High FSH Levels


High Follicle Stimulating Hormone-Why Some Patients Should Not Be Excluded

  • In patients with an elevated cycle day 3 FSH level and over 40 years of age, alternatives to fertility treatments (ovum donation, adoption, or no treatment) should not be considered as first choices.(1)
  • Even with elevated FSH levels, a 16% pregnancy rate per egg retrieval may be obtained if three or more growing follicles can be seen during ovarian stimulation.(1)
  • It does not seem justified to exclude patients with normal regular cycles from treatment on the basis of the FSH value alone.(2)
    1. Bassil, S., Godin, P., Gillerot, S., Verougstraete,J.& Donnez, J.(1996). In Vitro Fertilization Outcome According to Age and Follicle-Stimulating Hormone Levels on Cycle Day 3. Journal of Assisted Reproduction and Genetics, 16(5):236-41.
    2. van Rooij IA., et al.(2003) Women older than 40 years of age and those with elevated follicle-stimulating hormone levels differ in poor response rate and embryo quality in in vitro fertilization. Fertil Steril., 79:482–8.