FSH inspection and result interpretation
FSH (follicle stimulating hormone) test is one of the important indicators to evaluate female fertility, and also one of the important basis for the selection of IVF treatment program. The following four aspects will introduce the significance of FSH examination and the consideration of selecting IVF treatment plan according to the results.
1. Significance of FSH inspection
FSH is an objective indicator of female fertility, which mainly assesses female ovarian function and follicular development. Generally, FSH examination should be carried out on the 2nd to 3rd day of menstruation. At this time, the FSH level is low, which can reflect the sensitivity of the ovary to FSH. If the FSH level rises, it indicates that the ovarian function is abnormal, which may lead to ovulation disorders, premature ovarian failure and other problems, affecting the success rate of IVF treatment.
In FSH examination, generally, FSH concentration below 10mIU/ml is considered normal, 10-15mIU/ml belongs to marginal area, and more than 15mIU/ml is considered to have abnormal ovarian function. Therefore, according to the results of FSH examination, we can determine whether IVF treatment is needed and what treatment scheme to choose.
2. FSH examination results select test tube baby treatment plan
a. Within the normal range of FSH
If the FSH level of women is within the normal range, it usually indicates that the ovarian function is normal, and it is suitable to use non test tube baby treatment technologies such as assisted ovulation or artificial insemination in assisted reproductive technology. These technologies can assist in pregnancy, increase the probability of pregnancy, and reduce the physical burden on women.
b. FSH edge area
The women whose FSH concentration is in the marginal area indicate that the ovarian function may be damaged to some extent, but the IVF treatment is not completely impossible. For this part of the population, doctors will consider other factors, such as age, number of follicles, to determine whether it is suitable for IVF treatment. If other indicators are normal, IVF treatment can be selected, but the success rate is relatively low.
c. FSH rise
When the FSH concentration exceeds the normal range, it may mean that the female ovary function is poor. At this time, the selection of IVF treatment scheme is relatively complex. Generally, after more comprehensive hormone examination and ovarian color ultrasound examination, we will comprehensively judge whether it is suitable for IVF treatment. If the number of other hormones and follicles is normal, you can try non cohabitation fertilization (IVF-ET). If there are other abnormalities, you may need to choose the donation of eggs or embryos in assisted reproductive technology to improve the success rate.
3. Use FSH examination to guide the adjustment of treatment plan
In the process of IVF treatment, the dynamic change of female FSH level can also provide guidance for the adjustment of treatment plan. The change of FSH concentration before and after hormone treatment can reflect the treatment effect. If the FSH level drops or remains stable, it indicates that hormone treatment is effective and should continue to be treated; If the FSH level rises, it indicates that the hormone treatment is not effective, and the treatment plan may need to be adjusted or other assisted reproductive technologies may be needed.
4. Summary
FSH examination is one of the important bases for the selection of treatment scheme for IVF. Based on the results of FSH examination, it can be determined whether IVF treatment is needed and what treatment scheme to choose. Women with FSH concentration within the normal range are suitable for non IVF treatment in assisted reproductive technology, while women with high FSH concentration may need to integrate other indicators to decide whether to conduct IVF treatment. At the same time, the dynamic changes of FSH examination can also provide guidance for the adjustment of treatment plan. Therefore, FSH examination is one of the very important auxiliary evaluation indicators in the process of IVF treatment.
