Cycle Day 3 Lab Results

I received my lab results back from Day 3. These were taken prior to me starting fertility medication (Femara).

Liver & Kidney Function - Normal
TSH - .91 - Normal
Random Glucose - 76 - Normal
AMH "anti-mullerian hormone" - 12.7 - High (normal range is 1.6 to 3.9)
Estradiol - 71 - High (want under 50)
FSH "follicle stimulating hormone" - 8.1 - Slightly Elevated (want under 7.9)

So what does it all mean? That's something I am constantly trying to learn about. I had a lot more years with a lot less responsibility to learn all about my mullerian anomaly. But PCOS is still new to me and there is so much to learn. Plus, some of these results are atypical even for someone with PCOS.

The high AMH basically just means that I have PCOS. It tests for ovarian reserve and a high number just means I am making more follicles than the average woman. You would think that would be a good thing but the problem is that the follicles don't develop into eggs or reabsorb back into the ovary in my case. So they just hang out in my ovaries and stay small.

From what I understand, the estradiol test is important for determining the accuracy of the FSH. A high estradiol can artificially lower the FSH. That means my FSH is probably actually much higher than what it shows. Women over 40 typically have high FSH results and it means that they have less good eggs. As we know, I have lots of follicles but am just not producing good eggs. In the words of my nurse regarding the estradiol and FSH results: "This is showing mild diminished ovarian reserve. You can still get pregnant."

Overall, I think it is a really good thing that we started when we did because I am running out of time quickly. We'll see what Monday's ultrasound shows in terms of what my eggs look like after the fertility medication but I am not too optimistic there will be much there to work with. Kyler defied all odds so hopefully we can make that happen one last time!