Tag Archives: vaughanacupunctureclinic

Fertility Hormones and Their Reference Ranges

You know the drill when it comes to hormonal blood work; it’s a lot of poking and prodding on multiple days of your menstrual cycle. In my experience, my patients have had all the right testing done (mostly), but no one has taken the time to sit down with them and explain what the results truly mean.

The biggest pitfall of serum (blood) hormone testing is that the reference ranges are MASSIVE. Which means it is highly unlikely that your results will be deemed “abnormal” even though you know something is wrong. So that’s what this blog is for; I’m going to break it all down for you and discuss what the results mean and the REAL range you’re looking for. Note: the following reference ranges are for women and are Canadian units. 

1) Estradiol 
What it isEstradiol, along with LH and FSH, stimulate follicle (egg) maturation. It’s also responsible for female sex characteristics, thickening of the endometrial lining, and bone protection. Estrogen can also be converted from fat, in both males and females, by an enzyme called aromatase.
What it meansLow estradiol is present in peri-menopause and menopause. Elevated estrogen is present in early premature ovarian insufficiency (followed by low levels), and in estrogen dominant conditions like: PMS, endometriosis, PCOS, and obesity.
Reference Range:
Follicular 77-921 pmol/L
Luteal 77-1145 pmol/L
The “real” range: The width of the above ranges is ridiculous! Estradiol should be tested on day 3 and should be lower than 200 pmol/L and higher than 80 pmol/L. A level higher than this is a sign that the body is trying too hard to stimulate egg development, and the ovaries are not responding. In this case, you will likely see elevated FSH too.

2) FSH (follicle-stimulating hormone)
What it isThe name says it all. FSH is in charge of the development and maturation of follicles.
What it meansHigh levels are diagnostic of menopause, ranging from 27-133 IU/L. When your body is pumping out more FSH than normal, it’s a sign that the ovaries are not responding (just like estrogen). Low levels of FSH are typically present in PCOS.
Reference Range:
Follicular 3-8 IU/L
Mid-cycle 3-22 IU/L
Luteal 1.5-5.5 IU/L
The “real” range: Higher than 8 IU/L on day 3 (that’s the 3rd day of your period) is too high and the value is only going up from there. 6 IU/L is as good as it gets on day 3.

3) LH (Luteinizing hormone)
What it isAh, the hormone everyone knows and loves! The LH surge triggers ovulation and is measured by urine strips. LH also contributes to the maturation of eggs. You may not know that estrogen surges right before LH, which can also be used to detect ovulation.
What it meansOn day 3, an LH to FSH ratio greater than 2:1 is indicative of PCOS. LH is elevated in PCOS for so many reasons I’ll need to dedicate another blog to it. Elevated LH also stimulates elevated testosterone production, and in turn estrogen production. Contrary to what you may think, high LH actually inhibits ovulation instead of stimulating it.
Reference Range:
Follicular 2-12 IU/L
Mid-cycle 8-90 IU/L
Luteal 1-14 IU/L
The “real” range: LH should be almost equivalent to FSH on day 3.  6-8 IU/L is ideal.

4) Progesterone
What it isMost of the body’s progesterone is produced by the outer coating of the egg, called the corpus luteum. After you ovulate, progesterone levels increase to maintain the endometrial lining and prepare for embryo implantation. Progesterone also stimulates the production of a thick mucous that covers the cervix so no sperm can enter the uterus (FYI this is the basis of hormonal birth control).
What it meansA low level of mid-luteal progesterone indicates anovulation and luteal phase defect (short luteal phase) and predicts implantation failure/ early miscarriage.
Reference Range:
Luteal 4-50 nmol/L
The “real” range: On day 21 the minimum value is 10 nmol/L to have ovulated and 20 nmol/L to carry a pregnancy. Day 21 is arbitrary if you don’t ovulate on day 14. Progesterone is best-tested 7 days after you ovulate.

5) Prolactin 
What it isThe main function of prolactin is to stimulate breast milk production. However, elevation can also occur due to the following: benign pituitary tumor, periods of high stress, hypothyroidism, PCOS, and certain medications.
What it meansElevated prolactin inhibits the release of GnRH, which then inhibits the release of LH and FSH. Without LH and FSH, follicles will not develop.
Reference Range:
5-30 ug/L
The “real” range: Prolactin levels as high as 50 ug/L can inhibit ovulation, but small increases by a few points are relatively harmless. One-time elevation should be followed by repeat testing. As mentioned, stress is a major influence on this hormone.

6) DHEA 
What it isA precursor hormone to both estrogen and testosterone.
What it meansDHEA is often evaluated in PCOS, as elevations in this hormone increase androgen levels. It may be prescribed to improve ovarian reserve (but not without fun side-effects).
Reference Range: <9.8 umol/L

7) Androstenodione 
What it isProduced from DHEA, this hormone is the precursor to testosterone.
What it meansElevated androstenedione is found in PCOS and adrenal hyperplasia. Both conditions inhibit ovulation. It may be elevated in isolation, or with testosterone.
Reference Range:
Follicular 1.2-8.7 nmol/L
Luteal 1.1-8.2 nmol/L

8) Testosterone 
What it isYou know this hormone for its role as the primary male sex hormone, but it’s important for women too! In the ovaries, testosterone is produced by the stromal cells and converted to estrogen. It participates in follicle growth and development, not to mention male and female libido.
What it meansToo much is present in PCOS which is far from ideal, but too little can inhibit ovulation and egg development.
Reference Range:
Total testosterone 0.3- 1.8 nmol/L (some labs up to 4 nmol/L)
The “real” range: Testosterone is extremely tricky to test accurately. Free testosterone is a better measurement than total and the reference ranges (depending on the lab) have huge variability. In order to test free testosterone you need to test total testosterone and sex hormone binding globulin.

9) AMH (Anti-Mullerian Hormone) 
What it is: It’s a hormone that can depict the female egg reserve because it is secreted by the eggs in the ovaries. The more eggs you have, the higher the value will be. Not surprisingly, AMH decreases with age. This is the only hormone test we have for predicting ovarian reserve.
What it meansA lower value for your age means you have a lower number of eggs than the average female. A much higher value for your age is indicative of PCOS, as the cystic ovaries in PCOS secrete excess AMH.
Reference Range: The numbers are averages based on age:
< 33 = 2.1 ng/mL
33-37 = 1.7 ng/mL
38-40 = 1.1 ng/mL
> 41 = 0.5 ng/mL
The “real” range: At any age, a value > 3.15 – 4.45 ng/mL warrants further testing for PCOS. A value of 6.8-10 ng/mL is diagnostic.

10) TSH (thyroid stimulating hormone) & Antibodies (anti-TPO, anti-TG, anti-TSH) 
What it isTSH is released by the anterior pituitary, which then stimulates the release of thyroid hormones (T3, T4) from the thyroid gland. TSH above the reference range with symptoms present is diagnostic of hypothyroidism, and below is hyperthyroidism. TPO and TG antibodies cause the thyroid condition known as Hashimoto’s, anti-TSH is more commonly present in Graves’.
What it meansDeficient thyroid function affects egg quality, embryo quality, and implantation rates. Combine that with thyroid antibodies, and there’s an increased risk of miscarriage.
Reference Range:
TSH 0.32-4.0 mIU/L
Antibodies should all be negative
The “real” range: TSH should be < 2.5 to prevent miscarriage. A full thyroid lab panel (with individual thyroid hormones) is certainly necessary in cases of recurrent miscarriage.

Have more questions? Meet with me!
Wondering about your own lab results? Need a little help wading through the information and finding the useful parts? I offer a free 30 min consultation to all new patients. Click below to book yours today. I look forward to seeing you soon!

About the Author

Picture

​Dr Caleigh Sumner is a Naturopathic Doctor
at the Toronto Reproductive Acupuncture Clinic.

http://www.toronto-fertility.com/blog/the-top-10-hormones-worth-testing-for-fertility-the-exact-results-you-want-to-see-dr-caleigh-sumner-nd

Happy Lunar New Year!

Happy Lunar New Year! Welcome the Year Of The Dog 🐕 If you are born in 1946, 1958, 1970, 1982 or 1994 this is your year to SHINE!
Based on 5 Element Theory this is an Earth Dog year. This is a good year to ground yourself and reconnect with nature 🌍
The colour associated with the Earth element is Yellow, so yellow will be the lucky colour this year ⚂
Dogs are known for their loyalty and this will be a common theme this year. Think: loyalty, honesty, friendship and being responsible for the welfare of others (i.e service dogs).
Negative traits of a dog are that they can be impulsive and aggressive. So this year you may find it difficult to control your emotions. But just as a dog can be trained, you too can train yourself to keep your cool in stressful situations.
Dogs are often referred to as “man’s best friend” making people born in the year of the dog to be awesome friends to have. Consider yourself lucky if you have a dog-person in your life!
Wishing you all the best for the year ahead!

Acupuncture for the Treatment of Migraines and Headaches – It Really Works!

migraine-men-pain-400x400

Are you plagued by chronic headaches?
About 1 in 6 Canadians suffer from chronic headaches, women more so than men. Scientific research indicates  that acupuncture can be more effective than medication in reducing the severity and frequency of chronic headaches.
The pain that headache and migraine sufferers endure can impact every aspect of their lives. Acupuncture is a widely accepted form of treatment for headaches and can offer powerful relief without the side effects of prescription and over-the-counter drugs.

Headaches and migraines, as well as their underlying causes have been treated successfully with acupuncture and Traditional Chinese Medicine (TCM) for thousands of years.  Acupuncture and TCM can be used alone in the management and treatment of headaches, or as part of a comprehensive treatment program.

TCM does not recognize migraines and chronic headaches as one particular syndrome. Instead, it aims to treat the specific symptoms that are unique to each individual in order to restore imbalances found in the body. Therefore, your diagnosis and treatment will depend on a number of variables including:

  • Location of the headache: Is the headache behind your eyes and temples, or is it located more on the top of your head?
  • Time of day or season: When do your headaches occur (i.e. night, morning, after eating)? Are they worse in the summer or winter months?
  • Alleviating and contributing factors: Do you find that a cold compress or a darkened room can alleviate some of the pain? Do you have sensitivity to sound?
  • Accompanying symptoms: Do you have a loss of appetite, nausea or vomiting? Do you have neck tension or muscles stiffness?
  • Nature of the pain: Is the pain dull and throbbing, or sharp and piercing?

Your answers to these questions will help your Registered Acupuncturist create a treatment plan specific to your needs. The more customized the treatment plan is the greater your success. The basis for an effective treatment always starts with a thorough assessment on the Initial Visit. This allows the Acupuncturist to determine your body’s “constitution” and select appropriate acupuncture points that will yield the best results. Acupuncture stimulates specific points all over one’s body to alter various biochemical and physiological conditions that cause aches and pains or illness. The purpose of treatment is to promote your body’s own self-healing mechanisms and completely eliminate your headaches and migraines or at the very least reduce the frequency and intensity.

The length, number and frequency of treatments will vary form person to person. Typical treatments last from 20 to 30 minutes, with the patient being treated one or two times per week. Some headaches, migraines and related symptoms are relieved after the first few sessions, while more severe or chronic ailments often require multiple treatments.

Call today to book an appointment: 905.993.5255 or book online: www.besthealthacupuncture.com