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Hormone analysis report, Low testosterone levels, Infertility treatment - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Infertility Problem
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2291 Questions
Doctor :   How can I help you?
User :   need a help in gynacology
Doctor :   I shall help you as best as I can.
Doctor :   Proceed with your query.
User :   ok
User :   i got married three years ago
Doctor :   Ok
User :   and we had no children
User :   and we are planning from 6 months for a baby
User :   we had undergone tests as mentioned by doctor
Doctor :   Ok
User :   Harmone analysis report Serum LH 4.1mIU/ml
User :   follicular stimulating hormone 5.2 mIU/ml
User :   serum prolactin 26.1
Doctor :   Ok
User :   testosterone-free 3.9
User :   testosterone-total 2.6 mg/ml
Doctor :   Ok
User :   this are the results
Doctor :   Ok
User :   can you please suggest
Doctor :   The normal values of these hormone varies with age group, the day of her menstrual cycles and other parameter, hence the values may vary.
Doctor :   Can you mention the normal ranges mentioned for the each hormones checked, so that I can correlate better.(as the values may vary)
User :   serum Lh for male adult 1.7-8.6
User :   my doctor said 0.2 ml less in testosterone
User :   i am confused
Doctor :   Have these tests done on you or your partner?
User :   on me
Doctor :   Ok
User :   he had given me promactil tab and said every thing is normal and try for babies
Doctor :   Can you confirm your semen analysis reports too?
User :   ok
User :   physical examination color opaque white, volume 2.5 ML,viscocity normal, reaction alkaline
User :   microscopic examination Active Motlility 30%, sluggishly motile 40%, Non motile 30%, total sperm count 12 mill, sperm morphology Normal Forms, abnormal forms nil,pus cells 4-6
Doctor :   Ok
Doctor :   Let me explain to you.
Doctor :   Testosterone levels vary depending on the time of the test and the age group of the men.
Doctor :   As age appears middle age the levels of the hormones reduce, similarly
User :   i am 31
Doctor :   the values of the hormone is at the maximum when the test is done early in the morning.
Doctor :   If you have done the test late during the day, I feel you need to repeat the test; (to get the test early in the morning).
User :   i had done at evening 6
Doctor :   Some labs consider values of more than 3.5mg/dl to be normal while other labs consider values above 2. to be normal.
Doctor :   So you can look at the values given in your lab as the standard reference of normal range.
User :   ok
Doctor :   Get the test done early morning.
User :   ok
Doctor :   Testosterone levels are known to affect potency and sperm production.
Doctor :   Based on your semen analysis, your sperm counts are normal,
Doctor :   Sperm motility though is slightly low (normal being 50%) however anything above 30% can be considered normal.
Doctor :   So if you do not have any problems during sexual intercourse, with your reports, I do not find any factors that could be preventing conception.
Doctor :   Are you following?
User :   yes
User :   should i take all tests or testosterone is enough
Doctor :   I would suggest you to consider consulting an infertility specialist.
User :   my wife have a periods for 25 days
User :   lat month she had for 27 days
User :   what would be the fertile period
Doctor :   Evaluation of both the partners and testing both the partners is necessary before decision to test are suggested.
User :   ok
Doctor :   Fertile period is the day of ovulation.
User :   ok
Doctor :   It is difficult to predict the day of ovulation unless the periods are absolutely regular.
User :   ok
Doctor :   In a 25 to 27 day period, any day between 10 to 17 th day can be considered as the days of ovulation.
Doctor :   The first day counted from the first day when your partner gets her period.
User :   ok
Doctor :   The other measures to predict ovulation are recording the body temperature every day (early in the morning)
Doctor :   The day of ovulation is indicated by a rise in the body temperature.
Doctor :   Ofcourse, development of fever and other illness can interfere with this recording.
Doctor :   The more specific measure to record ovulation is by getting urine strip test.
User :   ok
Doctor :   You can buy a ovulation kit.
User :   ok
Doctor :   These are unfortunately available on the internet and are not easily available in a pharmacy (in India)
Doctor :   Using this kit (the test is similar to pregnancy test)
Doctor :   ovulation can be predicted.
User :   ok
Doctor :   Sexual intercourse during the one or 2 days before and after ovulation are more fruitful.
Doctor :   Hope it is clear to you.
User :   ok
User :   yes
Doctor :   Do you have any other query?
User :   no sir thanks for clearing my queries
User :   we will consult a doctor also
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
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