Acupuncture Hypothalamus
Acupuncture Hypothalamus
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The link between FSH and fertility is something that many couples considering IVF treatment only vaguely understand. But in order to establish in your own mind what treatment is best for your body so as to increase your chances of conceiving a baby you really need to know how this aspect of your body works. So here is a simple explanation.
FSH governs the production of eggs in females and sperm in males, and a lack of quantity or quality in either may make that couple infertile. FSH readings are invariably taken on women undergoing or considering IVF treatment, and so this article refers to women rather than men.
We are primarily concerned with just two body organs – your hypothalamus gland and your pituitary gland. Your hypothalamus gland has been likened to a thermostat, except that instead of monitoring temperature it monitors your hormone level. This gland, at the appropriate time in each menstrual cycle, releases a hormone called the gonadotropin releasing hormone (GnRH), which in turn affects the pituitary gland.
The pituitary gland is responsible, among other things, for releasing hormones into the body at the required levels, so as to maintain fertility. Possibly the most important of these hormones is the follicle stimulating hormone (FSH), and it is this that is released as a result of the interaction of the GnRH on your pituitary gland. This FSH then stimulates the ovarian follicles (which contain the egg cells) into producing the hormones needed to enable and sustain pregnancy.
When you have difficulty conceiving one of the possible causes is that your pituitary gland is releasing an incorrect amount of FSH. Hence the need to monitor it. Measurements are normally taken on the second or third day of your cycle and the reading should be below 15 mIU/ml.
Between 15 and 25 is outside the normal range but does not necessarily mean you are infertile. Above 25, however, usually does mean you are, at least for the time being, infertile. Possibly your pituitary gland is trying, in its own way, to make up for an insufficiency elsewhere. This is usually in your “ovarian reserve”, i.e. the number and quality of eggs, or responsive follicles, remaining in your ovaries.
If insufficient FSH is being produced it may well mean that your reproductive system is closing down. This happens at the time of the menopause, and can happen earlier if for any reason you become infertile.
If you have a reading that is too high or too low all is not lost. You shouldn’t rely on just one reading. A second reading should be taken on the second or third day of your cycle by an experienced consultant, and you should be aware of any unusual features of the equipment used, as these can affect readings.
Other kinds of reading should also be taken and considered, such as your estradiol, one of the estrogens produced by your body. Together, these readings can show you and your consultant where the problems lie that are causing you difficulties in conceiving.
Bear in mind, though, that there are a number of possible causes and solutions to consider. Your reproductive system is fragile and easily upset by external factors. For example, diet and fertility have been shown to be closely bound together, as well as your exercise habits (or lack of them) and your lifestyle in general.
You and your consultant must decide what the best course of action is. It could be IVF treatment, an IUI course, or possibly a change in your lifestyle so as to bring your body back from the edge and towards its natural state of fertility.
You really can have fertility without IVF. Read related topics and download your FREE guide, “How The Female Body Really Works”, at http://www.fertilitywithoutivf.com


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