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lh hormones going up and down daily?

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lh tests show my lh hormones going up and down dailyin the second line will be dark and then light all in the same day whats going on I have pcos but I heard that would mean elevated lh all the time?

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replied December 31st, 2013
Ovulation and Ovaries Answer A45607
Welcome to e health forum.

First you need to understand the condition you have, PCOD .

PCOD ( polycystic ovarian disease) is one of the commonest causes of infertility. Patients have multiple small cysts in their ovaries that occur when the regular changes of a normal menstrual cycle are disrupted. The ovary is enlarged; and it produces persistently elevated amounts of androgen and estrogenic hormones , which set up a vicious cycle. This excess, along with the absence of ovulation, may cause infertility.

Irregular periods associated with PCOD are usually due to abnormal hormone levels as a result of altered pattern of hormone secretion and ovulation is usually absent during those cycles. Hence such cycles are considered anovulatory cycles. Hence pregnancy is not possible in such conditions.

With respect to diagnosis, of the condition, hormonal assay, is just a aid, to diagnosis. Diagnosis of PCOS is based on the presence of at least 2 of the following-

1. Irregular cycles (oligo-ovulation or anovulation)
2. Clinical or biochemical signs of hyperandrogenism, and
3. polycystic ovaries (Radiological evidence).

A high level of LH is found only in about 4 out of 10 women with PCOS. Hence it is not a confirmatory finding for the diagnosis of PCOD.

Correction of PCOD needs the following interventions:

1. WEIGHT LOSS: A permanent weight loss plan via a low calorie diet (obtained by consulting a dietitian) as well as a good exercise plan will be very effective. Note that Crash diets are usually not effective.

2. PHYSICAL EXERCISE : A good exercise plan, including aerobic activities such as walking, jogging or swimming are advised. Try to find a partner to do this with, so that you can help each other to keep going.

Treatment of PCOD for women not wanting pregnancy, at the moment will be focused on correction of anovulation, and initiation of regular cycles. This is done with proper progesterone pills, which reduce the continuous action of estrogen.

The management in the infertile patient will usually focus on inducing ovulation to help them conceive with medications . Some of the following medications or a combination of the medications are essential to bring on proper ovulation cycles.

A. Ovulation inducers - like clomiphene , HMG (gonadotrophins) and Letrozole

B. Metformin (a antidiabetic ) - helps to correct the insulin resistance, which is a major factor, especially in obese patients with PCOD.

In cases that do not respond to the above measures intra uterine insemination or invitro fertilization techniques would be the alternative to achieve conception.

The good news is that with the currently available treatment options, successful treatment is usually possible in the majority of patients with PCOD. But this would need patience to work and follow the doctors advice and compliance with medications that are prescribed. Abrupt stopping of medications will not result in controlling the condition.

In your case, you may consult with a OB-GYN doctor who can advise you and prescribe appropriate medications to treat your condition.

I hope this helps.

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