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What Do These Fertility Test Reports Indicate?

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Posted on Thu, 9 Jun 2016
Question: I just got some more test back from my fertility doctor. I just want to prep myself to see if i'm ok.

This test below was taken on the 3rd day of my period:
17-OH Progesterone (ng/dL)     <40 ng/dL
DHEAS (ug/dL)      167 mcg/dL
Mullerian hormone inhibitor      5.4 ng/mL

This was done day 9 of my cycle.
Hysterosalpingogram.

INDICATION/HISTORY: Infertility.

DESCRIPTION/FINDINGS: Informed consent was obtained. Sterile technique was
used.

With the use of the speculum under sterile technique, a balloon tipped catheter
was placed within the cervix. With the use of water-soluble contrast the uterine
cavity was filled with contrast. There are no filling defects identified in the
uterine cavity.

Both of the fallopian tubes filled with contrast.

There is bilateral free spill of contrast material into the peritoneum.

Radiation Exposure:

Fluoroscopy Time: 1.6 min, Dose: 129.95 mGy,
Dose Area Product (DAP): n/a uGy.m2,
Number of Spot films: 7

Supplies:
* HSG Catheter

IMPRESSION:
IMPRESSION:
Patency of the fallopian tubes bilaterally.

doctor
Answered by Dr. Dr. Soumen Patra (36 minutes later)
Brief Answer:
AMH is slightly high. Others are normal.

Detailed Answer:
Hello Dear,

Thanks for writing to us.

1) Level of Anti-Mullerian hormone (AMH) is slightly HIGHER than normal range. All other test reports are quite NORMAL. Poly Cystic Ovary should be ruled out.

2) Both tubes are patent as there is bilateral spillage of contrast in peritoneum. Normal test report.

Hope, I have answered your query. Wish your good health and take care.

For future query, you can directly approach me through

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326

Regards,
Above answer was peer-reviewed by : Dr. Naveen Kumar
doctor
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Follow up: Dr. Dr. Soumen Patra (54 minutes later)
Thank you, what would be a reason for the AMH to be high? Would that effect fertility?
doctor
Answered by Dr. Dr. Soumen Patra (1 hour later)
Brief Answer:
PCOD may cause high AMH. Do ultrasound scan.

Detailed Answer:
Hello,

Thanks for follow up query.

AMH is secreted from small antral follicles (5-8 mm size) of the ovary. Presence of Poly Cystic Ovary can increase the number of this follicles, leads to high AMH.

High level of AMH may interfere with ovulation, leads to problem in conceiving. I suggest you to undergo one pelvic ultrasound scan to rule out PCOD. Review with test report.

Hope, it helps for your information. Good luck and take care.

Regards,
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Naveen Kumar
doctor
Answered by
Dr.
Dr. Dr. Soumen Patra

OB & GYN Specialist

Practicing since :2011

Answered : 4060 Questions

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What Do These Fertility Test Reports Indicate?

Brief Answer: AMH is slightly high. Others are normal. Detailed Answer: Hello Dear, Thanks for writing to us. 1) Level of Anti-Mullerian hormone (AMH) is slightly HIGHER than normal range. All other test reports are quite NORMAL. Poly Cystic Ovary should be ruled out. 2) Both tubes are patent as there is bilateral spillage of contrast in peritoneum. Normal test report. Hope, I have answered your query. Wish your good health and take care. For future query, you can directly approach me through http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326 Regards,