Evening Meeting: Understanding and interpreting results of fertility hormone testing
Original Event Date: 19th October 2022
In this West Kent TH evening meeting, we hear about the various commonly tested fertility hormones, their application and limitations in clinical practice.
Timestamps
- 00:02:24 - Laboratories at MTW
- 00:03:38 - Overview/aims
- 00:04:15 - HPA axis and relation to biomarkers
- 00:05:50 - Testosterone - what is measured
- 00:06:58 - When to sample testosterone
- 00:07:36 - Factors affecting result of testosterone measurement
- 00:08:03 - Normal’ testosterone in a male
- 00:08:55 - Establishing the cause of a low testosterone
- 00:09:37 - Patterns of gonadotropins with low testosterone
- 00:11:00 - Hypogonadotrophic hypogonadinsm
- 00:12:50 - Free testosterone (not a set offered at MTW)
- 00:14:30 - High testosterone in a male
- 00:15:51 - High testosterone in a female
- 00:19:45 - Case study
- 00:19:38 - 19:38 nes and t interference
- 00:22:41 - Testosterone in females <20yo
- 00:23:41 - SHBG: utility and interpretation
- 00:26:38 - FAI: Utility and interpretation
- 00:27:51 - Polycystic ovarian syndrome
- 00:29:08 - PCOS in adolescents
- 00:29:51 - Assessing PCOS biochemically
- 00:31:21 - FSH in diagnosing the menopause (note correction at time 42.58)
- 00:32:59 - Stopping contraception post-menopausally
- 00:33:43 - Suppressed gonadotrophins in women
- 00:36:20 - Oestradiol - Limits of the assay
- 00:37:34 - Oestradiol: Significance of a low value
- 00:38:17 - Progesterone: Utility and interpretation
- 00:39:34 - Summary of investigating amenorrhoea
- 00:40:55 - Learning points
- 00:42:58 - Question: Clarification re. Testing progesterone in those with IUS
- 00:44:49 - Question: Clarification re. Measurement of FSH in those <40 in Dx of menopause
- 00:47:20 - Question: Why not use AMH rather than FSH in diagnosing menopause?
- 00:48:37 - Blood tests by private gynae in managing menopause
- 00:49:38 - Why measure testosterone in menopause?
- 00:51:16 - Thanks and close