Post by apple on Nov 23, 2006 16:08:46 GMT -5
Hi,
I got a copy from the fertility clinic of the blood tests that they performed back in April. My fertility doctor at that time said that all came up fine and normal. No issues there and the problem was my endo probably and the only thing that he could offer was IVF.
So I check the values with the following links...
www.pinelandpress.com/faq/hormonelevels.html
and other links I found quite useful explaining my test in particular
www.advancedfertility.com/day3fsh.htm
www.drmalpani.com/infertility-laboratory-tests.htm
www.sharedjourney.com/define/estradiol.html
My value was 175 pmol/L so I came to the conclusion looking to the values on the website that was saying that more that 100 pg/mL was abnormal!
But was MY MISTAKE!! I was not having a good day at work ant I saw all these and I did not realize that the "measurement units" were not the same. When I got home all sad and my husband look some more in Internet and found this page :
www.webmd.com/hw/womens_conditions/hw6200.asp
So good news!! my estradiol is 47 pg so that is normal!! . So a "thing" to lear check the units first!
Some info ...
Day 3 estradiol[/u]
A blood estradiol level on day 3 (we do it on any day between days 2 and 4) of the menstrual cycle is a way to potentially discover some of those women with a normal day 3 FSH that may in fact have decreased egg quantity and quality. What we would like to see on day three is a low FSH level in conjunction with a low estradiol level. If the FSH is normal but the estradiol level is elevated, the elevated estradiol may be artificially suppressing the FSH level in to the normal range.
The idea of using day 3 estradiol levels as an adjunct in evaluating egg quantity and quality is relatively new. Clearly defined cutoff values for normal and abnormal are not well defined and are also lab-dependent. I like to see the day 3 estradiol less than about 80. In our experience, levels of 80-100 are borderline, and over 100 is abnormal. We like to repeat any borderline results in another cycle.
There is not much data that suggests that an elevated day 3 estradiol is a problem in itself. The problem is more so that it is potentially "masking" the detection of the poor ovarian reserve by suppressing an FSH level that would otherwise be elevated.
Day 3 FSH level Interpretation (DPC Immulite only)
Less than 9 Reassuring level. Expect a good response to ovarian stimulation.
9 - 10 Fair. Response is between completely normal and somewhat reduced (response varies widely). Overall, a somewhat reduced live birth rate.
10 - 12 Reduced ovarian reserve. Usually show a reduced response to stimulation and some reduction in egg and embryo quality with IVF. Reduced live birth rates on the average.
12 - 17 Generally show a more marked reduction in response to stimulation and usually a further reduction in egg and embryo quality with IVF. Low live birth rates.
Over 17 "No go" level in our center. Very poor (or no) response to stimulation. No live births. "No go" levels must be individualized for the particular lab assay and IVF center.
Other site says...
The Day 3 estradiol level should be less than 50 pg/ml. A high Day 3 estradiol level suggests poor ovarian reserve. The estradiol level rises in the follicular phase as the follicle matures, and is very useful for measuring follicular activity
Other site...
While my personal experience has been that with our FSH assay those with elevated FSH values over 10 or those with elevated Day 3 Estradiol have not been successful with IVF or ovulation induction
Has anyone has this tested? What were you values? Any info? Thanks
I got a copy from the fertility clinic of the blood tests that they performed back in April. My fertility doctor at that time said that all came up fine and normal. No issues there and the problem was my endo probably and the only thing that he could offer was IVF.
So I check the values with the following links...
www.pinelandpress.com/faq/hormonelevels.html
and other links I found quite useful explaining my test in particular
www.advancedfertility.com/day3fsh.htm
www.drmalpani.com/infertility-laboratory-tests.htm
www.sharedjourney.com/define/estradiol.html
My value was 175 pmol/L so I came to the conclusion looking to the values on the website that was saying that more that 100 pg/mL was abnormal!
But was MY MISTAKE!! I was not having a good day at work ant I saw all these and I did not realize that the "measurement units" were not the same. When I got home all sad and my husband look some more in Internet and found this page :
www.webmd.com/hw/womens_conditions/hw6200.asp
So good news!! my estradiol is 47 pg so that is normal!! . So a "thing" to lear check the units first!
Some info ...
Day 3 estradiol[/u]
A blood estradiol level on day 3 (we do it on any day between days 2 and 4) of the menstrual cycle is a way to potentially discover some of those women with a normal day 3 FSH that may in fact have decreased egg quantity and quality. What we would like to see on day three is a low FSH level in conjunction with a low estradiol level. If the FSH is normal but the estradiol level is elevated, the elevated estradiol may be artificially suppressing the FSH level in to the normal range.
The idea of using day 3 estradiol levels as an adjunct in evaluating egg quantity and quality is relatively new. Clearly defined cutoff values for normal and abnormal are not well defined and are also lab-dependent. I like to see the day 3 estradiol less than about 80. In our experience, levels of 80-100 are borderline, and over 100 is abnormal. We like to repeat any borderline results in another cycle.
There is not much data that suggests that an elevated day 3 estradiol is a problem in itself. The problem is more so that it is potentially "masking" the detection of the poor ovarian reserve by suppressing an FSH level that would otherwise be elevated.
Day 3 FSH level Interpretation (DPC Immulite only)
Less than 9 Reassuring level. Expect a good response to ovarian stimulation.
9 - 10 Fair. Response is between completely normal and somewhat reduced (response varies widely). Overall, a somewhat reduced live birth rate.
10 - 12 Reduced ovarian reserve. Usually show a reduced response to stimulation and some reduction in egg and embryo quality with IVF. Reduced live birth rates on the average.
12 - 17 Generally show a more marked reduction in response to stimulation and usually a further reduction in egg and embryo quality with IVF. Low live birth rates.
Over 17 "No go" level in our center. Very poor (or no) response to stimulation. No live births. "No go" levels must be individualized for the particular lab assay and IVF center.
Other site says...
The Day 3 estradiol level should be less than 50 pg/ml. A high Day 3 estradiol level suggests poor ovarian reserve. The estradiol level rises in the follicular phase as the follicle matures, and is very useful for measuring follicular activity
Other site...
While my personal experience has been that with our FSH assay those with elevated FSH values over 10 or those with elevated Day 3 Estradiol have not been successful with IVF or ovulation induction
Has anyone has this tested? What were you values? Any info? Thanks