
What Do My Lab Test Reports Indicate?

I got married in July 2012 and we decided we wanted to try for a baby. We have never been consistent with intercourse.
I really want to conceive naturally, do you really see this can happen for us? I am overweight. My husband has 20 cigarettes a day and drinks within the alcoholic guidelines (lager or bitter). My husband has now stopped smoking and cut down alcohol.
I have been to see fertility specialist. I have had vaginal swabs and an internal examination today. (Everything has come back normal). Ultrasound scan is also normal. Blood results are as follows: Estrogen 115, LH 1.7, FSH 7.1
Husband semen analysis is also good. With a 5% morphology which specialist says has to be above 4%
My bmi is 45 and she wants it down to 30 before commencing any type of treatment which she said will probably be tablets to make me ovulate. I have currently lost 8lb.
I am worried if I don't lose weight I will never get pregnant. Clearblue fertility monitor in the past has shown ovulation and some months no ovulation do you think I could keep try to use this.
If I lose weight can I reverse things naturally and start to ovulate?
I usually have a regular bleeding pattern 24-28 day cycles. Never have pain or any kind of problem. But my bleeding cycle this year has been very erratic and I am worried sick why. Bleeding pattern this year has been:
SEPTEMBER 2015
4th September – 8th September (5 days bleeding)
Cycle 11th August – 3rd September = 24 days
SEPTEMBER 2015
30th September – 4th October (5 days bleeding)
Cycle 4th September – 29th September = 26 days
1. Are my bloods normal?
2. Do you agree the fertility monitor is a good diagnosis for ovulating?
3. Do you see I can conceive naturally?
4. Any suggestions please to help me achieve what I really want.
5. Am I stressing out too much?
6. HSG was requested but I can’t have due to anaphylaxis to Iodine, is there any other way of telling if my tubes are blocked please?
7. Do I need my tubes checked? Fertility Specialist says I dont
If Clearblue fertility monitor shows 3 bars do I:
1. Ovulate
2. Release an egg
3. Should I conceive naturally
Another thing that confuses me is Fertility Monitor shows Ovulation, but Ovulation strips do not. I think I am getting myself into a Frenzy and should just use the Fertility Monitor and forget ovulation test strips. What are your thoughts please?
All Day 21 Progesterone blood tests come back less than 1. Will I ever conceive or is this because my cycle is 24-26 days? I am worried and crying that I will never be a Mum. My Fertility Specialist is not worried and just stays I need to lose weight. Please help. Do I need to worry about my Day 21?
My Fertility Specialist says I am not conceiving as I need to have sex more than 3 times a week
Have a regular intercourse
Detailed Answer:
Hi dear and thanks for your query.
I understand your concern but please be calm because to much stress can cause irregular periods.
As per you reports all things seems to be normal.
While your periods are regular and your female hormones are within range you should ovulate.
But is important to have regular intercourse during your fertile days.
Time you should have regular intercourse and wait to conceive on your age is no more than six months.
After this time you should do HSG because after doing this procedure your fallopian tubes can be more active.
This procedure can be done and with general anesthesia while you are allergic of iodine.
Did you pass any vaginal infection?!
During this time you can try with medication to induce ovulation such as clomid.
Be calm, take selenium and zinc rich foods,and much more fluids as water.
Take and folic acid 400 micro gram per day.
Hope I have been clear and help you.
For any other questions please don't hesitate.
All the best


You can conceive naturally
Detailed Answer:
Hi dear again and thanks for trusting to us .
You can conceive naturally while your periods are regular and female hormones are within range .
But as I mentioned above ,you should try not more than six months ,with regular intercourse during your fertile days.
Be calm and hope for good results because you have all chances to conceive.
All the best


We can evaluate for late period
Detailed Answer:
Hi dear again and thanks for trusting to us.
In fact while your last periods where 24 days and you have took progesterone on day 21 is too late because progesterone should be taken on day 17 -18 of your cycle .
This is because progesterone levels rise following ovulation, peaking five to nine days after ovulation.
This is known as your luteal phase.
After the midluteal period, your serum progesterone levels will begin to fall if the egg is not fertilized.
Hence while your cycle was only 24 days ,ovulation have happened early.
If your midluteal serum progesterone level is low, the first step is to have it repeated in another cycle to confirm the result.
If it is the same or still low, you may need ovarian stimulation to help you ovulate.
Progesterone supplements are sometimes prescribed.
Hence don't worry so much .
God bless you


Hope to be low ,just a matter of took to late
Detailed Answer:
Hi dear again!
Hope to be low ,just a matter of took to late because you have periods every months .
Hence take another blood progesterone on day 17 to determine exact level of progesterone.
And if it will be within normal range ,you can try naturally.
If it will be low you can take oral progesterone and can stimulate ovulation .
All the best
All the best


It is due to your weight and stress
Detailed Answer:
Hi dear again and apologize for late replay .
Light and brown periods can be due to your weight and much stress you have while you are trying to conceive.
Both of them can cause light periods due to changes on hormonal balances .
Hence be calm and lost weight than you can try with clomid .
To to make body exercises to lost weight .
All the best


It cannot be implantation bleeding
Detailed Answer:
Hi and thanks for your query .
As per your scenario it doesn't seem to be an implantation bleeding but only a period .
All the best


Yes you can
Detailed Answer:
Hi dear again and thanks for trusting to us .
While you will have every month periods and you will ovulate ,you have chances to conceive.
But for you is very important to be calm because too much stress can cause hormonal imbalances and irregular cycles.
All the best


Is my pleasure
Detailed Answer:
Hi dear.
It's my pleasure to help you.
All the best

Answered by

Dr. Vjollce Mbiarra
OBGYN, Maternal and Fetal Medicine
Practicing since :2006
Answered : 1572 Questions
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