QuestionHi Dr. Ramirez,
I am 28 years old and my infertility issue is a luteal phase defect (12d LP with 5-7 days of spotting). I just got the results from my day 3 blood test. My FSH was 3.0 and my estradiol was 58.3. My 6 dpo progesterone was 63.6. Are these levels normal, or do you think that they could indicate a problem?
Also, my TSH was 4.1 (I take Synthroid 50 mcg daily). I know this is within the range of normal, but is there a preferred TSH range for infertility patients?
Thank-you!
Laura from Canada
AnswerHello Laura from Canada,
I apologize for the delay in getting back to you. I went to the U.S. National Infertility Conference, and although I answered all the questions before I left, some much have been placed after that.
All your lab values are normal. Luteal phase defect can be treated in two ways. You can undergo ovulation induction with a fertility medication, which should correct the defect, or you can take natural progesterone, like Crinone, Endometrin or Prometrium starting on cycle day # 16 for 10 days.
The TSH level just needs to be normal for infertility. There is no "ideal" number or range.
I hope this helps,
Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
www.montereybayivf.com
Monterey, California, U.S.A.
for additional information check out my blog at http://womenshealthandfertility.blogspot.com check me out on facebook and twitter with me at @montereybayivf
