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fsh results

I finally got my FSH results back, however ran out of insurance to see doc to interpet. I was wondering if any one can help me. This is my last chance to see if I am able to concieve. I had tubal reversal in Dec. 05, had 2 blighted ovum06, and 1miscarraige jul.07. Periods havent been the same since. Finally had a doc. test my FSH, took test, on 3rd day of period. Feb 2010
FSH 42.5      prolactin 5.5   estradoiol 56
If anyone can interpet, that would be great....I need to know if there is a chance..

Thanks,Lorraine
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Avatar universal
Interpreting day 3 FSH blood test results - what are normal FSH levels?
In our fertility center we currently use an assay made by DPC that is run on an Immulite machine. We consider normal FSH level to be anything less than 9. As levels go above 9 we often see a reduction in response to ovarian stimulating drugs - as described in the table below.

If your FSH levels were run using a different assay, you can not compare your results to those shown below with confidence. For example, with some assays an FSH of 12 is normal.

Day 3 FSH level FSH interpretation for DPC Immulite assay
Less than 9 Normal FSH level. Expect a good response to ovarian stimulation.
9 - 11 Fair.  Response is between normal and somewhat reduced (response varies widely). Overall, a slightly reduced live birth rate.
11- 15 Reduced ovarian reserve. Expect a reduced response to stimulation and some reduction in embryo quality with IVF. Reduced live birth rates on the average.
15 - 20 Expect a more marked reduction in response to stimulation and usually a further reduction in embryo quality. Low live birth rates. Antral follicle count is an important variable.
Over 20 This is pretty much a "no go" level in our center. Very poor (or no) response to stimulation. "No go" levels should be individualized for the particular lab assay and IVF center.

More issues regarding day 3 FSH testing
In general, your ovarian reserve is as bad as your worst FSH. If you have an FSH of 15 in one cycle and then a a 7 in another cycle - the situation is not improving. Some women "bounce around" with FSH levels in the normal to abnormal range. However, they tend to respond and have chances for pregnancy as predicted by their highest FSH level.

Waiting for a menstrual cycle with a lower FSH level and then stimulating right away for IVF is not of any proven benefit.

Young women (under 35) with elevated FSH levels tend to stimulate better and have a much higher IVF success potential than "older" women. The better egg quality in the younger women can compensate for the quantity problem.
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Avatar universal
I am sorry about your failed IVF but can I ask why you are trying already with donor eggs?  Your FSH is not really that high & you still have a good chance of having your own children.
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Avatar universal
i have a fsh of 11,one failed ivf and we are trying w/ donor eggs at the end of the month..i just want a baby..lots of luck in whatever you choose
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Avatar universal
I have that book...
I loved it!
m4stillwantingmore... i'd suggest you read the book that she metioned above... it may help you! Good luck!
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Avatar universal
You should looke up the book Inconceivable.....totally amazing.
It's about a women who's FSH was 42 & she was also 42yrs old.  She did accupunture along with taking herbs.  She wound up lowering her FSH & got pregnant naturally.
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Avatar universal
Thank you everyone for the fast response...when periods started to become irregular..doctors were telling me that i was going through premenopause..I didnt want to believe. Up until now thought I had a chance. Its heartbreaking. Mom-in-law paid so much to have tubal reversal (05), I feel embarrased. She is always hoping. Now i need to let her know...
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294043 tn?1354207946
FSH rises with age.  Although some women found accupuncture and herbal remedies helpful, high fsh indicates poor ovarian reserve and that can't really be treated effectively.
I am sorry about your bad news.  If you want to give your dh a biological child a donor egg will probably be your best option.
Good luck!
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Avatar universal
What is the cause of high FSH, am I going through early menopause? Or is there a way to bring down my FSH....truth I have 4 grown kids from previous marraige. 2nd husband has no kids..just wanted to know if possible to get pregnant without any help..
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294043 tn?1354207946
My dr defined "good" fsh level as under 10 but I know lots of women who conceived with fsh of 13 or so.  Most clinics would advise you to use a donor with fsh as high as yours.  I am so sorry the level is so high.
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Avatar universal
My FSH levels went up to 19 (on day 10) and my RE wouldnt touch my eggs. I have to use donor eggs... *sigh*
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1000766 tn?1296746001
Hi. Your FSH level is super high. That could be a reason for not getting pregnant.
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Avatar universal
Honestly, your FSH is extremely high I would think it's not very likely with that level.  The ideal number needs to be under 10.  I would think your best route would be adoption or donor eggs. There maybe other people who have different ideas/suggestions. Good Luck to you!!

Copied from a link below:
Over 20 This is pretty much a "no go" level in our center. Very poor (or no) response to stimulation. "No go" levels should be individualized for the particular lab assay and IVF center.

http://www.advancedfertility.com/day3fsh.htm
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