trying to conceive
trying to conceive
trying to conceive

My FSH is 10.5

by Alpa
(Austin, TX)

Hi Amelia,
My name is Alpa. My FSH level on Day 3 is 10.5 I am 30 years old. We have been trying to conceive for 5 years. Nothing has happened.

My progesterone level is always normal after ovulating. Last time my progesterone level was 21. I have regular cycles. My cycle is always 23-24 days long. I never miss a period. What do you suggest in my case? Please help me.

Waiting to hear from you...
Alpa

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My FSH is 10.5

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FSH is not Everything!
by: Amelia Hirota

Hi Alpa,
FSH is not everything. It is not an accurate measure of fertility or even of ovarian reserve. However, your FSH level of 10.5 is absolutely fine.

I'm glad that you shared your progesterone level of 21. That is fantastic. It's nice to know that you're definitely ovulating.

There are 2 distinct possibilities in your case. It might be that the sperm is not fertilizing an egg. What is the count, motility, forward progression and morphology? Or, your luteal phase may be too short. What day are you ovulating?

With your short cycle, you'd have to be ovulating around Day 10 or your cycle to have a luteal phase of 12 days. Please read more about charting at http://www.the-fertility-acupuncturist.com/fertility-calendars.html and consider taking my charting teleclass. Learn to read your fertility signs through charting and you'll KNOW what's going on with your body.

Sending Baby Dust Your Way,
Amelia Hirota
Licensed and Board Certified Acupuncturist and Herbalist
More FSH Questions
by: Amelia Hirota

Hi Amelia,
We did two IUI cycles, but nothing happened. I usually ovulate around the 11th or 12th day of my cycle. My husband's semen volume is 3 ml, progressive motility is 33%, and normal morphology is 24%. The total count is 117 million.

On a previous IUI cycle, my husband's pre-preparation results were: volume 3 ml, total count 66 million, progressive motility 45%, normal morphology 22%.

Please reply me as soon as possible. Because we actually don't know what is wrong with us?

Alpa
Strict Kruger Sperm Analysis
by: Amelia Hirota

Hi Alpa,
Thank you for the details on your husband's sperm. It appears that the numbers are low. It seems that these are not strict Kruger parameters, which is a more critical way of evaluating sperm. Please do correct me if I'm wrong and the semen analysis was done according to strict Kruger standards.

On the 2 IUI cycles the count per million is between 20 - 30 million, which is low, as is the motility. Ideally, you'd like over 60 million per ml and 65% motility. When morphology isn't measured according to strict Kruger standards, it's really hard to assess the morphology. I fear that the morphology would be below 5% on a strict Kruger scale, which is terribly low. That would mean that 95% are abnormally formed.

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