Test Code FSH Follicle Stimulating Hormone
Additional Codes
Cerner |
NextGen |
FSH |
Follicle Stimulating Hormone |
Alternate Name(s)
FSH
Follitropin
Useful For
FSH is secreted by the anterior pituitary under the control of hypothalamic gonadotropin releasing hormone. The function of FSH in both males and females is to facilitate the development and maintenance of the gonadal tissues. These tissues synthesize and secrete steroid hormones, which in turn control FSH concentrations by negative feedback. At menopause, ovarian function and steroid secretion cease, causing FSH concentrations to rise due to a lack of negative feedback control. FSH concentrations are similarly raised in women of pre-menopausal age who suffer ovarian failure, or whose ovaries failed to mature during puberty. Elevated FSH concentrations are found in males when the testes have failed to develop to functional maturity, or, in cases of infertility, due to primary testicular failure.
Methodology
Chemiluminescent, Immunometric immunoassay
Patient Preparation
None
Collection Instructions
Standard phlebotomy practices.
Specimen Requirements
Container |
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Stability |
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Rejection Criteria |
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Result Reporting and Reference Values
Reported in mIU/mL
No pediatric ranges established
18-150 years |
Low |
High |
Postmenopausal Female (Not on hormone therapy) |
21.5 |
131 |
Normal female follicular phase |
1.98 |
11.6 |
Normal female mid-cycle peak |
5.14 |
23.4 |
Normal female luteal phase |
1.38 |
9.58 |
Normal Male (age 19 – 65) |
1.55 |
9.74 |
Reflex Testing
None
Limitations
- Ortho reports a bias with the following:
- Human Chorionic Gonadotrophin at 125,000 mlU/mL has a bias of -0.58 mlU/mL
- Biotin can cause a negative bias
- Ortho reports no significant effect with the following:
- Bilirubin up to 40 mg/dL
- Hemoglobin up to 500 mg/dL
- The following interpretive data is visible to the practitioner:
- Human Chorionic Gonadotropin values over 125000 mIU/ml, create a significant negative bias