The Hemp Connection:
luteinizing hormone

  • Should you supplement? Chastetree berry (vitex) Part 1

    Should you supplement? Chastetree berry (vitex) Part 1

    Chastetree berry is a very common supplement used by women with PCOS. Does it work? If so, how?

    In order to better understand this interesting but complex herb, I thought I'd make this a series spread across several posts. I'm starting with the hormones affected by chastetree berry: luteinizing hormone (LH), estrogen, progesterone, and prolactin. Today I'll focus on LH.

    Luteinizing hormone is the hormone that causes ovulation. It is also the hormone that promotes development of the follicle into a corpus luteum, the intermediary step between egg and embryo.

    Luteinizing hormone is interesting in that what constitutes a"normal" level depends on what stage of a menstrual cycle you are referring to. Levels are low at the beginning of a cycle, they ramp up to a peak just before ovulation. After ovulation, they drop back down again. This graph shows a typical LH cycle in a woman who does not have PCOS.

    In PCOS, there are two key variations on normal LH function to consider. First of all, when levels are supposed to be low, they tend to be high. Secondly, at the point they should be surging in order to induce ovulation, they are too low to do so. Here is a graph of LH function that is common to women with PCOS.

    As you can see, restoring good LH function is not a matter of raising or lowering LH levels. It's a matter of restoring cyclicity…in other words, making sure LH is high when it should be high, and making sure it's low when it should be low. When you read information about vitex, or LH, in your own research, you should be looking for the word"normalize", rather than"raise" or"lower".

    Next: a look at estrogen and ovulation.

  • Important Lab Tests for PCOS

    Important Lab Tests for PCOS

    Important Lab Tests for PCOS
    Many women who have PCOS have not had the correct blood work done or don't know what blood tests to ask to have done.I would like to post some important labs used to diagnose and monitor PCOS
    1. Total testosterone (elevated levels are > 50ng/dl
    2. Free testosterone
    3. Luteinizing Hormone (LH) (plays a role in ovulation and egg development)
    4. Follicle Stimulating Hormone (FSH) (responsible for egg release from the ovaries)
    5. LH/FSH ratio (results should be under 2)
    6. DHEA-sulfate (this test tells how much androgens or"male hormones" your body is producing) DHEA sulfate converts into testosterone.
    7. Prolactin
    8. Thyroid Stimulating Hormone (TSH) this test will help to rule out hypo or hyperthyroidism (slow vs fast metabolism issues)
    9. Liver Function tests (LFT's). Important since medications pass through the liver, to check for possible damages. Checking every 3-6 months is recommended.
    10. Fasting Lipid Profile: Total Cholesterol (<>45 mg/dl is ideal)Low Density Lipoproteins (LDL) (<130 mg/dl is ideal)Triglycerides (fat in blood) (<150 mg/dl is ideal)
    11. Fasting Insulin (results should be <10) difficult to do, it needs to be frozen when brought to the lab and tested before it reaches a certain temperature, expensive but would be very beneficial in determining and monitoring insulin resistance.
    12. Fasting blood chemistry panel (includes glucose, electolytes and sometimes renal labs)
    13. Fasting glucose to insulin ratio (used to diagnose and monitor insulin resistance, ratio under 4.5 usually indicated insulin resistance)

    Ellen Reiss Goldfarb, RD
    11500 W. Olympic Blvd, Suite 400
    Los Angeles, CA
    310-408-1770
    info@ellenreissgoldfarb.com

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