AMH Premium Test

The AMH Premium test measures the AMH, FSH, LH, Testosterone, TSH, E2 and Prolactin levels in the blood.

• Used for assessment of ovarian reserve in the assessment of infertility & assisted reproduction techniques (e.g. IVF)
• Serves as a biomarker to predict risk of ovarian hyperstimulation syndrome (OHSS)
• Helps in the diagnosis of Polycystic Ovary Syndrome (PCOS), disorders of sexual development in children and in monitoring of ovarian tumours.
• Evaluation of testicular presence and function
• Evaluation of ambiguous genitalia in infants
• An adjunct in the evaluation of menstrual irregularities
• Diagnosing pituitary disorders

People with the following symptoms:

• Patients with symptoms of menstrual irregularities
• Those with abnormal sexual characteristics
• Females with difficulties conceiving to know the ovarian stimulation.
• Those at risk for pituitary or hormone dependant tumours.
• Patients with anorchia, testicular failure, menopause, precocious puberty.

This test requires a blood sample. A tourniquet (elastic) band is placed tightly on the upper arm. The patient is then asked to make a fist. This helps in the build-up of blood filling the veins. The skin is disinfected before needle insertion and the blood sample is collected in vacutainer.

No special precautions.

AMH [Anti-Mullerian Hormone] Inhibiting Substance

High levels are seen in Polycystic ovarian syndrome, irregular menstrual cycles, Granulosa cell tumor and in menopause.

 Low levels indicate reduced ovarian reserve

FSH - Follicle Stimulating Hormone

FSH is increased in Luteal Phase of Menstrual cycle, Ovarian hyper stimulation syndrome, Complete testicular feminization syndrome, primary hypogonadism, perimenopausal, post menopause, hormonal therapy, heavy smokers or drinkers or people with a vitamin D deficiency.

Normal to decreased FSH occurs in polycystic ovary disease in females, pituitary gland tumour or adenoma, secondary hypogonadism, hyperprolactinemia, very underweight patients.

LH-Luteinizing Hormone

LH is increased in Luteal Phase of Menstrual cycle, Complete testicular feminization syndrome, Primary LH is decreased in primary ovarian hyper function in females, Primary hypergonadism in male, In failure of the pituitary or hypothalamus, Hyperprolactinemia, Polycystic Ovary disease (PCOS).

Testosterone Serum

In males high levels are seen in testicular tumors, and adrenal tumor.

Low levels are seen in Testicular failure or inadequate stimulation by pituitary gonadotropins, Infertility, Erectile Dysfunction, Delayed puberty, Early puberty and cancer treatment.

In females high testosterone levels are seen in Polycystic ovarian syndrome (PCOS), Adrenal tumor, Congenital Adrenal hyperplasia (CAH) and idiopathic hirsutism.

Low levels are seen in Primary & secondary hypogonadism, Testicular feminization.

TSH(Ultrasensitive)

Increased TSH indicates considerable physiologic & seasonal variation and may also occur due to intake of certain drugs.  

Decreased TSH values require correlation with patient age & clinical symptoms and seen with intake of few drugs.

 Transient alteration in TSH is seen in nonthyroidal illness like severe infections, liver disease, renal and heart failure, severe burns, trauma and surgery etc.

E2 - Estradiol Test

 High levels are seen in tumor of the ovaries/adrenal glands/testicles, cirrhosis, early puberty in girls and delayed puberty in boys. Low levels are seen in primary ovarian insufficiency, menopause, turner syndrome, eating disorder and polycystic ovarian syndrome.

Prolactin Test

High level of prolactin is normal during pregnancy and after childbirth while the mother is nursing. High levels may also be seen in Prolactinoma, anorexia nervosa, hypothalamus disorders, hypothyroidism, Kidney disease, Liver disease, polycystic ovary syndrome and other pituitary diseases and tumors.

 Low levels may indicate hypopituitarism but usually doesn’t require treatment.

• AMH test
• FSH test
• LH test
• Prolactin
• Testosterone test
• TSH test
• E2 test
• Estradiol test

FSH is a glycoprotein hormone secreted by Anterior pituitary gland and regulates the development, growth, pubertal maturation, and reproductive processes of the body. In women, FSH helps control the menstrual cycle and stimulates the growth of eggs in the ovaries. FSH levels in women change throughout the menstrual cycle

LH is a glycoprotein hormone co-secreted with FSH by Anterior pituitary gland which together control growth and reproductive activities of the gonadal tissues.

Testosterone is the principal androgen in men and made by the testicles and adrenal glands. In women, it is found in small amounts and made by the ovaries and adrenal glands. Testosterone aids in the development of secondary sexual characteristics like enlargement of the genitals, body hair growth, development of muscle and deepening of the voice.

TSH is a hormone produced by the thyroid gland and is responsible for the production of T3 and T4 hormones. Thyroid hormones have an impact on the physiological bodily functions and are indirectly also related with the sexual functions in the body.

Estradiol is a form of female sex hormone estrogen and Estradiol test is performed to assess their levels in blood. Estradiol helps to know the ovarian sufficiency especially in preparation to IVF treatments and also to diagnose certain estrogen dependent tumours.

Prolactin is a peptide hormone secreted by pituitary gland. It acts primarily on Mammary glands and its principal action involve proliferation of mammary glands; initiation of milk secretion. The levels of this hormone rises in pregnancy and during lactation.