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Asking for Self, Female, 29 years old, Karachi
Salaam Married for last 9 months and we are trying to conceive but no luck and latest harmones results as follows: Serum Pprolactin 7.55ng/ml (ref range 3.8 - 23) Serum TSH 1.966 uIU/ml (ref range 0.4 - 4.2) Serum LH 14.1 mIU/ml (ref range Follicular phase 1.7 - 15) AMH 9.77 ng/ml ( ref range 0.262 - 9.63)
Test performed on the third day of periods, Kindly check the results and let me know that there is something we should focus on and is there any valuable advice would be highly appreciated - thank you.
Your labs are good but a proper history is needed to correlate clinically, it's not just about labs only.....consult your gynaec.
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detailed evaluation and husband's report is required. your reports are within normal range
I can help and guide you
Wa Alaikum Salam wa Rehmat Allah
Early to do work up at your age.
Wait for 3 months more, practice ovulation week and then if help needed do husband test
These reports are normal , get your ultrasound pelvis done and also husband semen analysis then consult
Unexplained Infertility 60% Chance
Diagnosis
Your hormone levels (prolactin, TSH, LH, and AMH) are within or near normal reference ranges, which is a good sign. The elevated LH within the follicular phase could be borderline but not necessarily pathological. The AMH is slightly above the reference range, indicating good ovarian reserve. Without obvious hormonal imbalances or abnormal test results, the cause of difficulty in conceiving may be unexplained infertility or related to other factors such as tubal patency, sperm quality, or timing.
Treatment
Further evaluation such as hysterosalpingography (HSG) for tubal patency, semen analysis for partner, and ovulation tracking is recommended. Lifestyle considerations such as stress reduction, timing intercourse during the fertile window, and maintaining a healthy weight are advised. If after 6 to 12 months of trying conception still isn't occurring, fertility treatments like ovulation induction or assisted reproductive techniques (IUI, IVF) may be suggested.
Prescription by Dr Scholar Syeda Kiran Zehra Bukhari Naqvi Sheeba Functional Medicine Practitioner FMU USA and Homeopath SNHS Uk.
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