Low Estradiol & FSH levels- what does this mean?

[hopefulmamatobe]

I found out today that my estradiol level is 108 (should be 200) and my FSH level is 15.7 (should be 20).  Both blood tests were taken the day of "peak" on fertility monitor, although I had two peak days. I also had a positive on an OPK.

We had an early loss/chemical pregnancy two months ago and my doctor does not know if the low hormone levels caused the loss or if the low hormone levels are as a result of the loss. When I got pregnant the first time which led to the early loss I had a strong surge on my chart (.6 rise in BBT) and since the chemical my BBT rise is very low (only .2 rise ) I am supposed to start Clomid next cycle and was wondering what these numbers mean; why they are low; and if they could have been caused by the chemical pregnancy two cycles ago. I also took Camila birth control pills (progestin-only) for 5 years but have been off of them since July.

Thank you!

[hopefulmamatobe]

I'm sorry; you're right that I meant LH level, not FSH level. Clearly I am not a doctor! I appreciate your help and am wondering if this changes your answer? Also, do you think that the 500mg B6 supplement I've been taking could cause my LH and Estradiol levels to be low? Thanks so much!

[Elaine Brown, MD]

Hi!
If you were my patient, I would be concerned most about your FSH level.
I wonder why you are thinking it should be 20? An elevated FSH in an indicator of poor ovarian reserve.  I would be reluctant to use Clomid in someone whose FSH level was so high.  I would recommend IVF with donor eggs as the best option.  I am wondering whether you are getting the test results confused (do you mean progesterone level?)
Good luck!