Hormone analysis is an important part of the female fertility test. It is during the IVF treatment process, the hormone analysis for females are advised.
A women menstruate and reproduce with the help of hormones such as FSH, estrogen, LH during her lifetime. Hormones play a vital role in producing eggs, in ovulation and in the fertilization. When there is any imbalance in the hormonal secretion, it may emerge as one of the causes of infertility. Hence detailed investigation of hormone secretion is done to rule out the exact cause.
The hormone blood tests for infertility is done usually on the third day of the menstrual period. During this time, the testing for the ovarian reserve and the counting for the stored eggs can be done accurately.
LH (Luteinizing Hormone)
LH is produced by anterior pituitary glands. The increased LH secretion also known as LH surge helps in increasing the production of the ovulation process and also thereby converts the residual follicle into the corpus luteum which in turn produces progesterone. This progesterone in turn prepares the inner lining of the uterus called endometrium to prepare for the implantation. The normal values of LH for the pregnancy is 1-20 IU/L, if there is increase in this value then pregnancy cannot occur.
FSH (Follicle Stimulating Hormone)
FSH is secreted by the anterior pituitary gland. FSH in conjunction with LH helps in the growth and maturation of the graafian follicle, in the maturation of the oocyte, ovulation and in steroidogenesis. This also helps in the placental production. FSH should be below 2mIU/ml during pregnancy, and as the pregnancy progress it should be 3-10mIU/mL.
AMH (Anti-Mullerian Hormone)
AMH test helps in the measuring the ovarian reserve. AMH is a peptide produced from the granulosa cells of primordial follicles. AMH levels reflects with the rise of FSH and estradiol levels.
Other Hormone tests include
Thyroid Hormones - Hypothyroidism is always associated with the menorrhagia (increased menstrual bleeding), oligomenorrhea (scanty menses) and amenorrhea (absence of menstrual cycles). It is also associated with recurrent miscarriages and in the infertility cases. This test is conducted to evaluate T3, T4 and TSH and to treat the infertility causes