Can we look at the ovaries with six hormones? Six tests of sex hormones refer to the determination of blood contents of six brothers, namely follicle stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E2), progesterone (PROG), testosterone (TEST) and prolactin (PRL), so as to judge whether the reproductive system and endocrine system of the subjects are normal or not. The hormone levels on the 2nd and 3rd day of menstruation are basal hormone levels, the normal values of basal LH and FSH are 5 ~ 10IU/L, and the normal values of basal E2 are 25 ~ 50pg/mL (these three results are not visible from the reference values in the laboratory list, but according to this standard). PRL, T and P can be compared with the reference values in the laboratory list.
1) basal FSH >: 10 or basal FSH/LH￠2 ~ 3.6 suggests that ovarian reserve is poor: the number of egg reserves can be estimated by combining AMH level and patient age. The increase of FSH is seen in premature ovarian failure, ovarian insensitivity syndrome and primary amenorrhea. FSH is greater than 40mIU/ml, indicating ovarian failure. If it happens before the age of 40, it is called premature ovarian failure (POF).
2) It is normal for basal E2 to be lower than 50pg/ml: Because E2 and FSH are negative feedback, even if basal FSH is lower than 10 and E2 is higher than 50pg/ml, the ovarian reserve may be poor.
3)LH below 5mu/ml indicates gonadotropin deficiency; High FSH, if LH increases, indicates ovarian failure. LH/FSH≥3 is one of the diagnostic criteria of polycystic ovary syndrome.
4) Prolactin higher than 23.3ng/ml is hyperprolactinemia: excessive prolactin can inhibit the secretion of FSH and LH, ovarian function and ovulation.
5) High testosterone (T): High testosterone can also lead to infertility. When suffering from polycystic ovary syndrome, the testosterone level is also increased, and it is hairy, accompanied by acne, seborrhea and alopecia.
Can six hormones detect ovaries? When women check the six sex hormones, they usually check their physical condition by drawing blood on an empty stomach, and then learn more about the ovarian condition by checking the immunity of the six sex hormones and the three thyroid functions. Therefore, when women want to carry out these tests, it is best to carry them out 3-7 days after menstruation. And sometimes women need to do salpingography to check whether the fallopian tube passage is normal. After all, if tubal nowhere, it will affect women's pregnancy. Therefore, tubal patency is also very important.
In fact, doctors can't directly use sex hormones to understand ovarian development. But in clinic, the examination of six kinds of sex hormones is mainly to understand the various conditions of female sex hormones, so as to infer the function of female ovary. Sometimes, women's menstruation is normal and good, which can indirectly indicate that women are healthy and their ovaries are in good condition.
In fact, sex hormones are not directly used to understand ovarian function in clinic. After all, the method of checking ovarian function, the six sex hormones are also used to detect all kinds of sex hormones in women. Sometimes, there are many reasons why women can't menstruate normally and give birth normally. Therefore, in addition to the six sex hormones and ovarian function, we should also know more about other situations, such as whether women have congenital diseases or whether women have physical diseases. So there is no way to get pregnant normally, and these factors should be understood clearly.