Infertility Panel for Women near me in Jaipur

A Dehydroepiandrosterone Sulphate test measures the levels of dehydroepiandrosterone sulphate (DHEAS) in the blood. DHEAS is a steroid hormone that is present in both males and females. It is primarily produced by the adrenal glands, with smaller amounts produced by ovaries in females and testicles in males. 

DHEAS plays a role in developing male secondary sexual characteristics at puberty. The body can convert it into more potent androgens like testosterone and androstenedione. Also, it can be converted into the female hormone estrogen. 

A Dehydroepiandrosterone Sulphate test helps diagnose and differentiate certain endocrine disorders, contributing to a comprehensive understanding of hormonal balance in the body.

The AMH (Anti-Mullerian Hormone) test measures the levels of anti-Mullerian hormone (AMH) in the body. This hormone is produced by the testes in men and the ovaries in women. In women, the test shows how many eggs are left in the ovaries, helps check fertility, predicts how the body may respond to treatments like IVF. It can also help diagnose conditions such as polycystic ovary syndrome (PCOS). In boys and men AMH reflects Sertoli cell function; low levels in infants/children can indicate testicular dysfunction, undescended testes, or some disorders of sex development. AMH interpretation in adult men is different and must be correlated with other tests.

What Do the Results Mean?

Pathological Factors 

What Do Normal AMH Levels Mean?

 Normal AMH levels indicate healthy reproductive function.

• In women, they show a normal ovarian reserve and a good number of developing eggs.
• In men, they reflect healthy testicular function and proper Sertoli cell activity, which are important for reproductive growth.

What Do High AMH Levels Indicate?

In women, high AMH may suggest polycystic ovary syndrome (PCOS) and can indicate a higher antral follicle count; very high AMH may also occur with granulosa-cell ovarian tumors. Clinical correlation is essential. 

In men, high AMH is normal in early life. In older men, very high levels are rare but may indicate testicular or Sertoli cell issues.

What To Do If Your AMH Is Higher Than Normal?

 If your AMH is higher than normal, your doctor may suggest additional tests:

For women: Hormone tests or an ultrasound to check for PCOS or the risk of ovarian over-response during fertility treatments.

For men: Hormone tests or imaging to check testicular health and rule out rare tumors.

What Do Low AMH Levels Indicate?

Low AMH levels can mean reduced fertility potential:

In women: It may indicate a low ovarian reserve, approaching menopause, or reduced chances of conceiving.

In men: It may suggest underdeveloped or damaged testes or reduced Sertoli cell function, which can happen in delayed puberty or certain congenital conditions.

Can AMH Results Be Inaccurate?

Yes. AMH results can vary due to individual factors such as age, hormonal changes, or medical conditions. It is important to interpret results alongside other hormonal and clinical findings.

What Factors Can Affect AMH (Anti-Mullerian Hormone) Results?

Though it is a reliable test, several factors can influence accuracy:

• Age
• Birth control pills or hormone therapy
• Medical conditions such as PCOS, ovarian cysts, or hormonal disorders
• Lifestyle factors

What Follow-Up Tests May Be Required?

Based on your AMH (Anti-Mullerian Hormone) test results, your doctor may suggest additional tests to evaluate fertility, ovarian reserve, or reproductive health more comprehensively. These may include:

Table: Tests Commonly Ordered Alongside AMH Test

An E2 (Estradiol) test measures estradiol levels, a hormone produced in men and women. It helps assess early or delayed puberty, menstrual problems, symptoms associated with menopause, or certain cancers like ovarian cancer. This test provides valuable information about ovarian function and aids doctors in evaluating menstrual issues, such as abnormal bleeding or missed periods. The test can also assess the health of the testes, ovaries, or adrenal glands. Most diseases associated with estrogen/estradiol, such as PCOS, infertility, some cancers, etc., can be prevented by lifestyle modifications, menopausal hormone therapy, or other supplements such as calcium, vitamin D, and micronutrients.

The Follicle Stimulating Hormone test measures the level of FSH in your body. FSH is produced and subsequently released into the blood by the pituitary gland. Its production is controlled by a feedback mechanism involving a hormone situated in the hypothalamus in the brain. The released FSH travels through your blood and then attaches to receptors in the ovaries and testes. It exerts functional effects on the reproductive organs, such as sexual development, puberty, and maturation. FSH levels vary throughout the menstrual cycle in response to estradiol and progesterone. Any disruption or issue in this feedback mechanism can prevent the normal function of the testicles or ovaries. Thus, determining its level provides crucial information regarding your health.

The Serum Prolactin test measures how much prolactin hormone is in the blood. During pregnancy, prolactin works along with estrogen and progesterone to prepare the body for breastfeeding. After delivery, prolactin helps start and maintain milk production. If a woman does not breastfeed, her prolactin levels drop soon after birth.

Besides pregnancy, the most common cause of high prolactin is a prolactinoma. It is a non-cancerous tumor in the pituitary gland. These tumors are more common in women but can also occur in men. If the tumor becomes large, it may press on the optic nerve, causing headaches and vision problems. It can also affect the production of other hormones.

The TSH (Thyroid Stimulating Hormone) Ultrasensitive test measures the levels of TSH hormone in the blood. TSH is produced by the pituitary gland located at the base of the brain. Its function is to stimulate and regulate the functioning of the thyroid gland. It signals the thyroid gland to increase or decrease the production of thyroid hormones T3 and T4 when their levels are low or high, respectively. Therefore, when the levels of T3 & T4 decrease, the pituitary gland is stimulated to release TSH. This high TSH level, in turn, stimulates the thyroid gland to release more thyroid hormones (T3 & T4). Vice versa happens when the levels of thyroid hormones increase.

What Do the Results Mean?

Pathological Factors

Physiological Factors

 🧒Age: TSH may slightly increase with age.

🫄 Pregnancy: TSH levels may drop in early pregnancy because of hormonal changes.

🧑‍🦳 Gender: Women generally have higher TSH levels than men and are more prone to thyroid imbalances, especially during pregnancy, after childbirth, or around menopause.

⚖️ Body Weight & Metabolism: Weight gain or loss can slightly affect TSH levels.

Lifestyle Factors

🥗 Diet: Too little iodine can increase TSH, while too much may lower it.

😟 Stress: Long-term stress can disturb thyroid hormone balance.

💊 Medications: Some medicines, like steroids or lithium, can change TSH levels.

🛌 Sleep Patterns: Poor sleep can affect thyroid hormone control.

🚬 Smoking & Alcohol: Smoking may lower TSH, and too much alcohol can harm thyroid function.

🏃 Physical Activity: Regular exercise supports thyroid health, but extreme workouts can cause temporary TSH changes.

Disclaimer: This information is for educational purposes only and should not replace professional medical advice, diagnosis, or treatment. Always consult your healthcare provider for personalized guidance.

What Do Normal TSH (Thyroid Stimulating Hormone) Ultrasensitive Levels Mean?

Normal TSH levels indicate that your thyroid is functioning well, producing the right amount of thyroid hormones (T3 and T4) to regulate metabolism, energy, and overall body functions. Balanced TSH suggests your body is maintaining proper hormonal balance, supporting healthy weight, energy levels, mood, and cardiovascular health.

What Do High Levels of TSH (Thyroid Stimulating Hormone) Ultrasensitive Indicate?

High TSH levels usually mean the thyroid is underactive (hypothyroidism). The pituitary gland releases extra TSH to make the thyroid produce more hormones.

Common causes include:

• Autoimmune thyroid problems like Hashimoto’s thyroiditis
• Pituitary gland disorders
• Recovery after illness or thyroid surgery
• Some medicines or a lack of nutrients

What to Do if Your TSH (Thyroid Stimulating Hormone) Is Higher Than Normal?

If your TSH level is high, talk to your doctor. They may: 

• Recheck with more thyroid tests (T3, T4, or antibodies)
• Review your medicines, diet, and health history
• Recommend thyroid hormone treatment if required
• Track symptoms like tiredness, weight gain, feeling cold, or hair loss

Timely management can help control thyroid imbalances effectively.

What Do Low Levels of TSH (Thyroid Stimulating Hormone) Ultrasensitive Indicate?

Low TSH levels usually mean your thyroid is overactive (hyperthyroidism). This happens when the thyroid releases excess thyroid hormones, so the pituitary gland reduces TSH production.

Possible causes include:

• Graves’ disease (autoimmune thyroid disorder)
• Thyroid nodules that produce extra hormones
• Thyroid inflammation (thyroiditis)
• Taking too much thyroid medicine

If your TSH is low, your doctor may suggest more tests like T3, T4, thyroid antibody tests, or an ultrasound to find the cause and decide the right treatment.

Can TSH Results Be Inaccurate?

Yes. Certain factors such as pregnancy, recent illness, medications, or underlying pituitary or thyroid disorders can affect TSH levels and lead to inaccurate results. If your results do not match your symptoms or overall health, your doctor may suggest repeating the test or additional testing. 

What Factors Can Affect TSH (Thyroid Stimulating Hormone) Ultrasensitive Results?

The TSH (Thyroid Stimulating Hormone) Ultrasensitive test is reliable, but a few factors can affect its accuracy, such as:

• Recent thyroid surgery or radioactive iodine treatment
• Taking biotin supplements
• Severe illness or hospitalization
• Certain medicines (like amiodarone or lithium)
• Pregnancy

What Follow-Up Tests May Be Required?

Based on your TSH results, your doctor may suggest more tests to better understand your thyroid health. These tests may include:

Table: Tests Commonly Ordered Alongside TSH

How Does TSH Test Differ from Other Thyroid Tests?

It is important to understand how the TSH test differs from other common thyroid tests:

TSH (Thyroid-Stimulating Hormone): Measures how much signal the pituitary gland is sending to the thyroid to make hormones.

Total T4: Measures the overall amount of thyroxine (T4) in the blood, including both bound and unbound forms, to understand thyroid hormone production.

Free T4 (FT4): Checks the active form of T4 that is available for use by the body. It helps assess how well the thyroid is functioning.

Total T3: Measures the total amount of triiodothyronine (T3), the active hormone derived from T4, often helpful in detecting hyperthyroidism.

Free T3 (FT3): Evaluates the unbound, active T3 level to understand how efficiently T4 is being converted to T3.

Thyroid Antibody Tests (TPOAb, TgAb): Identify autoimmune thyroid conditions like Hashimoto’s thyroiditis or Graves’ disease.

The Luteinising Hormone test determines the level of luteinizing hormone that promotes the functioning of the gonads, i.e., testes in men and ovaries in women. LH is produced by the pituitary gland, a pea-sized gland situated at the base of the brain. The production and release of LH are controlled by a system known as the hypothalamic-pituitary-gonadal axis. A hormone called GnRH is released from the hypothalamus of the brain and binds to the cell receptors in the anterior pituitary gland, which in turn prompts the synthesis and release of luteinizing hormone. LH then travels across the blood and attaches to its target cells in the testes in men and ovaries in women to facilitate optimal sexual and reproductive activities.

The Testosterone Total test measures the level of testosterone hormone available in the blood. This includes two forms of testosterone: free testosterone and bound testosterone. Bound testosterone is attached to proteins, mainly to sex hormone-binding globulin (SHBG) and albumin. It cannot enter the body's cells or directly affect tissues and organs. Instead, it acts as a store of testosterone in the blood and can be released when the body needs it. Free testosterone is not attached to any proteins and is the active form. It can easily transport to various tissues, and affects key functions like sex drive, muscle growth, bone strength, and energy levels.