FSH question

CindyS

5 Posts
Reply Posted on: Feb 7, 2013 at 5:24pm
Hi Dr. Braverman,

I have a question re FSH levels.

Back in Sept my Day-3 FSH was 5, which my RE considered good. However during a consult today we were told that since then, subsequent to trying Clomid and Bravelle with no success, that my FSH has been consistently between 9-9.2 for the last 3 cycles.

That seems like a high and sudden jump in FSH level. Is there any chance that it can be related to the fertility medications?

If not, would you consider an FSH of 9+ (I'm 35yoa) an immediate indicator for IVF?

As our problem has been recurrent miscarriage to date (we've been pregnant w/o assistance 4 times so far) this is a new possible problem for us. We have been chaulking it up to age but now we fear there may be more going on.

With our history of miscarriage I am hestitant to rush to IVF unless it is absolutely necessary.

Thank you for your help.

Dr. Braverman

2026 Posts
RE: FSH question Posted on: Feb 7, 2013 at 7:07pm
Im not "overly" concerned about the FSH, minor issue maybe. Consider endometriosis when FSH starts to go up at an early age and you have recurrent pregnancy loss. If you do concieve but miscarry you not need IVF just the correct management for the losses.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.

CindyS

5 Posts
Reply RE: FSH question Posted on: Feb 10, 2013 at 1:49pm
Hi Dr. Braverman,

Thank you so much for your response.

You mentioned that we should possibly be looking for endometriosis given my sudden jump in FSH, can you tell me what should be done to confirm this? I've had a number of ultrasounds and it has not been mentioned, is that something that would've been noticed on an ultrasound?

As the dr is firmly pushing IVF at this point I want to make sure we don't rush in to anything if there is another problem that might prevent our success.

Also, I've noticed a few of your patients mention an HLA-triad as a possible cause for repeat miscarriage. Can you explain how that works and how it is treated?

Thank you,
Cindy

Dr. Braverman

2026 Posts
RE: FSH question Posted on: Feb 10, 2013 at 2:17pm
Endometriosis can only be diagnosed with a laparoscopy , a same day surgical procedure where they look in the belly with a camera. The "triad" is one of hundreds of reasons why you might be having a problem, but certainly a full immune workup would be warranted after the laparoscopy to look for all of the possible issues.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.