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Doctor insights on: Fsh Lh Ratio

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Please somebody help. I'm 30 yo, I've been diagnosed with low t (3.86 ng/ml), low normal LH & FSH (0.97 & 3.15 miu). Is there a permanent cure?

Please somebody help. I'm 30 yo, I've been diagnosed with low t (3.86 ng/ml), low normal LH & FSH (0.97 & 3.15 miu). Is there a permanent cure?

No cure, but help: Not knowing what your diagnosis is, I can't say for sure. Men your age with low testosterone may have any of a number of medical reasons for that. In medicine, we speak of "cure" meaning that the illness is permanently gone with no further treatment. Most illnesses cannot be cured, but well treated. Go to your physician and get a thorough evaluation, which will then lead to treatment. ...Read more

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Dr. Michael Opsahl
332 Doctors shared insights

Fsh (Definition)

Fsh is a peptide hormone synthesized in the anterior (forward) pituitary gland in both males and females. The name 'follicle stimulating hormone' refers to its role in females, namely to recruit and prepare an oocyte (egg) in the first half of the menstrual cycle leading up to ovulation. Fsh is often measured in blood to test a woman's ovarian ...Read more


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What is the FSH and LH ratio during follicular and lhuteal phase? Is it possible for LH to be 5 times higher on day 14 on the cycle?

What is the FSH and LH ratio during follicular and lhuteal phase? Is it possible for LH to be 5 times higher on day 14 on the cycle?

FSH and LH: Both fsh and lh fluctuate during your cycle. There is an lh surge at ovulation, so if the blood test caught it "just right" you could see quite a high lh. It would be normal. In poly cystic ovarian syndrome, the lh is consistently higher than fsh - but not 5x higher. ...Read more

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What is the normal FSH and LH values on the 3rd day of the cycle. Waht is the normal FSH to LH ratio?

A day 3 FSH: Should be low and this varies significantly. As a general rule we like to see it below 10 however this varies and you should speak to your obgyn. A "normal" value is difficult to interpret in young women, but having a value that is >40 is concerning regardless of age. Speak to your obgyn. Lh is less important unless both values are very very low. ...Read more

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Consistently high LH level, always high lh:fsh ratio, last result showed 14.4 LH to 6.6 fsh. Do I have insulin resistance or hyperinsulinemia?

Consistently high LH level, always high lh:fsh ratio, last result showed 14.4 LH to 6.6 fsh. Do I have insulin resistance or hyperinsulinemia?

Maybe (not). . .: Can't tell anything about Insulin resistance or hyperinsulinemia by measuring your lh & fsh. When you're young & menstruating, your lh & fsh will vary throughout your cycle. Once you go thru menopause, your lh & fsh remain elevated. If you want to determine if you're resistant to Insulin or have high Insulin levels, just measure fasting insulin. ...Read more

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Apparently I have an estrogen and prog deficiency. I also have a double-triple lh:fsh ratio and irregular cycles. What causes what, how do I treat?

Apparently I have an estrogen and prog deficiency. I also have a double-triple lh:fsh ratio and irregular cycles. What causes what, how do I treat?

Needs clarification: You need to ask your obgyn if you have pcos or something else. From what you describe this is the most likely but there are other causes as well. Before you can discuss you treatment you need clarification on the diagnosis. ...Read more

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Just got diagnosed with pcos. Have high dheas, mild hirsutism, 3:1 lh/fsh ratio. What causes high dheas? Any specific follow up tests you recommend?

Just got diagnosed with pcos. Have high dheas, mild hirsutism, 3:1 lh/fsh ratio. What causes high dheas? Any specific follow up tests you recommend?

Dheas: Before you have follow up tests you must see your doctor again and have her/him carefully discuss the problems that were found and then discuss in detail what needs to be done.
Please keep me posted. ...Read more

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I have pcos and my lh:fsh ratio is typically 3:1 throughout my 40-50 cycle, but it reaches 1:1 at time of menses (whenever they come). Why is this?

Why rechecking?: I am not sure why you are rechecking your lh/fsh ratio. This test can be used once as supportive evidence of pcos but there is no value in rechecking it as the information it provides does not guide the clinical management in anyway or provide any new information that the patient can use. It will also vary depending on what day of the cycle it is done. ...Read more

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Everything including lh/fsh ratio, dhea, testosterone normal, but 17-oh came back 366 (luteal phase) the limit is around 469, is this late onset cah?

Everything including lh/fsh ratio, dhea, testosterone normal, but 17-oh came back 366 (luteal phase) the limit is around 469, is this late onset cah?

Probably not: The most common form of cah is due to 21 hydroxylase deficiency resulting in high 17 ohp levels. The level should be done in the follicular phase of the cycle, and if above 200 would be abnormal. One can confirm the diagnosis by doing a Cortrosyn stim test, measuring cortisol and 17 ohp before and 1 hr after receiving cortrosyn. High 17 ohp during the luteal phase is not specific for a diagnosis. ...Read more

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If my hormones are -ALL- normal including total, free, and bioavail testosterone and I have PCOS, what is causing my elevated LH:FSH ratio 3:1?

PCOS: PCOS causes an elevated LH:FSH ratio. This is one of the findings of PCOS. The cause is unknown. There is an abnormal signal to the hypothalamus that inhibits the production of FSH. This signal is associated with obesity and elevated levels of insulin. ...Read more

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If luteinizing hormone (8.2) was greater than FSH (2.1) around mid cycle I think after ovulation, is that pcos because of lh:fsh ratio? Testos. <0.69

If luteinizing hormone (8.2) was greater than FSH (2.1) around mid cycle I think after ovulation, is that pcos because of lh:fsh ratio? Testos. <0.69

Possible: PCOS is the diagnosis of exclusion in that you need to make sure you rule other causes of menstrual irregularities. Most important clinical feature is menstrual irregularities and hyperandrogenic signs /symptoms plus or minus polycystic ovaries on ultrasound. It is very clinical one and you need to see endocrinologist or OBGYN ...Read more

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Is it pcos? Hormones and lh/fsh ratio all normal, metabolic panel normal, A1c is 5.1. There are cysts on ovaries. What is causing the hyperandrogenism

Is it pcos? Hormones and lh/fsh ratio all normal, metabolic panel normal, A1c is 5.1. There are cysts on ovaries. What is causing the hyperandrogenism

Not enough info: Or unrelated info. Lh/fsh ratio is no longer part of any current diagnostic protocol, a1c and metabolic panel have never been part of pcos diagnosis, "hormones normal" is way too vague. All women have ovarian cysts on us, pcos has a specific look. You have not given any androgen values, why do you say you have hyperandrogenism? ...Read more

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I have PCOS and a period 35 - 50 days. Some women don't have this privilege. My LH, FSH ratio is 3:1. I want ovarian drilling. Dysmenorrhea. Should I?

I have PCOS and a period 35 - 50 days. Some women don't have this privilege. My LH, FSH ratio is 3:1. I want ovarian drilling. Dysmenorrhea. Should I?

No: Ovarian drilling is very rare now. First it kills lots of your eggs so you may have infertility from it and may have an earlier menopause. Also it can cause scar tissue in your belly which can cause more pain symptoms. PCOS should not cause painful periods unless they are very heavy and irregular. Likely you would benefit from seeing a specialist ...Read more

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Considering ovarian drilling for PCOS high LH:FSH ratio, irreg cycles, cystic acne, insomnia, feels miserable. Does it really DESTROY part of ovary?

Considering ovarian drilling for PCOS high LH:FSH ratio, irreg cycles, cystic acne, insomnia, feels miserable. Does it really DESTROY part of ovary?

Yes, but wait...: Technically, it HAS to, right? The word, itself "drilling" means making a hole. To make a hole you have to take SOME stuff out, right? But that doesn't mean you won't have enough left over to still do what you need them to do. Ovaries have thousands and thousands of eggs, and women only use a few hundred in a lifetime.
That said, I am NOT endorsing any specific procedure for you, as I HAVEN'T SEENU ...Read more

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Is PCOS or non classic CAH? FSH/LH are 1:3 ratio Testosteron Androstenedion 17Oh Progesteron are high Cortizol DHEA-S SHBG PROLACTIN Normal ACTH low

ACTH stimulation: If you have features of both problems, the male hormone levels and menstrual irregularities and infertility are the hallmarks of a diagnosis of PCOS. What does your Endo or Gyne/Endo say about this? Ask them for answers, which may include an ACTH stim test to see how your pituitary axis is functioning to start with, followed by more adrenal function testing... ...Read more

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Pcos pearl shaped cysts, all hormones normal no androgens high, all ratios normal lh/fsh, hyperhidrosis, what/why is this happening please help?

Not PCOS: Reading your question, the only clear-cut problem I see is hyperhidrosis. This is not a disease and it's hard to quantify "some people just sweat more than others." it is not clear from above that you have pcos; if you do, this wouldn't even be in the top 10 likely causes. Thyroid disease, pituitary disease, and diabetes are sometimes linked to hyperhidrosis, but the list goes on. ...Read more

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