progesterone and estrogen levels

[empty]

Hi Guys

I had a blood test today for my maiden voyage into IUI. My levels at CD20 were:

Estrogen - 247
Progesterone - 3.8

Does this mean I have ovulated?

Thanks in advance

[empty]

Oh that was very helpful and I think in line with what the clinic thinks - that I havent Oed.
Now I cant wait for my bloods next week as that will really indicate if my levels are much higher.

[babyalive]

Dee,  Here is some helpful info. on hormone levels for ovulation and pregancy.  I hope this helps.

Hormone Levels & Fertility Bloodwork


Follicle Stimulating Hormone (FSH)  Day 3  3-20 mIU/ml FSH is often used as a gauge of ovarian reserve. In general, under 6 is excellent, 6-9 is good, 9-10 fair, 10-13 diminished reserve, 13+ very hard to stimulate. In PCOS testing, the LH:FSH ratio may be used in the diagnosis. The ratio is usually close to 1:1, but if the LH is higher, it is one possible indication of PCOS.
Estradiol (E2) Day 3 25-75 pg/ml Levels on the lower end tend to be better for stimulating. Abnormally high levels on day 3 may indicate existence of a functional cyst or diminished ovarian reserve.
Estradiol (E2) Day 4-5 of meds 100+ pg/ml or 2x Day 3 There are no charts showing E2 levels during stimulation since there is a wide variation depending on how many follicles are being produced and their size. Most doctors will consider any increase in E2 a positive sign, but others use a formula of either 100 pg/ml after 4 days of stims, or a doubling in E2 from the level taken on cycle day 3.  
Estradiol (E2) Surge/hCG day  200 + pg/ml  The levels should be 200-600 per mature (18 mm) follicle. These levels are sometimes lower in overweight women.
Luteinizing Hormone (LH) Day 3  20 mIU/ml The LH surge leads to ovulation within 48 hours.
Prolactin Day 3 < 24 ng/ml Increased prolactin levels can interfere with ovulation. They may also indicate further testing (MRI) should be done to check for a pituitary tumor. Some women with PCOS also have hyperprolactinemia.
Progesterone (P4) Day 3  15 ng/ml A progesterone test is done to confirm ovulation. When a follicle releases its egg, it becomes what is called a corpus luteum and produces progesterone. A level over 5 probably indicates some form of ovulation, but most doctors want to see a level over 10 on a natural cycle, and a level over 15 on a medicated cycle. There is no mid-luteal level that predicts pregnancy. Some say the test may be more accurate if done first thing in the morning after fasting.
Thyroid Stimulating Hormone (TSH) Day 3 .4-4 uIU/ml Mid-range normal in most labs is about 1.7. A high level of TSH combined with a low or normal T4 level generally indicates hypothyroidism, which can have an effect on fertility.
Free Triiodothyronine (T3) Day 3 1.4-4.4 pg/ml Sometimes the diseased thyroid gland will start producing very high levels of T3 but still produce normal levels of T4. Therefore measurement of both hormones provides an even more accurate evaluation of thyroid function.
    Progesterone in Pregnancy
When Normal Values What Level Means
Mid-Luteal Phase 5+ ng/ml As mentioned above, a level of 5 indicates some kind of ovulatory activity, though most doctors want to see a level over 10 on unmedicated cycles, and over 15 with medications. There is no mid-luteal level that predicts pregnancy.
First Trimester 10-90 ng/ml Average is about 20 at 4 weeks LMP, and 40 at 14 weeks LMP. It is important to note that while a higher progesterone level corresponds with higher pregnancy success rates, one cannot fully predict outcome based on progesterone levels. Progesterone supplementation is unlikely to help if started after a positive pregnancy test.
Second Trimester 25-90 ng/ml Average is 40 at beginning, 90 at end.
Third Trimester 49-423 ng/ml Usually peaks at about 175.
Excellent graph at http://repro-med.net/papers/progest.html.

TOP


  hCG Levels in Early Pregnancy
Days Post Ovulation/Retrieval Weeks/Days LMP Average Singleton Level Average Twin Level
10 3w3d 25  
12 3w5d 50  
14 4w0d 100  
16 4w2d 200  
Please help up create a chart w/ averages -- please fill out our survey form! What is here now are just the most basic levels. For now please check http://www.advancedfertility.com/earlypre.htm or http://www.inciid.org/betas.html

[empty]

hi girls thanks so much.

I needed to ovulate to start a nasal spray called Synarel i think it might be called Lupron or Zoladex for some of you. This then gets the body into menopause and then i start puregon injectables (gonal f) and then ovidrel and then IUI.

I just spoke to the clinic and they dont want me to start the nasal spray -as it looks like I havent ovulated - blood test done on CD20 at 9am.  I detected an LH surge last Tuesday (19th Feb).

Another blood test in a week.....

Thanks guys!

[Heather5]

Hi empty! Your E2 levels are normal for the luteal phase, but your progesterone is low. It could be on its way up, though. Do you know approximately when you could have ovulated? Like the previous posters said, they like to have the test done at 7 dpo, since that's when progesterone usually peaks.

Good luck to you!!!

[G_S]

My RE office has this test on 7-9 days post LH surge/Trigger shot. They want to see anything above 10 to confirm that ovulation took place. This test is done before 10:00am.

I am sorry I do not have any insight on E2

[Helen72]

This is the general info:

A progesterone test is done to confirm ovulation. When a follicle releases its egg, it becomes what is called a corpus luteum and produces progesterone. A level over 5 probably indicates some form of ovulation, but most doctors want to see a level over 10 on a natural cycle, and a level over 15 on a medicated cycle. There is no mid-luteal level that predicts pregnancy. Some say the test may be more accurate if done first thing in the morning after fasting.

The test should be done around 7 dpo.

Here's the link to the general info about all of the hormone levels:
http://www.fertilityplus.org/faq/hormonelevels.html

[Lexima]

3.8 that's tricky.  I think it's right on the border line of Ovulation.  A nurse told me that everything above 3.5 means Yes.  Once mine was 7.6, and they thought it was too low.  This can be improved with progesterone suppositories.  I'm still on them even after my BFP.  when I go to see RE next week, I'll find out if when I can stop taking them.

[HeathJo]

BUMP