Hormonal analysis completes the information obtained by the other tests. It is necessary to analyze the blood concentrations of hormones directly related to the ovarian reserve of follicles, on which depends the number of oocytes that can be obtained by ovarian puncture after hormonal stimulation. But it is also important to evaluate the hormones that are not directly involved in the development and maturation of oocytes but whose abnormalities can affect these processes indirectly.
The hormones of the first group include anti-Müllerian hormone (AMH), follicle-stimulating hormone (FSH), luteinizing hormone (LH), estradiol, testosterone, and progesterone. As a whole, the values obtained are informative of possible ovarian (polycystic ovary syndrome or ovarian insufficiency) and uterine problems, especially luteal phase deficiency (click on the "Pregnancy management" button on the "GLOBAL LEADERSHIP" menu) .
The hormones of the second group include insulin (to be contrasted with fasting blood glucose), thyroid stimulating hormone (TSH), thyroxine, and triiodothyronine. The determination of other (non-hormonal) substances, such as vitamin D, prothrombin, thromboplastin, lupus anticoagulant and anticardiolipin, should be done with the same blood sample in all women. Depending on the reproductive history of the couple, other tests can be added, such as KIR, HLA, MTHFR, coagulation factors II, V and XII and the karyotype.
