Day 4 levels odd

Hi
I'm a 39 year old female. I went to get my fertility checked out last week. I had an antral follicle count and bloods on day 4. The antral count said I had 9 follicles on left and 3 on the right. Bloods were done for FSH, LH and prolactin.

The results were as follows-
FSH 7.1 IU/l (2.0-10.0)
LH  10.1 IU/l (2.0-12)
Prolactin 418 mIU/l (100-500)

I'm a bit worried about the LH and Prolactin levels- they seem a bit off for day 4? My consultation isn't until end of September and I was hoping you could decipher what it may mean or if it's normal. Unfortunately I'm with a partner who is still 'thinking about it' and I think things may not be in my favour (apart from my age)!

Many thanks

Clare  

[John Kim, M.D.]

I usually check a cycle day 2 or 3 level and not cycle day 4.  I do not think the LH is too high and in your lab the Prolactin is considered normal and so this would be considered within normal limits.  The main concern is your age--39 and lower antral follicle count.  I would suggest that you decide to move forward on fertility treatment as soon as possible including the option of IVF.