Female hormonal profile in infertility - Causes, Symptoms and Treatment .MF .
to determine hormonal causes of infertility, you will need to be tested for blood levels of key hormones:
1. FSH (follicle stimulating hormone)
"Rent" at 3-8 or 19-21 days of the menstrual cycle of women, for men -any day.Strictly on an empty stomach.In women, FSH stimulates the growth of follicles in the ovaries and estrogen formation.In the uterus endometrium while it is growing.Achieving the critical level of FSH in the middle of the cycle leads to ovulation.
In men, FSH is the main driver of growth of the seminiferous tubules.FSH increases the concentration of testosterone in the blood, thus providing the process of maturation of sperm and male force.It happens that the hormone works in full force, but is not the point, where it is claimed.So what happens when the male testicles are small or have suffered from some kind of surgery or infection.
2. LH (luteinizing hormone)
Rent for 3-8 or 19-21 days of the menstrual cycle of women, for men - on any given day.Strictly on an empty stomach.This
allocation of luteinizing hormone is pulsating in nature and depends on the women of the phase of the menstrual cycle.In the cycle in women LH concentrations peak at ovulation, after which hormone levels drop and "keeps" all the luteal phase at lower than in the follicular phase values.This is necessary to functioning corpus luteum in the ovary.In women LH concentration in the blood is maximum in the interval from 12 to 24 hours before ovulation and held for days, reaching a concentration 10 times higher compared to neovulyatornym period.During pregnancy, LH concentration decreases.
During screening for infertility is important to keep track of the ratio of LH and FSH.Normally, before the onset of menstruation, it is 1 year after the onset of menstruation - from 1 to 1.5, in a period of two years after the onset of menstruation and menopause before - from 1.5 to 2.
To determine the level of this hormone is importantmake the analysis of 1 and 2 phase of the menstrual cycle is strictly on an empty stomach and only in the morning, but not immediately after waking up.Just before taking the blood of the patient should be at rest for about 30 minutes.
Prolactin is involved in ovulation, stimulates lactation after giving birth.Therefore, it may inhibit the formation of FSG in "peaceful" during pregnancy and non-peaceful in her absence.Increased or decreased blood prolactin follicles can not develop, resulting in women ovulation occurs.The daily production of this hormone has a pulsating character.During sleep, the level increases.After waking prolactin concentration decreases sharply, reaching a minimum in the late morning hours.In the afternoon, hormone levels rise.During the menstrual cycle in the luteal phase of the prolactin level is higher than in the follicular.
Blood on the content of this hormone pass throughout the menstrual cycle.Estradiol secreted mature follicles, the corpus luteum of the ovary, adrenal glands and fatty tissue, even under the influence of FSH, LH and prolactin.In women, estradiol allows the formation and regulation of menstrual function, oocyte development.Ovulation in women occurs within 24-36 hours after a significant peak estradiol.After ovulation hormone level is reduced, there is a second, smaller amplitude, rise.Then comes the decline in hormone concentration, continuing until the end of the luteal phase.
prerequisite work of estradiol hormone is the correct ratio to the level of testosterone.
Progesterone This hormone is important to check for 19-21 days of the menstrual cycle.Progesterone is a hormone produced by the corpus luteum and the placenta (during pregnancy).He prepares the endometrium of the uterus for implantation of a fertilized egg, and after its implantation contributes to maintaining pregnancy.
This hormone can be checked and a man and a woman on any given day.Testosterone is necessary for both spouses, but it is a male sex hormone.In the female body, testosterone is secreted by the ovaries and adrenal glands.The excess of the normal concentration of testosterone in women can cause irregular ovulation and early abortion, and the maximum testosterone concentration is determined in the luteal phase and during ovulation.Reducing the concentration of testosterone in men leads to ... well, the lack of male power and reduced sperm quality.
this hormone is produced in the adrenal cortex.This hormone can be checked and a man and a woman on any given day.He also needs the body to both spouses, but in different proportions, because it is also a male sex hormone.
thyroid hormone influence, including in the formation of sex cells of both spouses and on the course of pregnancy.
8. free T3 (triiodothyronine free)
T3 is produced by follicular cells of the thyroid gland under the control of thyroid-stimulating hormone (TSH).It is a precursor to the more active T4 hormone, but has its own, albeit less pronounced than the effect of T4.Blood analysis is taken on an empty stomach.Just before taking the blood of the patient should be at rest for about 30 minutes.
9. T4 (Thyroxine total)
T4 concentration in the blood above T3 concentrations.This hormone increasing BMR increases heat production and oxygen consumption in all tissues of the body except the brain tissue, spleen and testis.hormone levels in men and women normally remain relatively constant throughout life.However, in some areas, and at the same time Moscow is almost in the first place, often a reduction in the activity of the thyroid gland, which can lead to serious deviations in their own health and the health of the unborn child.
10. TSH (thyroid stimulating hormone)
level of this hormone should be checked on an empty stomach, to avoid disturbances of the thyroid gland.
11. Antibodies to TSH
Determination of antibodies to TSH provides the ability to predict thyroid dysfunction.For any day of the menstrual cycle.
Determining the level of the above hormones is a very important step in the process of testing for infertility.The level of hormones helps to establish the exact day of ovulation and to determine the most optimal days for conception, to eliminate the problem.
Hormonal examination allows most accurately track the work your body, and if the level of the hormone was less than or more than the norm, it is not a reason to give up on their health.With certain drugs qualified doctor can adjust the level of hormones, and thus, you can not only monitor the performance of your body.You will have a real opportunity to achieve the ultimate goal of the entire survey, that is, to become a mom and dad
important point, blood tests should be fasting (you can not even drink).Blood is taken from a vein.It is advisable to take up to 10 - 10.30.o'clock in the morning.
Indicators and days of the cycle when it is better to hand over the analysis on hormones:
LH, FSH, prolactin - 3-5 day cycle
Testosterone, 17-OH-progesterone, DHEA-sulfate - 8-10 day cycle.
Estradiol, Progesterone - for 19-21 days.