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What Does My Blood Test Report Indicate?

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Posted on Sat, 20 Jun 2015
Question: I have been to see fertility specialist. She suspects I have polycystic ovaries and hence do not ovulate. 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 5.6 (taken on Day 2 of cycle)



Ultrasound scan shows multiple follicles and endometrial thickness of 8.4mm. Is this normal? What should the range be?



I have no reports to upload.



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. This month Clearblue fertility monitor showed 3 bars on day 11 and 12 of cycle. When should I have a progrestorone blood test to make sure I ovulated?



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:



JANUARY 2015

23rd January - 27th January (5 days bleeding)

Cycle 24th December – 22nd January = 30 days



FEBRUARY 2015

NO PERIOD



March 2015

4th March – 8th March (5days bleeding)

Cycle 23rd January – 3rd March = 41 days



April 2015

9th April – 13th April (5 days bleeding)

Cycle 4th March – 8th April = 37 days



MAY 2015

8th May – 12th May (5 days bleeding)

Cycle 9th April – 7th May = 29 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 to much?

6. Why do you see such a change in my cycle? I don’t see Fertility Specialist for another 3 months as she wants to give me time to lose weight.

7. 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?



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? Ovulation strips only ever show 1 line. Fertility monitor is working as it should and shows 1, 2, 3 bars (low, high and peak fertility)

If all tests are normal I wouldnt need IVF would I?
doctor
Answered by Dr. Mahesh Koregol (1 hour later)
Brief Answer:
No need of IVF or IUI

Detailed Answer:
Hi XXXXXXX

Good to hear from you.

You are definitely ovulating. Nothing to worry.

Please follow fertility monitor alone.

Everything is good except your weight which you are already working upon.

You dont need IVF or IUI. You will conceive naturally if you lose weight.

Let me know if you need any more help.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Mahesh Koregol (2 days later)
I have attached my USS report can you please comment on this I am worried about the cyst and is everything else normal please

My nipples for the past 7 days have suddenly become very sore and erect I never ever suffer with PMT symptoms what is going on any ideas please?
doctor
Answered by Dr. Mahesh Koregol (18 minutes later)
Brief Answer:
Normal USS report

Detailed Answer:
Hi,

USS report you have attached is absolutely normal with good number of eggs.

Nebothian cyst is a normal finding and hence dont worry about it.

Nipples are sore and erect because your body is better sensitive hormones as you have lost some weight. This is good development.

Continue weight loss for better results.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Mahesh Koregol (5 minutes later)
Do you think it could be early pregnancy breasts have changed shape
doctor
Answered by Dr. Mahesh Koregol (2 minutes later)
Brief Answer:
You had periods one week back?

Detailed Answer:
Hi,

This is only 6th day of cycle. Hence cant be pregnancy
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Mahesh Koregol (32 minutes later)
No I am on cycle day 24, last month was 29 day cycle
doctor
Answered by Dr. Mahesh Koregol (1 hour later)
Brief Answer:
You need to wait 10 days

Detailed Answer:
Hi,

Thanks for correction.

It is very early to predict pregnancy. You need to wait for another 10 days to confirm.

Erectile nipples does not signify pregnancy.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Mahesh Koregol

Infertility Specialist

Practicing since :2000

Answered : 3830 Questions

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What Does My Blood Test Report Indicate?

Brief Answer: No need of IVF or IUI Detailed Answer: Hi XXXXXXX Good to hear from you. You are definitely ovulating. Nothing to worry. Please follow fertility monitor alone. Everything is good except your weight which you are already working upon. You dont need IVF or IUI. You will conceive naturally if you lose weight. Let me know if you need any more help. Regards