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Dear Ask A Doctor . I Am 37 This Year

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Posted on Wed, 25 Nov 2020
Question: Dear Ask A Doctor.

I am 37 this year and was unexpectedly diagnosed with high FSH on day 3 (16.5) and AMH (5.0). What are my chances of successful pregnancies with IVF?
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Follow up: Dr. Elona (0 minute later)
Dear Ask A Doctor.

I am 37 this year and was unexpectedly diagnosed with high FSH on day 3 (16.5) and AMH (5.0). What are my chances of successful pregnancies with IVF?
doctor
Answered by Dr. Elona (2 hours later)
Brief Answer:
The chances are low

Detailed Answer:
Hello
I have gone through your query and understood your concern.

You have a normal ovarian reserve because your AMH is normal but a high level of FSH that decresse the chances of achieving a pregnancy.

Normal FSH levels in women for pregnancy range between 4.7 and 8 IU/L during menstrual cycles.
You should know that women who have high FSH levels often respond poorly to fertility medications or do not respond at all. They may also have a low chance of getting pregnant when they try in vitro fertilization to achieve a successful pregnancy.

You are 37 years with a good ovarian reserve and this is the most important think.
Your high FSH level can technically be lowered with medications including estrogen and the birth control pill.

My advice is to consult a fertility specialist in your area for the right treatement and the follwo up of your actual condition.

Hope this is helpful.
Wish you good health


Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Elona (0 minute later)
Brief Answer:
The chances are low

Detailed Answer:
Hello
I have gone through your query and understood your concern.

You have a normal ovarian reserve because your AMH is normal but a high level of FSH that decresse the chances of achieving a pregnancy.

Normal FSH levels in women for pregnancy range between 4.7 and 8 IU/L during menstrual cycles.
You should know that women who have high FSH levels often respond poorly to fertility medications or do not respond at all. They may also have a low chance of getting pregnant when they try in vitro fertilization to achieve a successful pregnancy.

You are 37 years with a good ovarian reserve and this is the most important think.
Your high FSH level can technically be lowered with medications including estrogen and the birth control pill.

My advice is to consult a fertility specialist in your area for the right treatement and the follwo up of your actual condition.

Hope this is helpful.
Wish you good health


Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Elona (14 hours later)
Dear Dr Xhardo,

Thank you for the response.

I was wondering if constant extreme stress and worrying can affect FSH levels.

It has been two years and my AMH had not changed. But my FSH was 4.5 with oestreodial at 650 in basal phase (this was two years ago). My FSH suddenly increased to 16.5 and my oestreodial was at 150 this month.

Please let me know if constant extreme stress and reduced physical activitiy level can causw FSH to fluctuate from month to month/increase?

Kind Regards

Ying Wang
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Follow up: Dr. Elona (0 minute later)
Dear Dr Xhardo,

Thank you for the response.

I was wondering if constant extreme stress and worrying can affect FSH levels.

It has been two years and my AMH had not changed. But my FSH was 4.5 with oestreodial at 650 in basal phase (this was two years ago). My FSH suddenly increased to 16.5 and my oestreodial was at 150 this month.

Please let me know if constant extreme stress and reduced physical activitiy level can causw FSH to fluctuate from month to month/increase?

Kind Regards

Ying Wang
doctor
Answered by Dr. Elona (39 hours later)
Brief Answer:
Stress can affect all your hormones.

Detailed Answer:
Hi again
I appologise for the late reply.

Yes,it is true that high daily stress can affect your hormone levels(including your sexual hormones) and cause higher FSH concentration.

Polycystic ovarian syndrome and menopause can be a potential cause for high FSH levels.
You are young so menopause can be excluded.

I suggest to consult an obgyn for a pelvic ultrasound to see for cyst in your ovaries.
Also,your medical hystory for irregular periods,weight changes and a testosteron level can be helpful.

Let me know if i can assist you further.
Wish you all the best.




Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Elona (0 minute later)
Brief Answer:
Stress can affect all your hormones.

Detailed Answer:
Hi again
I appologise for the late reply.

Yes,it is true that high daily stress can affect your hormone levels(including your sexual hormones) and cause higher FSH concentration.

Polycystic ovarian syndrome and menopause can be a potential cause for high FSH levels.
You are young so menopause can be excluded.

I suggest to consult an obgyn for a pelvic ultrasound to see for cyst in your ovaries.
Also,your medical hystory for irregular periods,weight changes and a testosteron level can be helpful.

Let me know if i can assist you further.
Wish you all the best.




Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Elona (5 hours later)
Dear Dr Xhardo

Thank you for the response.
I will keep in mind your evaluation about my medical history.

Leanne

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Follow up: Dr. Elona (0 minute later)
Dear Dr Xhardo

Thank you for the response.
I will keep in mind your evaluation about my medical history.

Leanne

doctor
Answered by Dr. Elona (23 hours later)
Brief Answer:
most welcome

Detailed Answer:
Dear XXXXXXX

I think with appropriate hormone treatment, your FSH level will decrease to the normal range and you can have good chances of pregnancy.

Wish you good luck.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Elona (0 minute later)
Brief Answer:
most welcome

Detailed Answer:
Dear XXXXXXX

I think with appropriate hormone treatment, your FSH level will decrease to the normal range and you can have good chances of pregnancy.

Wish you good luck.

Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
Answered by
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Dr. Elona

Endocrinologist

Practicing since :2008

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Dear Ask A Doctor . I Am 37 This Year

Dear Ask A Doctor. I am 37 this year and was unexpectedly diagnosed with high FSH on day 3 (16.5) and AMH (5.0). What are my chances of successful pregnancies with IVF?