How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Kala Your Own Question

Dr. Kala
Dr. Kala, OB/GYN (Doctor)
Category: OB GYN
Satisfied Customers: 4448
Experience:  Caring US educated & trained physician, 26 years of experience in OBGYN & women's health care.
18657704
Type Your OB GYN Question Here...
Dr. Kala is online now

I am trying 3 rd baby. I am 42 and hve a 4 and a

Customer Question

Hi
I am trying for my 3 rd baby. I am 42 and hve a 4 and a 2 year old. Never had any trouble conceiving but as I am older this time I thought I would get my Fsh, Lh and progesterone levels checked. I am a 29 day cycle and using the clear blue ovulation sticks which show I ovulate on day 13/14. I was met with some confusion from my doctor as she said only people checking to see if they were menopausal got the Fsh done. I went and had my Fsh, Lh and progesterone bloods taken on day 21. She said that it was pointless as they had to be taken on day 3. Is she correct? Hve I wasted my time getting them on day 21. Also any other tests I should get done to ensure all is ok.
Submitted: 8 months ago.
Category: OB GYN
Expert:  Dr. Kala replied 8 months ago.
.Hi, I am privileged to help you get more understanding about your current concern. No, you haven't wasted your time, however the day 3 FSH level is a better predictor of a normal menstrual cycle. You should also continue doing the ovulation predictor test to time when you should definitely have sex. If it is turning positive I recommend have sex on that day continue daily until it is 4 days past the strongly positive positive reading. This will optimize your opportunity for getting pregnant. For now these are the main tests to do. Since you didn't not have trouble getting pregnant before you should be fine this time as wellJust an aside if you are not already doing so, you should be taking your prenatal vitamins now so you optimize have all the important minerals and vitamins to ensure a health baby. Let me know if you have any further questions regarding this question as my goal is to make sure you are completely satisfied with your answer.
Customer: replied 8 months ago.
Hi can you also tell me the right day to have my LH and progesterone tested. Also what are considered normal and fine results for FSH LH and progesterone so at least when I get them I know how I rated. Also can you tell me what all 3 of these tests tell me. IE what they do.
Expert:  Dr. Kala replied 8 months ago.
You can get it done when you get the FSH done. There are ranges fr LH, & SH based on the time of your cycle, & it varies based on the lab. When you get your results the lab will provide you with their specific rangesFemale Follicular Phase2.5-10.2mIU/mL Mid-Cycle Peak3.1-17.7mIU/mL Luteal Phase1.5- 9.1mIU/mL Postmenopausal 23.0-116.3 mIU/mL Female Follicular Phase1.9-12.5mIU/mL Mid-Cycle Peak8.7-76.3mIU/mL Luteal Phase0.5-16.9mIU/mL Postmenopausal10.0-54.7mIU/mL Both these hormones stimulate the release of the major female hormones estrogen & progesterone, that is they control the release of these hormones. As a result we are able to evaluate how a woman mentsrual cycle is acting based on the values of the FSH & LH Please be sure to rate me so I will get compensated for my time and feel free to ask for me for your next health question
Expert:  Dr. Kala replied 8 months ago.
* There are ranges for LH, & FSH based on
Customer: replied 8 months ago.
Can you also tell me what the ange for progesterone would be. I had it checked on day 21 of a 29 day cycle
Expert:  Dr. Kala replied 8 months ago.
Yes, women mid-cycle: 5 to 20 ng/mLPlease be sure to rate me so I will get compensated for my time and feel free to ask for me for your next health questionHave a great day!
Customer: replied 8 months ago.
Hi
Could I ask you one more question before I rate you. I got my progesterone bloods taken at day 21 which showed a result of 23. Doc said this is low. Is that correct. I am normally a 29 day cycle but this month today is my day 29 and I don't have my period. Her point was that if I am not a 29 day this month that that readinginv could be off by a day or so. I thought I might be pregnant but did a test this morning and it was negative. I thought you just did a progesterone test on day 21 regardkess

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Monika Hearne, M.D.

    Monika Hearne, M.D.

    Board Certified OB/GYN

    Satisfied Customers:

    5180
    With experience and compassion, I treat my patients like family.
< Last | Next >
  • http://ww2.justanswer.com/uploads/drhearne/2009-11-8_74742_monika_hearne2.jpg Monika Hearne, M.D.'s Avatar

    Monika Hearne, M.D.

    Board Certified OB/GYN

    Satisfied Customers:

    5180
    With experience and compassion, I treat my patients like family.
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified OB/GYN

    Satisfied Customers:

    124
    OB/GYN with 20 years of experience.
  • http://ww2.justanswer.com/uploads/DO/doctor norm/2013-8-13_19659_drnorm.64x64.jpg Dr. Norm S.'s Avatar

    Dr. Norm S.

    Board Certified OB/GYN

    Satisfied Customers:

    7899
    Over 30 years of experience in OB/GYN practice, including teaching students. Fellow of American Board of Obstetrics and Gynecology.
  • http://ww2.justanswer.com/uploads/SA/SaulJE/2013-8-20_202642_drsaul.64x64.jpg Dr. Saul's Avatar

    Dr. Saul

    Doctor

    Satisfied Customers:

    1877
    I am a board certified, practicing obstetrician gynecologist with many years of clinical experience.
  • http://ww2.justanswer.com/uploads/RO/rollins/2015-5-30_142734_.64x64.jpg Dr. C.'s Avatar

    Dr. C.

    Board Certified

    Satisfied Customers:

    1335
    30 yrs experience, awarding winning educator
  • http://ww2.justanswer.com/uploads/jbbrowndoc/2009-09-29_180651_headshot.jpg Dr.JBB's Avatar

    Dr.JBB

    Board Certified OB/GYN

    Satisfied Customers:

    1293
    15 yrs experience in Women's Health, Pelvic reconstruction and Incontinence
  • http://ww2.justanswer.com/uploads/RP/Rpjtlawr/2012-9-5_16443_Robportraitadjusted.64x64.jpg Dr. Lawrence's Avatar

    Dr. Lawrence

    OB/GYN

    Satisfied Customers:

    371
    Board Certified OB/GYN and accomplished educator