Fertility Hormonal Profile Test

1. Objective:
The objective of the test was to measure the levels of key reproductive hormones in the blood to assess fertility status, diagnose reproductive disorders, and guide treatment for infertility.

2. Principle:
The test was based on immunoassay techniques (such as ELISA or chemiluminescence), in which specific antibodies bound to targeted hormones like FSH, LH, prolactin, estradiol, progesterone, and testosterone. The intensity of the color or light emitted during the reaction was directly proportional to the concentration of each hormone in the sample.

3. Materials:
• Patient’s fasting blood sample (serum)
• Hormonal assay kits for each hormone (FSH, LH, Prolactin, Estradiol, Progesterone, Testosterone, TSH if required)
• Micropipettes and sterile tips
• Centrifuge
• Test tubes and racks
• Incubator/water bath
• Microplate reader or chemiluminescence analyzer
• PPE (gloves, lab coat, mask)

4. Procedure (Microscopic):
1. The patient’s blood sample was collected via venipuncture.
2. The sample was allowed to clot and centrifuged to obtain serum.
3. Serum was pipetted into wells or cartridges pre-coated with antibodies specific to each hormone.
4. The sample was incubated, allowing hormone–antibody binding.
5. Enzyme-conjugated secondary antibodies were added, followed by substrate, producing a measurable signal.
6. The signal intensity was measured by a microplate reader (for ELISA) or chemiluminescence analyzer.
7. Hormone concentrations were calculated based on a standard curve.

5. Result:
Hormone levels were expressed in specific units (e.g., mIU/mL, ng/mL, pg/mL) and compared with reference ranges for the patient’s age, sex, and menstrual cycle phase. Deviations from normal ranges indicated possible reproductive or endocrine disorders.

6. Uses:
• To evaluate causes of infertility in both men and women
• To monitor ovulation and menstrual cycle irregularities
• To diagnose polycystic ovary syndrome (PCOS) or premature ovarian failure
• To assess male hypogonadism or low sperm production
• To aid in treatment planning for assisted reproductive techniques (IVF, IUI)

7. Consultation:
The patient was advised to consult a gynecologist, andrologist, or endocrinologist with the results. If abnormal values were detected, further investigations or targeted fertility treatments were recommended.

© MediLab BD

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