What Do These Following Blood Reports Indicate?

Posted on Wed, 21 Oct 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 21 Oct 2015 Answered on

Mon, 16 Nov 2015 Last reviewed on

Question : I really hope you can help me. Let me start from the beginning I am 39 years of age, never used any kind of contraception and have never been pregnant. I was never sexually active until I was 26 years of age and then it would only be maybe 3 times a year. We have been more sexually active the past 6 months about twice a week. I have only ever had one partner and that is my current husband.

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

Answered by Dr. Mahesh Koregol (1 hour later)

Brief Answer:
Losing weight will help you

Detailed Answer:
Hi XXXXXXX

Good to see you back.

I am happy to see you are doing good work and lost 8lb. Keep it up.

Following is reply to your questions:

1) Your blood reports are normal.

2) Fertility monitor is good way to assess oulation.

3) You can conceive naturally if you lose weight.

4) Sonosalpingogram ( SSG) is another way to test tubes if allergic to iodine. Its simple and done in day care setting. Its better if you do it.

5) Fertility monitor 3 bars means you are oulating and releasing an egg.

6 ) I dont see any reason to worry. Losing weight will help you a lot. Continue the good work.

Let me know if you need anymore help.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (2 minutes later)

What about progesterne be less than 1

Answered by Dr. Mahesh Koregol (3 minutes later)

Brief Answer:
Normal

Detailed Answer:
Hi,

Progesterone value is not always accurate. Measurements may need to be done 4 days prior as your cycle length is short.

Since you have regular cycles, progesterone is likely to be normal.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (3 minutes later)

Thank you so much so keep use monitor and regular intercourse lose weight and everything should be good

Answered by Dr. Mahesh Koregol (16 minutes later)

Brief Answer:
Weight loss is very important

Detailed Answer:
Hi,

Yes. Weight loss will solve half of your problems.
Brief Answer:
You ovulate

Detailed Answer:
Hi,

You definitely ovulate. No problem with it. Day 20 progesterone is not reliable in 24 days cycle. I think progesterone measurement is not important for you.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (42 hours later)

My day 20 progesterone as my cycle this month is 24 days was less than 1 is that normal or do I say I dont ovulate. Please help thank you x
What day should you have it done for a 24 day cycle?

Answered by Dr. Mahesh Koregol (31 minutes later)

Brief Answer:
17 days

Detailed Answer:
Hi XXXXXXX

You do ovulate. Your progesterone levels need to be checked on day 17 in a 24 days cycle.

Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Mahesh Koregol (25 hours later)

I have noticed over past 2 times my period is pink and brown and only light. When I wipe there not much to see and only need a towel a day. How do I bring my proper period back surely its not normal and I will never conceive. I cant have Clomid until I have lost weight

Answered by Dr. Mahesh Koregol (39 minutes later)

Brief Answer:
Weight loss will help you

Detailed Answer:
Hi,

Weight loss will help you to conceive as well as bring back periods normally.

There is no other medicine that is required for you as of now.
Brief Answer:
Wish you good health

Detailed Answer:
Hi,

You can contact me directly next time by pasting following link in your browser:
XXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (11 minutes later)

Thank you
Please help I thought I had my period 3 days ago but it was only very slight spotting on day 1 and then it is only when wipe it has a tinge of pink otherwise it doesnt look or feel like I on a period. Whats going on please?

Answered by Dr. Mahesh Koregol (25 hours later)

Brief Answer:
This is normal

Detailed Answer:
Hi,

You seem to have reduced flow but bleeding coming out on subsequent days.

There is nothing to worry about it.
Brief Answer:
Not implantation bleeding

Detailed Answer:
Hi,

This is unlikely to be implantation bleeding

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (1 hour later)

You dont think it implantation bleeding x
Can I still get pregnant even if bleeding hasnt been normal for me x

Answered by Dr. Mahesh Koregol (4 hours later)

Brief Answer:
Does not appear to be implantation bleeding

Detailed Answer:
Hi,

This appears like normal periods and not implantation bleeding.

Yes there is possibility of pregnancy.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar