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Menopause  (Expert Forum)
 | 
elevated fsh and lh hormones and low prolactin
Answered by
Machelle Seibel, MD - Women's Health, menopause, ReproductiveMedicine
University of Massachusetts Medical School MA
Questions in the Menopause forum are answered by Dr. Machelle Seibel. Topics covered include menopause issues, depression, hormone replacement therapy , hot flashes, joint or muscle problems, memory problems, mood swings, osteoporosis , sexual problems, skin changes, sleeping problems, vaginal problems, and weight problems.

elevated fsh and lh hormones and low prolactin

by sterling, Nov 08, 2006 12:00AM
Is it possible to lower my fsh and lh hormones and increase my prolactin levels? or does this mean that i am going through menopause? I am 25 years old and still have my cycle 2 to 3 times a year what does all this mean. will i still be able to concieve a child that my husband and i have longed for for almost 7 years even though i already have a 9 year old from a previous relationship. please help me to understand. sterling

by Machelle Seibel, MD, Nov 09, 2006 12:00AM
A. Since I don’t know the exact levels of your FSH and LH and Prolactin as you didn’t include that information, it is difficult to answer you question other than in general. But if your values are elevated for FSH and LH and Prolactin is low, you could be going into menopause early (before age 40), called premature menopause. This happens to about 1 to 2% of women. To lower your FSH and LH, you would have to take estrogen and possibly progesterone, and that would be similar to taking a birth control pill and make you unable to conceive while on the medication. The higher FSH and LH are just signs that your ovary is making less estrogen and progesterone, which in turn lower the FSH and LH levels.

The best thing for you to do is to have a consultation with a fertility doctor who is near you.  See what the exact blood levels are and how they translate into chances for pregnancy. If the values for FSH and LH are really elevated, your chances for successfully having a child will be greatly lowered.  If you do go into menopause, you could get an egg from another woman and use your husband’s sperm to make an embryo and have that embryo placed into your uterus and you carry and deliver your baby.  That is called egg donation.  The fertility doctor could tell you if that might be something you will need and in the meantime, offer you some fertility medications to help your chances of conceiving on your own.
Machelle M. Seibel, MD
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