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  1. #1
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    Default Hormone blood testing??

    My doctor has asked me to come in for a blood test so that she can test my hormone levels when i'm due to ovulate as she is concerned that I may not be ovulating correctly. My problem is is that I have no idea when I ovulate as my period is very irregular. She suggested day 9 as my last few periods were 23 days, 29 days, 24 days and then 27 days.
    today is day 9 and it is Friday, I think I should wait a few days but then it would be the weekend and I can't have it done. Will hormones show up even a few days before I am due to ovulate? I'm having to pay almost $200 for the test so I can't afford for it to be a waste of time.

  2. #2
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    I don't have a health care card so I have to pay full price and no private health insurance. I live in the "country" so there are no clinics here, just a GP.
    I have my pathology list here and this is what they are testing for:
    FBE & ESR
    EUC/LFT
    Progesterone
    Oestrodiol
    LH
    FSH
    Prolactin

    I have no idea what any of these things are!

  3. #3
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    [QUOTE=wendlle;7150475]I don't have a health care card so I have to pay full price and no private health insurance. I live in the "country" so there are no clinics here, just a GP.
    I have my pathology list here and this is what they are testing for:
    FBE & ESR
    EUC/LFT
    Progesterone
    Oestrodiol
    LH
    FSH
    Prolactin

    I have no idea what any of these things are

    Those tests should not cost you anything. ...but I have guess they might if you live in the country. Its mainly the egg reserve test that costs money. Those ones you have there are just regular tests really.

  4. #4
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    My FS tests most(all?) of those things on days 2-4 (regardless of cycle length) before treatment to make sure things are generally okay. It's bulk billed at an ordinary pathology place. They also do bulk billed cycle tracking. I don't have any answers, just my experience!

  5. #5
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    Hopefully this helps

    FBE = Full Blood Examination

    ESR = Estrogen Receptor

    EUC = Electrolytes, Urea, Creatinine and kidney function test

    LFT: Liver Function Test

    Progesterone Day 3< 1.5 ng/mlOften called the follicular phase level. An elevated level may indicate a lower pregnancy rate.

    Progesterone 7 dpo> 15 ng/mlA 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.

    Estradiol Day 3 25-75 pg/mlLevels 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 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 < 7 mIU/mlA normal LH level is similar to FSH. An LH that is higher than FSH is one indication of PCOS.

    Luteinizing Hormone (LH) Surge Day > 20 mIU/mlThe LH surge leads to ovulation within 48 hours.

    Follicle Stimulating Hormone (FSH) Day 3 3-20 mIU/mlFSH 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.

    Prolactin Day 3 < 24 ng/mlIncreased 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.

    All of these tests are the usual hormone blood testing that take place and are covered under Medicare so you should be bulk billed for it. Regardless of whether you live in the country or the city, you are still covered under Medicare so don't let them charge you for it! The only time you may be charged is if a specialist refers these tests but you did say it was your GP so no charge

    The only hormone test you do have to pay for that I know of is the AMH (anti-mullerian hormone)test that tests your ovarian reserve.

    Good luck with your testing and I hope you get the answers you need

  6. The Following User Says Thank You to FirstTimeMummy2012 For This Useful Post:

    tormyxxx  (22-03-2013)

  7. #6
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    Thank you everyone. Just to clarify, I've had 3 blood tests in the past 12 months, all of which I had to pay for, I got nothing back from Medicare for any of them. I took the receipts to them and they said none of it was covered. I also have to pay for the doctors visit, which I get some back from Medicare but Out of pocket is around $35. I have no idea why we pay here but we do, it sucks!

    Thanks first time mommy that info really helped. It was day 9 when I had the blood test, today is day 10 (i am counting from my first day of period) I have my period for 3 days every month. I am hoping it will say something as I have been using the ovulation test strips from day 7 all the way to day 20 and get no positive result.

  8. #7
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    Hi there. I agree with the others, ask the Dr to mark the form bulk bill. If the Dr won't for any reason (seems weird that they wouldn't but maybe it's different in different places) then ask for just lh, e2, p4. The fbe, esr (marker of infection, not estrogen), lfts, prolactin etc shouldn't need to be done every time. I can understand a once off to check there's nothing else going on, but if they're being that thorough they should probably be checking your TFTs too.

    Ongoing, I think lh, e2 and p4 should be plenty mid cycle, and possibly an fsh at the start of the cycle ( day 1 to 3 timeframe). If your cycles are that short then d9 is probably ok with a view to repeating them on the Monday, but if you're not being bulk billed then I would wait till Monday. Do you have the form already? What tests are on it? Can you see a box for bulk bill? (could you tick it? I would!!)

    With regards to the results, you will see the estrogen (e2) starting to rise (as someone else mentioned) even if you haven't ovulated yet, if you catch it around ovulation you'll see the lh (lutenising hormone) rise, but then it drops again dip you may not catch this. Once ovulation has occurred you'll see a rise in the prog (p4) which then peaks roughly a week after ovulation. Given your cycle length, if you wait till Mon (d12?) then chances are you'll have ovulated, but catching it then should be fine for the purpose (ie, you're not trying to time an ivf procedure with ovulation, just checking it's occurred). Hope this helps

  9. #8
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    Also, the kits don't always work for some people, sounds like you may be one of them. Has your Dr done a progesterone level in the last week or so of your cycle? That's one way to check for Ovulation. Have you noticed cervical mucous changes or ovulation pains or anything? Are there facilities for gynae ultrasound near you?
    Last edited by veggiemama; 23-03-2013 at 09:16.

  10. #9
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    I did have the paper and saw nothing about bulk billing on it, i'll just have to wait and see if I get a bill in the mail like last time.
    I had the test on Friday, took pee tests on Sat and also this morning and still no positive result, will try again tomorrow (Monday) Doc should have results by Tuesday so will wait for a phone call to see what they say.

    We just want to know what is going on, more and more of my friends have babies or are announcing they are pregnant and we did all the right things, bought a house, got married and have stable jobs. But are the ones having trouble It's getting very difficult to be happy for all my friends who have newborns, I try to be so happy for them but at the same time it's upsetting. I cried when my best friend told me here baby boy had been born, not because I was happy but because I was so upset that I don't have one yet

  11. #10
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    So sorry to hear you're having such a tough time with it, it really is so unfair how long have you been ttc? When you speak to the gp for your results, ask for the tests that were done and the results ( the actual levels). Hopefully I can help interpret them for you in the overall picture. Have you had an AMH done at all? If you haven't, it's a marker of ovarian reserve, it is an out of pocket charge but worth doing once. At least it'll give you an idea of how quickly you need to be seeing specialists, or if there's no huge rush. It's hard to fall pregnant when you don't know when ovulation's occurring. Hugs
    Last edited by veggiemama; 25-03-2013 at 08:04.


 

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