Had them surgically removed, pregnant now twice.

[Anonymous]

Anonymous wrote:PCOS. My labs were similar - two doctors missed it. My third did a hysteroscopy and discovered several polyps. Had them surgically removed, pregnant now twice.

Should’ve noted I had to go on several supplements and metformin, and drastically change my diet both times to get my PCOS under control. My dr suspected PCOS immediately based on my slightly elevated testosterone and AMH - same as yours.

[Anonymous]

Anonymous wrote:

Anonymous wrote:PCOS. My labs were similar - two doctors missed it. My third did a hysteroscopy and discovered several polyps. Had them surgically removed, pregnant now twice.

Should’ve noted I had to go on several supplements and metformin, and drastically change my diet both times to get my PCOS under control. My dr suspected PCOS immediately based on my slightly elevated testosterone and AMH - same as yours.

Thank you for the feedback. What dietary changes did you make? And supplements?

My insulin and a1c we're fine and I actually did do a internal sonogram to check my uterus/ovaries for abnormalities but it came back clear, not once cyst.

But I'll def follow up! Thank you for bringing it up!

[Anonymous]

Anonymous wrote:PCOS. My labs were similar - two doctors missed it. My third did a hysteroscopy and discovered several polyps. Had them surgically removed, pregnant now twice.

DP. Yes, this seems kind of probable just by looking at your labs and I'm not even a doctor. Also what the PP mentioned for TSH. Endocrinologists ask for it to be between 1.0 to 2.0 for TTC (2.5 max).

[Anonymous]

Anonymous wrote:

Anonymous wrote:PCOS. My labs were similar - two doctors missed it. My third did a hysteroscopy and discovered several polyps. Had them surgically removed, pregnant now twice.

DP. Yes, this seems kind of probable just by looking at your labs and I'm not even a doctor. Also what the PP mentioned for TSH. Endocrinologists ask for it to be between 1.0 to 2.0 for TTC (2.5 max).

See above! I was tested for pcos w a intrauterine ultrasound. But I will look into getting another Dr!

How the heck do you lower TSH?

[Anonymous]

Anonymous wrote:

Anonymous wrote:PCOS. My labs were similar - two doctors missed it. My third did a hysteroscopy and discovered several polyps. Had them surgically removed, pregnant now twice.

Should’ve noted I had to go on several supplements and metformin, and drastically change my diet both times to get my PCOS under control. My dr suspected PCOS immediately based on my slightly elevated testosterone and AMH - same as yours.

NP. Could you explain more? For supplements did you use Ovasitol?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:PCOS. My labs were similar - two doctors missed it. My third did a hysteroscopy and discovered several polyps. Had them surgically removed, pregnant now twice.

Should’ve noted I had to go on several supplements and metformin, and drastically change my diet both times to get my PCOS under control. My dr suspected PCOS immediately based on my slightly elevated testosterone and AMH - same as yours.

NP. Could you explain more? For supplements did you use Ovasitol?

Yes ovasitol and all the others they recommend for TTC generally - coq10, vitamin B, fish oil, etc. I cut all carbs and sugar, including alcohol, and I mean cut - Atkins style. Worked! Twice. My doctor said it would and I had my doubts, but food is medicine.

[Anonymous]

I would also increase vitamin D. 25 is beliw normal. My RE wants mine at at least 31.

[Anonymous]

The FSH is elevated and AMH is very high, which is unusual (usually FSH is high and AMH is low). More info about that here https://www.centerforhumanreprod.com/fertility/webcast-high-fsh-high-amh-mean-ivf-pregnancy-chances/

TSH is a little high, I thought ideal was 1-2 for TTC.

Vit D is low, aim for 50.

[Anonymous]

You can ask your doctor but consider megadosing vitamin D - 50,000 iui once a week.