What Tests Actually Predict Your Fertility, Egg Quality, and PregnancySuccess by Dr Lora Shahine
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- Äas pĆidĂĄn 5. 07. 2024
- Today, you're going to learn all about fertility testing. Whether you're getting ready to start trying or making a family isn't happening like you thought it would, fertility testing is the first step to any type of fertility treatment. I give an overview of the types of test that take place for egg testing (including blood tests and pelvic ultrasounds), sperm testing, and anatomy testing of the uterus, ovaries, and fallopian tubes. After watching this video, I hope you go into your first fertility testing appointment feeling prepared and ready to advocate for your health!
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ABOUT : Lora Shahine, MD, FACOG is a reproductive endocrinologist, founder of the Center for Recurrent Pregnancy Loss at Pacific NW Fertility, and Associate Clinical Professor in the OBGYN Department at the University of Washington in Seattle. Dr. Shahine contributes to the fields of infertility and miscarriage with clinical research, writing, speaking, and educating in peer-reviewed journals, her own books and textbook chapters, and many forms of media including an active social media presence.
DISCLAIMER: The content contained herein is provided for informational and/or entertainment purposes only and not intended as a substitute for advice provided by a healthcare professional. Use the provided information at your own risk. If you have or suspect that you have a medical problem, please contact your health care provider.
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Thank you so much for this. I have my first fertility visit this week after being slightly dismissed by my OB for the past six months. I feel so much better going into my appointment after watching this. Your videos/Instagram have been so valuable in my journey. I feel less alone when I feel more educated on it all. Thank you â€ïž
Youâre so welcome - thank you for your kind words
I truly appreciate you SO much ! I follow you on everything and you have helped me so much during my journey through infertility ! It is so important for us to know and understand what we are going through ⊠as much as I love my clinic , I have only seen my dr twice since starting in April âŠ. So I appreciate you cause all of my questions you have answered and on your own time , without compensation !!! You are amazing , I would fly to Seattle to meet you and give you a hug !!! Xox
Thank YOU so much! You made my dayâ€ïžâ€ïžâ€ïžâ€ïžâ€ïžâ€ïžâ€ïž
Thank you Dr. Laura for your positive energy and refreshing doctors perspective on fertility. I just came out of a miscarriage and chemical pregnancy and im determined to get to the bottom of my concern so my husband and i can address it
This was the most informative, simple video I could find. Thank you so very much.
Glad it was helpful! Thank you so much for watching â€ïž
Such a Gem video⊠thank you for posting.. so full of information, feeling empowered.
Now the question re -drawing labs for FSH and estradiol- you mentioned to draw labs around cycle day 3-4. So for someone who works and might not necesarily get time off on those particular days plus might need to wait for entire month waiting on those days, is it possible to do just random FSH or estradiol?? Or is it a must to do it at the beginning of that cycle as you mentioned?. Also re anatomy work up- do you do the HSG for all patients or just based on labs and US findings??
Thanks a lot
The follicle-stimulating hormone and estradiol are only going to help if checked early in the cycle like cycle day two, three, four. It is frustrating to wait but also a waste of time if you check them on the wrong days.
I talk to each patient about the HSG. But it is a typical in standard part of a Fertility evaluation because it is the only way without surgery that you can ensure that the fallopian tubes are open.
Thank you dr. Lara I think you are the most hopeful reproductive endocrinologist on CZcams that I have found. It's very refreshing and it feels good to watch your videos
Wow, thank you!
Hi Dr Lora! Thank you so much for this information.
Glad it was helpful! Thank you for watching!
I really happy to watch the videos now... I am first time watching ur video... Even i have so many questions upon with myself u just cleared me clearly... Thank you.
I am so glad they help you!
So what is an AMH of 7.7 mean...? I have been going through fertility testing/treatment for over a year. (My clinic is always booked so it took longer) We are about to start our 3rd cycle of IVF later this month. I remember them doing all these tests when we started but no one ever explained any of this/results to me or what they mean. We also haven't been having the best luck with embryos making it to freezing/PGT-A testing. I think we currently had 3 get sent for testing from our last cycle (waiting on results should get them next week) but 0 made it from the 1st.
Thanks, doctor, for this video. Is there any problem if I did the test (FSH, LH) in fifth day from menstruation, or I Must repeat the test again next period?
Thank you so much for this video. I have one question: Is there any problem if I did the test (FSH, LH) in fifth day from menstruation, or I Must repeat the test again next period?
Hi Dr. Lora... your videos and instagram are SO helpful and comforting. I just got my fertility test results back and they all came back normal though they did not test AMH I was told just to "keep trying". But after TTC for 11 months and 5 biochemical pregnancies...I still feel something is going on. What would you recommend to someone like me?
Chandler, I would recommend bringing this up to your doctor. I wish you all the best.
Thank YOU for sharing what you know.
My pleasure! Thank you so much for watching!
How accurate are those Everlywell or Let's get checked kits to do at home and test for this?
Any tips for TTC while still breastfeeding?
Hi Dr. Lora, just out of curiosity to better understand; is it possible to have a super regular cycle and still not ovulate at all?
Do you have any videos on how to choose a sperm bank? And sperm donor?
What to look for in a donor?
Genetic testing for sperm donors?
Just wondering
I truly appreciate you SO much!
Is there any problem if I did the test (FSH, LH) in fifth day from menstruation, or I Must repeat the test again next period?
I'd advise you to ask your medical provider for answers to your personal situation, as I can't give personal medical advice on social media. I hope my content on my website drlorashahine.com can help - there you can find links to my books at amazon.com, CZcams channel, Baby or Bust Fertility podcast, blog, Instagram, Tiktok and more! Best wishes â€ïžđ€đ
What does it mean if my estradiol was 322.60 and fsh 9.71 on my day 21?
I was tested for E2, doesn't say estradiol, it was 266.5 pmol/l. Is that less than 80 of whatever measure you're using. If E2 is the same as estradiol. Fsh was 8.38 iu/l. Lh was 3 iu/l. Progesterone was 11nmol/l.
Also have a question âŠ. My AMH is 6.49 , I do have pcos ⊠but only irregular periods and poly cystic ovaries on ultrasound ⊠all my other hormone levels are normal ⊠is this all normal đ€ thank u!!!!
PCOS is a collection of signs and symptoms - not everyone has the same presentations or findings â€ïž
Hi Dr
Thanks for your vids, is it a good isea foe a perin who had an eraly miscarriage to start falling pregnant immediately or must they wait a bit? if so how long should one wait?
These are great questions. I would advise you to consult your medical provider, as I can't give medical advice to personal situations on social media. I have a lot of content on the subject on this channel, website drlorashahine.com, CZcams and Instagram account @drlorashahine that are great sources for you
This month i had my hormones check. I Had fsh done and result was 4.8. LH 5.7. Estradiol 46.1 and Amh 2.81. Im 35 years old, been trying to conceive for 4 months. What are your thoughts on my results?
This is a great question. I would advise you to consult your medical provider, as I can't give medical advice to personal situations on social media. I have a lot of content on the subject on this channel, website drlorashahine.com, CZcams and Instagram account @drlorashahine that are great sources for you.
Thanks, doctor, for this video. Is there any problem if I did the test (FSH, LH) in fifth day from menstruation
Thank you for watchingâ€ïž I'd advise you to ask your medical provider for answers to your personal situation, as I can't give personal medical advice on social media. I hope my content on my website drlorashahine.com can help - there you can find links to my books at amazon.com, CZcams channel, Baby or Bust Fertility podcast, blog, Instagram, Tiktok and more! Best wishes â€ïžđ€đ
Hi Dr. Shahine, my husband and I have been ttc for about a year with no luck. Have been considering switching obgyns, as I have felt that I needed to beg my Dr. to start running tests. Just had an appointment with my provider who recommended we skip the fsh blood test ( she said she only recommends this if you are going to do Ivf?) thoughts on that? Husband already did his semen analysis. She scheduled me for a sonohysterogram next week. Is that the same thing as an hsg and would you recommend this course of action for someone in my situation? Thanks so much!
Thanks for reaching out! It's ok to get a second opinion or see a fertility specialist (reproductive endocrinologist). Please see my videos on finding the right fertility doctor for you. Please check with your doctor what test they ordered - different clinics use different terms and it can get confusing. I typically order a HSG for a fertility evaluation - see my video on that too. Best wishes!
Is it super necessary to get these bloodwork on cycle day 3? My doc said anytime during my cycle is fine to get a hormonal blood panel...I'm upset because I don't want to waste time.
The only 2 hormone tests that should be done early in the cycle (day 2, 3, or 4) are the FSH and estradiol. Others can be done other times
Thanks doctor đ
You're welcome đ Thank you for watching!
Hi Dr. Lora.. Your videos are so helpful & comforting thank you do much!! I have a condition of pcos and low Amh (1.9ng/ml) .. Suddenly my periods flow are very very less from last 2 months.. Is it normal can you please advise anything? I visited doc but waiting for few tests to be done
This is a great question. I would advise you to consult your medical provider, as I can't give medical advice to personal situations on social media. I have a lot of content on the subject on this channel, website drlorashahine.com, CZcams and Instagram account @drlorashahine that are great sources for you
Doctor, I receive treatment for 2 years, it's really frustrated for me. My doc and me never have like discussion or give explanation regarding this. If I ask them it's everything ok they just answer yeah everything ok. That all. Even since I start visiting hospital, my doctor just give me contraceptive pill to consume. they said I need take the pill since i had irregular period. they said the pill will make my hormone balance and make my period regular again. I take that pill like 1 year. they never did HSG to me, they just did TVS for every visit. For my last visit last July, they stop giving me that pill and they ask me to naturally conceive until this upcoming Oct. Since stop consume the pill, my period had stop again, I had no choice but using opk to test my ovulation everyday. but till now still not working. It's really frustrated for me. Doctor you maybe give an opinion regarding or make video about treatment maybe can someone like me receive?
Itâs best to figure out why your periods are irregular and treat the issue (like thyroid) or try medications to induce ovulation â€ïž
When we have to go for infertility test? Before periods ? after periods? Or during periods?
I would advise you to consult your medical provider, as I can't give medical advice to personal situations on social media. I have a lot of content on the subject on this channel, website drlorashahine.com, CZcams and Instagram account @drlorashahine that are great sources for you
Can these tests be done even if I have an IUD?
Thank you for watching! Many fertility testing can be done with an IUD in place.
Hello Iâm 45 years old with six children. I got pregnant 8 months ago, and got a miscarriage at 11 weeks. It really it hurts even though I have six healthy children oldest 26 youngest 11. My question is at my age with FSH 5.64 Five days before my period started and me being obese can I get pregnant again naturally or not? I had IUD on for 9 years stayed two years till I got pregnant after removing it. With my age previous pregnancy and FSH is it possible to get pregnant again?
I want to get pregnant after my loss.
My uterus and egg all look normal doctor said my health is good even though Iâm obese.
Thank you for watching â€ ïž I'd advise you to ask your medical provider for answers to your personal situation, as I can't give personal medical advice on social media. I hope my content on my website drlorashahine.com can help - there you can find links to my books at amazon.com, CZcams channel, Baby or Bust Fertility podcast, blog, Instagram, Tiktok and more! Best wishes â€ïžđ€đ
Is AMH 1.85 good for my age of 45?
I have been discouraged by my obgyn for trying second due to my age.iam 40 with all test showing positivr results.My son is 15 yrs old and she is saying if you have another one at this age it will a burden and shame for your elder one and along with that there is a high chance of having autistic or down syndrome baby .đą
I understand it's not an easy decision. I wish you all the best. Thank you for watching.
Please how can someone conceive fast
See my video on 'Baby Making Sex' for tips on timing and more. Be sure to see a doctor for testing if it takes longer than 6-12 months. Best wishes!