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chart for hormone levels

by mandy

I just found this in the BMJ:
It doesn't paste too well. The full article is at this web page
http://bmj.com/cgi/collection/family_planning?ecoll

You might have to register to read the article but it's free
There's absolutely nothing about post tubal ligation syndrome in the BMJ, though I'm hoping to change that!

Investigations for anovulation

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Investigation

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When done

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Interpretation

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Progesterone

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Mid-luteal phase of cycle (for example, day 21 of 28 day cycle or day 28 of 35 day cycle)

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>30 nmol/l confirms ovulation; if 10-30 nmol/l check when sample taken in relation to cycle length

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Follicle stimulating hormone

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Early follicular phase

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>10 IU/l indicates reduced ovarian reserve; >40 IU/l indicates ovarian failure; <5 IU/l may indicate pituitary or hypothalamic problem

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Luteinising hormone

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Early follicular phase

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>10 IU/l indicates polycystic ovaries; <5 IU/l may indicate pituitary or hypothalamic problem

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Testosterone

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Any time in cycle

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>2.4 nmol/l indicates polycystic ovaries >5 nmol/l suggests congenital adrenal hyperplasia; check DHEAS and 17-OHP

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Prolactin

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Any time in cycle (but not after exercise or stress)

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>1000 IU/l indicates pituitary adenoma; needs repeating

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Thyroid stimulating hormone

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Any time in cycle if woman has symptoms or signs of hypothyroidism or has hyperprolactinaemia

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High thyroid stimulating hormone indicates hypothyroidism

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Transvaginal ultrasound scan

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Oligomenorrhoea or amenorrhoea; raised luteinising hormone or testosterone

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Identifies polycystic ovaries

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MRI/CT of pituitary

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abcboxtIf two prolactin levels >1000 IU/l

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Identifies macroadenomas

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Karyotype

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Primary amenorrhoea and premature menopause

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Identifies karyotypic abnormalities—for example, Turner's syndrome (45,X), translocations, and androgen insensitivity syndrome (46,XY)

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Body mass index

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Oligomenorrhoea or amenorrhoea

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Body mass index >30 suggests polycystic ovary syndrome; body mass index <20 suggests hypogonadotrophic hypogonadism

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CT=computed tomogram; DHEAS=dihydroepiandrosterone sulphate; MRI=magnetic resonance imaging scan; 17-OHP=17-hydroxyprogesterone

Posted on Sep 4, 2003, 10:05 PM

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