Hormones & Fertility
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Transcript of Hormones & Fertility
HORMONES & FERTILITY5 Hormonal Aspects of Infertility
CDC reports 22% of women have trouble getting pregnant
Causes include: - 21% anovulation - 14% tubal damage- 6% endometriosis
Overall, 28% of cases were unexplained
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There are 5 key hormonal aspects to infertility
1. Ovarian insufficiency – as follicles fall, estrogen is still produced but ovulation does not occur
2. Luteal phase deficiency – ovulation may occur but progesterone levels are insufficient to sustain pregnancy
3. PCOS – polycystic ovarian syndrome most common endocrine disorder in women of reproductive age
4. Thyroid deficiency – also implicated as a cause of infertility
5. Stress – High or low cortisol levels can affect the ability to conceive
Women with infertility also tend to experience monthly hormone changes, such as . . .
- High FSH level on Day 3 – follicular phase – reflects ovarian insufficiency
- Low estradiol & progesterone on Day 21 could indicate low egg reserve
- High estradiol & low progesterone in luteal phase indicates non-ovulation
- High testosterone + DHEA-S with high LH relative to FSH points to PCOS
Learn more by viewing an educational webinar on Fertility & Hormones
Delivered by Dr. Alison McAllister