Human Reproduction, Vol 12, 1152-1155, Copyright © 1997 by Oxford University Press
YK Kim, SK Wasser, VY Fujimoto, NA Klein, DE Moore and MR Soules
The relative efficacy of follicle stimulating hormone (FSH), luteinizing
hormone (LH), FSH:LH ratio and oestradiol is evaluated as a predictor of
ovarian reserve (reproductive age) in normal women. Serum levels of FSH,
LH, oestradiol and FSH:LH ratios were measured during menstrual cycle days
1-4 in younger (20-25 years; n = 23) and older (40- 45 years; n = 32)
reproductive age women with regular menstruation and normal reproductive
function. On days 1-4, mean levels of FSH, oestradiol and FSH:LH ratios
were significantly higher in older compared with younger women. FSH
increased in concentration across cycle days in both age groups. A
significantly lower LH value in younger versus older women was found only
on day 1. Oestradiol showed no change across days in the younger group, but
increased significantly from day 1 to day 4 in the older group. FSH values
on days 1 or 2 were the best single predictor of age differences. However,
the best prediction of age differences was obtained by using the
combination of FSH and LH (as opposed to the FSH:LH ratio) on day 1 of the
menstrual cycle.
ARTICLES
Utility of follicle stimulating hormone (FSH), luteinizing hormone (LH), oestradiol and FSH:LH ratio in predicting reproductive age in normal women
Department of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle 98195, USA.
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