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On Hormone Testing and Fertility

Updated: Jan 30, 2023



Emma Jacques, Naturopath, Fertility, DUTCH test, testing, women's health



๐–ด๐—‡๐–ฟ๐—ˆ๐—‹๐—๐—Ž๐—‡๐–บ๐—๐–พ๐—…๐—’ ๐—ˆ๐—‡๐–พ ๐—ˆ๐–ฟ ๐—๐—๐–พ ๐—๐—๐—‚๐—‡๐—€๐—Œ ๐—๐—๐–บ๐— ๐—‚๐—Œ ๐–ผ๐–บ๐—‹๐—‹๐—‚๐–พ๐–ฝ ๐—ˆ๐—Ž๐— ๐—๐–พ๐—‹๐—’ ๐—‰๐—ˆ๐—ˆ๐—‹๐—…๐—’ ๐–ฟ๐—ˆ๐—‹ ๐—๐—ˆ๐—†๐–พ๐—‡ ๐—๐—‹๐—’๐—‚๐—‡๐—€ ๐—๐—ˆ ๐–ผ๐—ˆ๐—‡๐–ผ๐–พ๐—‚๐—๐–พ ๐—‚๐—Œ ๐—๐—๐–พ ๐—…๐–พ๐—๐–พ๐—… ๐—ˆ๐–ฟ ๐—๐—ˆ๐—‹๐—†๐—ˆ๐—‡๐–พ ๐—๐–พ๐—Œ๐—๐—‚๐—‡๐—€ ๐–บ๐—‡๐–ฝ ๐—‚๐—๐—Œ ๐—‚๐—‡๐—๐–พ๐—‹๐—‰๐—‹๐–พ๐—๐–บ๐—๐—‚๐—ˆ๐—‡.



Is Hormone Testing Necessary?

๐–จ๐–ฟ ๐—’๐—ˆ๐—Ž ๐—๐–บ๐—๐–พ ๐–ป๐–พ๐–พ๐—‡ ๐—๐—‹๐—’๐—‚๐—‡๐—€ ๐–ฟ๐—ˆ๐—‹ ๐—Œ๐—ˆ๐—†๐–พ ๐—๐—‚๐—†๐–พ ๐—ˆ๐—‹ ๐—๐–บ๐—๐–พ ๐–บ๐–ป๐—‡๐—ˆ๐—‹๐—†๐–บ๐—…๐—‚๐—๐—‚๐–พ๐—Œ ๐—๐—ˆ ๐—’๐—ˆ๐—Ž๐—‹ ๐–ผ๐—’๐–ผ๐—…๐–พ ๐—Œ๐—Ž๐–ผ๐— ๐–บ๐—Œ ๐—‚๐—‹๐—‹๐–พ๐—€๐—Ž๐—…๐–บ๐—‹ ๐—‰๐–พ๐—‹๐—‚๐—ˆ๐–ฝ๐—Œ, ๐–ผ๐—’๐–ผ๐—…๐–พ๐—Œ ๐—Œ๐—๐—ˆ๐—‹๐—๐–พ๐—‹ ๐—๐—๐–บ๐—‡ ๐Ÿค๐Ÿง ๐–ฝ๐–บ๐—’๐—Œ, ๐—…๐—ˆ๐—‡๐—€๐–พ๐—‹ ๐—๐—๐–บ๐—‡ ๐Ÿฅ๐Ÿฆ ๐–ฝ๐–บ๐—’๐—Œ, ๐–พ๐—‡๐–ฝ๐—ˆ๐—†๐–พ๐—๐—‹๐—‚๐—ˆ๐—Œ๐—‚๐—Œ, ๐–ฏ๐–ข๐–ฎ๐–ฒ ๐—ˆ๐—‹ ๐–บ๐—‡๐—’ ๐—ˆ๐—๐—๐–พ๐—‹ ๐—๐—ˆ๐—‹๐—†๐—ˆ๐—‡๐–บ๐—… ๐–ผ๐—ˆ๐—‡๐–ฝ๐—‚๐—๐—‚๐—ˆ๐—‡ - ๐—๐—๐–พ๐—‡ ๐–บ๐–ป๐—Œ๐—ˆ๐—…๐—Ž๐—๐–พ๐—…๐—’.



But my GP has tested my hormones

๐–ฌ๐—ˆ๐—Œ๐— ๐—๐–พ๐—Œ๐—๐—‚๐—‡๐—€ ๐—…๐—ˆ๐—ˆ๐—„๐—Œ ๐–บ๐— ๐—ˆ๐–พ๐—Œ๐—๐—‹๐–บ๐–ฝ๐—‚๐—ˆ๐—… (๐–ค๐Ÿค) ๐—‰๐—‹๐—ˆ๐—€๐–พ๐—Œ๐—๐–พ๐—‹๐—ˆ๐—‡๐–พ, ๐–ซ๐–ง ๐–บ๐—‡๐–ฝ ๐–ฅ๐–ฒ๐–ง ๐—‚๐–ฟ ๐—’๐—ˆ๐—Ž ๐–บ๐—‹๐–พ ๐—…๐—Ž๐–ผ๐—„๐—’. ๐–ณ๐—๐—‚๐—Œ ๐—‚๐—Œ ๐–บ ๐–ฟ๐—‹๐–บ๐–ผ๐—๐—‚๐—ˆ๐—‡ ๐—ˆ๐–ฟ ๐—๐—๐–พ ๐—‚๐—‡๐–ฟ๐—ˆ๐—‹๐—†๐–บ๐—๐—‚๐—ˆ๐—‡ ๐—๐—๐–บ๐— ๐–ผ๐—ˆ๐—Ž๐—…๐–ฝ ๐–ป๐–พ ๐—€๐–บ๐—‚๐—‡๐–พ๐–ฝ ๐—๐—๐—‹๐—ˆ๐—Ž๐—€๐— ๐—๐–พ๐—Œ๐—๐—‚๐—‡๐—€ ๐–ฟ๐—ˆ๐—‹ ๐–ฟ๐–พ๐—‹๐—๐—‚๐—…๐—‚๐—๐—’.


๐–ฌ๐–พ๐–ฝ๐—‚๐–ผ๐–บ๐—‹๐–พ ๐—๐—‚๐—…๐—… ๐—ˆ๐—‡๐—…๐—’ ๐–ผ๐—ˆ๐—๐–พ๐—‹ ๐—Œ๐—ˆ ๐—†๐—Ž๐–ผ๐—, ๐–บ๐—‡๐–ฝ ๐—‚๐–ฟ ๐—๐—๐–บ๐— ๐—‚๐—Œ ๐—๐—๐–พ ๐—ˆ๐—‡๐—…๐—’ ๐–บ๐–ฟ๐–ฟ๐—ˆ๐—‹๐–ฝ๐–บ๐–ป๐—…๐–พ ๐—ˆ๐—‰๐—๐—‚๐—ˆ๐—‡ ๐—๐—๐–พ๐—‡ ๐—๐—๐–พ๐—‹๐–พ ๐–บ๐—‹๐–พ ๐—Œ๐–พ๐—๐–พ๐—‹๐–บ๐—… ๐—๐—๐—‚๐—‡๐—€๐—Œ ๐—๐—๐–บ๐— ๐–ผ๐–บ๐—‡ ๐–ป๐–พ ๐–ฝ๐–พ๐—๐–พ๐—‹๐—†๐—‚๐—‡๐–พ๐–ฝ ๐—๐—‚๐—๐— ๐—๐—๐—‚๐—Œ ๐—๐–พ๐—Œ๐—๐—‚๐—‡๐—€ ๐—๐—ˆ๐—๐–พ๐—๐–พ๐—‹ ๐—‚๐—'๐—Œ ๐—‚๐—†๐—‰๐—ˆ๐—‹๐—๐–บ๐—‡๐— ๐—๐—ˆ ๐—„๐—‡๐—ˆ๐— ๐—๐—๐–พ๐—‹๐–พ ๐–บ๐—‹๐–พ ๐—†๐—ˆ๐—‹๐–พ ๐–พ๐—‘๐—๐–พ๐—‡๐—Œ๐—‚๐—๐–พ ๐—๐–พ๐—Œ๐—๐—‚๐—‡๐—€ ๐—ˆ๐—‰๐—๐—‚๐—ˆ๐—‡๐—Œ ๐–บ๐—๐–บ๐—‚๐—…๐–บ๐–ป๐—…๐–พ ๐—๐—๐–บ๐— ๐—…๐—ˆ๐—ˆ๐—„ ๐–บ๐— ๐–บ ๐–ป๐—‹๐—ˆ๐–บ๐–ฝ๐–พ๐—‹ ๐—‹๐–บ๐—‡๐—€๐–พ ๐—ˆ๐–ฟ ๐—ˆ๐–พ๐—Œ๐—๐—‹๐—ˆ๐—€๐–พ๐—‡๐—Œ (๐—๐–พ ๐—๐–บ๐—๐–พ ๐—†๐—ˆ๐—‹๐–พ ๐—๐—๐–บ๐—‡ ๐—ƒ๐—Ž๐—Œ๐— ๐–ค๐Ÿค), ๐—๐–พ๐—Œ๐—๐—ˆ๐—Œ๐—๐–พ๐—‹๐—ˆ๐—‡๐–พ, ๐—ˆ๐—๐—๐–พ๐—‹ ๐–บ๐—‡๐–ฝ๐—‹๐—ˆ๐—€๐–พ๐—‡๐—Œ ๐–บ๐—‡๐–ฝ ๐—Œ๐—๐—‹๐–พ๐—Œ๐—Œ ๐—๐—ˆ๐—‹๐—†๐—ˆ๐—‡๐–พ๐—Œ ๐—Œ๐—Ž๐–ผ๐— ๐–บ๐—Œ ๐–ฃ๐–ง๐–ค๐–  ๐–บ๐—‡๐–ฝ ๐–ผ๐—ˆ๐—‹๐—๐—‚๐—Œ๐—ˆ๐—….


๐–จ๐— ๐—‚๐—Œ ๐–บ๐—…๐—Œ๐—ˆ ๐—‚๐—†๐—‰๐—ˆ๐—‹๐—๐–บ๐—‡๐— ๐—๐—ˆ ๐—Ž๐—‡๐–ฝ๐–พ๐—‹๐—Œ๐—๐–บ๐—‡๐–ฝ ๐—๐—๐–พ๐—‡ ๐—๐—ˆ ๐—๐–พ๐—Œ๐— - ๐–ซ๐–ง ๐–บ๐—‡๐–ฝ ๐–ฅ๐–ฒ๐–ง ๐—Œ๐—๐—ˆ๐—Ž๐—…๐–ฝ ๐–ป๐–พ ๐–ผ๐–บ๐—‹๐—‹๐—‚๐–พ๐–ฝ ๐–พ๐–บ๐—‹๐—…๐—’ ๐—‚๐—‡ ๐—๐—๐–พ ๐—†๐–พ๐—‡๐—Œ๐—๐—‹๐—Ž๐–บ๐—… ๐–ผ๐—’๐–ผ๐—…๐–พ (between day 2-4), ๐—ˆ๐–พ๐—Œ๐—๐—‹๐—ˆ๐—€๐–พ๐—‡๐—Œ ๐–บ๐—‡๐–ฝ ๐—‰๐—‹๐—ˆ๐—€๐–พ๐—Œ๐—๐–พ๐—‹๐—ˆ๐—‡๐–พ ๐—‚๐—‡ ๐—๐—๐–พ ๐—…๐—Ž๐—๐–พ๐–บ๐—… ๐—‰๐—๐–บ๐—Œ๐–พ (between day 19-21) ๐–บ๐—‡๐–ฝ ๐—๐—๐–พ ๐—‹๐–พ๐—†๐–บ๐—‚๐—‡๐–ฝ๐–พ๐—‹ ๐–ผ๐–บ๐—‡ ๐–ป๐–พ ๐—๐–พ๐—Œ๐—๐–พ๐–ฝ ๐–บ๐—‡๐—’๐—๐—‚๐—†๐–พ.



Nutrient Testing

๐–จ๐—Œ ๐—ˆ๐–ฟ๐—๐–พ๐—‡ ๐—ˆ๐—๐–พ๐—‹๐—…๐—ˆ๐—ˆ๐—„๐–พ๐–ฝ. ๐–จ๐—†๐—‰๐—ˆ๐—‹๐—๐–บ๐—‡๐— ๐—‡๐—Ž๐—๐—‹๐—‚๐–พ๐—‡๐—๐—Œ ๐–ฟ๐—ˆ๐—‹ ๐–ผ๐—ˆ๐—‡๐–ผ๐–พ๐—‰๐—๐—‚๐—ˆ๐—‡ ๐—‚๐—‡๐–ผ๐—…๐—Ž๐–ฝ๐–พ ๐–ต๐—‚๐—๐–บ๐—†๐—‚๐—‡ ๐–ฃ, ๐–จ๐—ˆ๐–ฝ๐—‚๐—‡๐–พ, ๐–จ๐—‹๐—ˆ๐—‡ ๐—Œ๐—๐—ˆ๐—‹๐–พ๐—Œ, ๐–ผ๐—๐—ˆ๐—…๐–พ๐—Œ๐—๐–พ๐—‹๐—ˆ๐—… (๐—…๐—ˆ๐— ๐—…๐–พ๐—๐–พ๐—…๐—Œ ๐–ผ๐–บ๐—‡ ๐–ป๐–พ ๐–บ๐—‡ ๐—‚๐—Œ๐—Œ๐—Ž๐–พ). Y๐—ˆ๐—Ž๐—‹ ๐—€๐–พ๐—‡๐–พ๐—‹๐–บ๐—… ๐–ฆ๐–ฏ ๐–ป๐—…๐—ˆ๐—ˆ๐–ฝ๐—Œ w๐—‚๐—…๐—… ๐—ˆ๐–ฟ๐—๐–พ๐—‡ ๐—€๐—‚๐—๐–พ ๐–บ๐—‡ ๐—‚๐—‡๐–ฝ๐—‚๐–ผ๐–บ๐—๐—‚๐—ˆ๐—‡ ๐—ˆ๐–ฟ ๐—†๐—‚๐—‡๐–พ๐—‹๐–บ๐—… ๐–บ๐—‡๐–ฝ ๐—‰๐—‹๐—ˆ๐—๐–พ๐—‚๐—‡ ๐—Œ๐—๐–บ๐—๐—Ž๐—Œ ๐—๐—ˆ๐—๐–พ๐—๐–พ๐—‹ this ๐—‚๐—‡๐–ฟ๐—ˆ๐—‹๐—†๐–บ๐—๐—‚๐—ˆ๐—‡ ๐—‚๐—Œ often ๐—ˆ๐—‡๐—…๐—’ ๐—…๐—ˆ๐—ˆ๐—„๐–พ๐–ฝ ๐–บ๐— or interpreted in a fertility context ๐–ป๐—’ ๐—๐—๐—ˆ๐—Œ๐–พ ๐—๐—‚๐—๐— ๐—‡๐—Ž๐—๐—‹๐—‚๐—๐—‚๐—ˆ๐—‡๐–บ๐—… ๐—‰๐–บ๐—๐—๐—ˆ๐—…๐—ˆ๐—€๐—’ ๐—๐—‹๐–บ๐—‚๐—‡๐—‚๐—‡๐—€ ๐—Œ๐—Ž๐–ผ๐— ๐–บ๐—Œ ๐—‡๐–บ๐—๐—Ž๐—‹๐—ˆ๐—‰๐–บ๐—๐—๐—Œ ๐–บ๐—‡๐–ฝ ๐—‡๐—Ž๐—๐—‹๐—‚๐—๐—‚๐—ˆ๐—‡๐—‚๐—Œ๐—๐—Œ ๐—ˆ๐—‹ ๐—‚๐—‡๐—๐–พ๐—€๐—‹๐–บ๐—๐—‚๐—๐–พ ๐–ฆ๐–ฏ'๐—Œ ๐–บ๐—‡๐–ฝ ๐—Œ๐—‰๐–พ๐–ผ๐—‚๐–บ๐—…๐—‚๐—Œ๐—๐—Œ ๐—๐—๐—ˆ ๐—๐–บ๐—๐–พ ๐—Ž๐—‡๐–ฝ๐–พ๐—‹๐—€๐—ˆ๐—‡๐–พ similar additional ๐—‡๐—Ž๐—๐—‹๐—‚๐—๐—‚๐—ˆ๐—‡๐–บ๐—… ๐—Œ๐–ผ๐—‚๐–พ๐—‡๐–ผ๐–พ ๐—๐—‹๐–บ๐—‚๐—‡๐—‚๐—‡๐—€.




What about AMH?

Anti-Mullerian Hormone is an indicator of egg count which can be useful, but also unnecessarily stress provoking. This is commonly looked at by your GP or Ob-Gyn and naturally lowers as we get older. The main take home I give couples in relation to this is that yes, a lower number can indicate a lower egg count, however firstly - this number can change and can even fluctuate with factors such as stress so an AMH one month may be slightly different to an AMH carried out another month. And secondly, egg quality over quantity. If this number is low, then focusing on improving egg quality with diet and lifestyle adjustments and the inclusion of nutrients such as CoQ10 or Ubiquinol, NAC and zinc will be higher up on the list.


Other testing options -

Advanced hormone testing options include DUTCH testing and extensive Saliva Hormones panels, often in conjunction with standard serum testing and do incur out-of-pocket fees.


Most of the nutrients suggested can also be looked at in standard tests however Vitamin D and iodine may often incur an addition cost at your pathology collection as they are not always Medicare covered.


If conditions such as PCOS, endometriosis or thyroid disease are suspected to be influencing conception then the testing will be different again.



Emma xx



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