Can FSH or AMH Prove and Predict Your Fertility?
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- čas přidán 25. 12. 2017
- Can FSH or AMH prove and predict your fertility? In this video, Mark P. Trolice, M.D., a board certified reproductive endocrinology and infertility specialist and founder of Fertility CARE: The IVF Center shares his insights.
“Follicle-Stimulating Hormone (FSH) has been the gold standard for many years of ovarian-age testing,” says Dr. Trolice. “FSH is a pituitary hormone used to stimulate the follicle that’s going to develop the egg and ovulate that month. The higher the level of FSH early in a menstrual cycle, the lower the number of eggs.”
“However, FSH is not a very reliable test,” Dr. Trolice continues. “It can fluctuate from month to month and it is very limited because it has to be done at a certain day in the menstrual cycle and the test has a number of false negatives. Even if a FSH level is normal, you could still have ovarian aging that wasn’t detected that month.”
“Anti-Mullerian Hormone (AMH) is the test we use exclusively at Fertility CARE, and most reproductive centers have stopped using FSH and now test only with AMH,” says Dr. Trolice. “AMH is a hormone produced in the cells surrounding the egg. Therefore, the lower the number of eggs, the lower the AMH, and the higher the ovarian aging.”
“The question is what do they really reflect? Can they predict fertility?” asks Dr. Trolice.
“A recent study from North Carolina published in the Journal of the American Medical Association, looked at women between the ages of 30 and 44, who had lower levels of AMH and FSH and compared them to women of the same age with normal FSH and AMH levels,” says Dr. Trolice. “And there were no difference in pregnancy rates between the two.”
“But there are certain caveats though,” says Dr. Trolice. “First off, they did not include any fertility problems in the man or the woman. Second, they did not include patients who had subsequent use of fertility medication, so we did not know if that was included. And third, the pregnancy tests were just the positive pregnancy tests. They didn’t talk about ongoing pregnancies or live birth. We don’t know if low AMH or high FSH would have resulted in a higher rate of miscarriage.”
“The bottom line,” concludes Dr. Trolice. “Unless you’ve been trying for adequate time to conceive, I think getting tested for AMH or FSH levels is premature. The younger you are, irrespective of these test results, you should still have good success because you still have good quality eggs.”
For more visit www.myfertilitycare.com/
To learn more about Dr. Trolice visit www.myfertilitycare.com/mark-t...
To learn more about Fertility CARE fertility services visit www.myfertilitycare.com/our-s...
To learn more about IVF visit www.myfertilitycare.com/ivf/
Dr. Mark P. Trolice is the Director of Fertility Care: The IVF Center in Winter Park, Fla., the most comprehensive fertility center in the Southeast. A leader in the field of reproductive endocrinology, Dr. Trolice has helped countless patients become parents in central Florida since 1999.
In addition to his work at Fertility Care: The IVF Center, Dr. Trolice is also the Clinical Associate Professor in the Department of Obstetrics & Gynecology (OB/GYN) at the University of Florida in Gainesville and the University of Central Florida in Orlando.
Dr. Trolice is double Board-certified in REI and OB/GYN while maintaining annual recertification in these specialties and has been awarded the American Medical Association's "Physicians' Recognition Award" annually. In May 2005, Dr. Trolice was inducted into the prestigious American College of Endocrinology adding to his unique distinction of also being a fellow in the American College of OB/GYN and the American College of Surgeons. His fellow physicians have selected him for Best Doctors in America® annually since 2007, honoring him as one among the top 5% of doctors in the U.S. - Věda a technologie
Good doctor! and great information thank you!
Thank you Doctor 👨⚕️, I used to fallow u in fb but I closedown my acct, glad to find you in CZcams. This video was very helpful to me as I am in my first IVF round, I contacted you one but you’re in Orlando and I am all the way here in Tampa, I wish you would of be my Doctor ❤️
A frustrating and confusing because it's very close to the word for malaria that sounds like a disease. And these clinics demand rubella, and hepatitis. you made it very clear and explained in the purple or not they don't
Clearly articulated.
Thank you!!
Thank you
Does this apply to women age 45/50 with regular periods??? Whats the difference? Thank you
Example. FSH 10.7. amh 0. Persons been tested for goiter. T4 2.84. so is solving thyroid issue and losing weight going to make a difference as far as fertility?
My amh is 7.9 ng/ml
I’m 25 years old
Last time I tested it at 23 it was 4.9 but my vitamin D levels were low at the time
Hi dr my age 46 AHM leave o.124 can I conceive my own egg please help me
My amh .66 and fsh is 17 lh is 3 and I m 28 year's old
I am 25 years old, my antimüllerian hormone is 3.79 ng/ml and I have polycystic fsh 5.52 lh 8.91 can it be normal or not while there are polycystic? Do I have syndrome or not?
My one 8.7 AMH it's good for ivf
Please help! FSH 2.4 is that normal?
My fsh is 42.9miu and I'm 28 years old is it normal
I had high fsh and got pregnant naturally no problem, was actually my husband being on a medication. So have hope!
How high was your fsh if you don't mind me asking
My Amh is 66 not getting my period
Hello, thank you so much for this great information! I will like to ask if its ok with you to tell me what do my numbers mean? My ob doctor did this test and pretty much told me to forget about it, i have no chance.. and I feel so broken.
Amh 0.052
Fsh 13.3
Lh 8.3
Estradiol 10.0
I only trying natural, and I accept the outcome. I have regular monthly periods of 28-32 day cycles, my opks shows positive for LH, my temperature charts confirm ovulation.. please Doctor what do you think my chances are? Im 49 years old
Maria Pizarro Sath Hi Maria, how about looking into IVF or donor eggs?
Lorella P im not interested in that, is either natural or nothing. With my own eggs I probably be up to it but no donor eggs because that child will not be genetically mines
@Lola Blue i did used supplements but it didn’t help, i just found out about ovarian rejuvenation but still got to learn more about it, ivf cost too much and not interested in donor eggs. I’m 51 now so I’m done trying
@Lola Blue thank you, I do look younger than my age people get shocked lol but yea I’m n old fart 😂 wished my ovaries looked like my outside lol. I’m not in menopause either, still regular and still ovulating
my fsh 5.69 lh 7.86 wat will be my amh level ? how to correlate
You have pocos?
My fsh is greater than 200 I'm only 26!
Doctor I am 33. Amh is 1.1 ngml? Should I give up on conceiving naturally?
How he helps everyone including me and my aunty got pregnant of twins in less than a week
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My amh is 1.2 I’m only 33 please help 😭 how bad is this
I am going through IVF but that’s not a desvasting number and also it changes more to month.
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What about low fsh?
How he helps everyone including me and my aunty got pregnant of twins in less than a week
Below,take his contact and chat him,on whazzap
Im 31, perfectly healthy, just had an abortion in the fifth week of pregnancy 7 years ago. I m getting married and planning to have a child fast, prompt me to go for a checkup, results made me cry since evening : Amh: 0,71 !!! Fsh: 3,25, LH:8,11 , i was on the 8th day of my circle, I’m so panicked and disappointed, my periods were always on time, never had any problems and always had a healthy life style, just looots of trauma for the past 2 years... am i infertile? Can it be a false result ? Should i repeat the test in a better lab ? Please guide me
Karma for aborting
@@mersi19 karma also for you saying this and also being so judgmental without knowing anything and for breaking people’s hearts in any chance even in comment section of CZcams! But i forgive you ! Karma is not the only law that exists so is not the law of gravitation the only law in physics realm.
@@fereshtebahaedini2520 don’t even pay no mind to small mind that like to judge other, usually those who judge are the worst. Your AMH fluctuates from month to month. FSH is bad if it’s greater than 10.0 there is a lot of videos here in CZcams available. Also, if you google it, you can understand more the numbers. Good luck to you!
Definitely repeat the result and hell fire for that despicable troll for making such a judgmental comment not knowing anything about your circumstances.
I think you should get me kure fertility supplements.. that's what helped me concieve after 7 years of unexplained infertility
Is that what’s they’re called me Kure ?
Testing ovarian reserve - the quality and quantity of a woman’s eggs, can help you decide whether you should consider pregnancy sooner rather than later. If you should freeze your eggs, or whether fertility treatment may be successful. There are three tests that doctors use to predict ovarian reserve. Like the one Bio tex use. FSH, AMH, and AFC. FSH (follicle stimulating hormone) is a hormone that is secreted in the cells of the ovaries and at one time was the gold standard for predicting ovarian reserve. While it can be a predictor of conception. It fluctuates during the cycle and therefore is tested on day 3 of the menstrual cycle. A day 3 FSH level of 10 is generally considered normal. A day 3 FSH level above 15 is considered “high FSH” or low ovarian reserve. AMH (anti Mullerian hormone) is a more reliable predictor of ovarian reserve if done properly. Because there are eight different assays, tests that are done to determine AMH levels - standardizes and normalizing results to correctly interpret AMH levels. AMH levels continue to drop as a woman ages, and are essentially non-existent at menopause. AFC (antral follicle count), a measurement of follicles on the ovaries, viewed with a vaginal ultrasound, is just as good as indicator of ovarian reserve as AMH. One caveat with testing AMH and AFC, he adds, is that you cannot be on birth control pills when your levels are measured; they decrease when you are on the pill. Levels can be measured at least 30 days after you stop taking the pill and after you’ve had one normal menstrual cycle.
Camille Nanjala can you help me with my numbers?, I noticed nobody on these post got a response, amh 0.052
Lh 8.3
Fsh 13.3
Estradiol 10.0, at 49 years old, what do you think? I was diagnosed with ovarian failure. I do have regular cycles and positive opks and charting also verify ovulation. So if i have ovarian failure, then why am I still ovulating?? Thank you
@@mariapizarrosath8147 That number of 10 is a cut off point for fertility clinics only, not your own natural ovulation. They use this number when considering harvesting your own eggs in an assisted fertility treatment cycle (ie be your own egg donor). At above 10 point you might only get 1 - 4 eggs which usually results in 0, occasionally - 1 healthy fertilized egg which has a low chance of implanting. With such low numbers they will advise you to get an egg donor if you wish do do fertility treatment. If you are just cycling normally, yes you may be ovulating every month and have a better (but still very very slim) chance of getting naturally pregnant if your partner is fertile compared to fertility treatment with your own eggs (at this stage of science development, near nil). At your age your choice is best try every month to get pregnant with a fertile partner, or trying fertility treatment with an egg donor (highest chance of pregnancy). Over 10 - 12 AMH at your age is not worth the cost and medical risk of doing fertility treatment with your own eggs as you barely have any left and what they do get will probably not fertilize and implant.
My doctor said that above 10 FSH was considered low ovarian reserve. She said she prefers to work with patients with 6 - 8!
Thank you tom jones for the reply. Im not looking into fertility treatments, i leave it up to God, if its meant to be it will be, if not? Im ok with it since i have 7 beautiful children he blessed me with.
@@mariapizarrosath8147 I just noticed your very low AMH. I think you have no eggs left at all for some time and are very close to menopause. But yes, its in Gods hands as always
Today my fsh level 25.69 lh level 7.49 and amh level.o.5 ng can I never pregnant
Same here my amh is the same .
M 23 years old nd my amh level is 6.07 ng/ ml ?? Is it norml
Married?
For my understanding if your AMH is over 5.0 then probably you have pcos or other hormonal issues.
Is hight
@@niurcajimenez6252i have pocos i am 25 years and my amh is 3,79
@@niurcajimenez6252i have pocos and my amh is 3,79 ng/ml i am 25 is normal? Why normal amh and pocos?
I’m 25 and my AMH is 6.3, FSH is 5.3. Is this normal?
Του have pocos? Lh e2?
@@user-bi1vd4iy9u english?
@@EqyptianRuler to have pocos syndrome amh is hight
@@user-bi1vd4iy9u I know I don’t have PCOS
@@EqyptianRuler if lh is greater than fsh you have polycystics
Today oh level 7.49 fsh 25.41 amh 0.5 can get pregnant age 42
I think you might possibly be diabetic from your FSH and have barely any eggs left from your AMH. You might need an egg donor at this stage.
Dang
Fsh level 40.20 amh 0.8 can I pregnant
You might have PCOS with FSH that high, this can stop you ovulating. Look up the keto diet to reduce the FSH. Also, with an AMH of 0.8 you barely have any eggs left. I am thinking from those numbers you are older and overweight.
@@tomjones2157 my weight only 55 kg
And I have 25 to 26 day regular period but only 2 days spotting
My age 42
@@tomjones2157 Hello Doctor, My age is 33yrs. I've 0.212 amh level & prolactin is 296.2 the doctor said I have no eggs. If I increase the level of amh, is it possible to produce eggs ?
My amh 0.5 can I use my own eggs
How old are you? Mine is the same and I am still hoping and trying.
@@mgm579any updates