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FSH Levels and Your Fertility

FSH Levels and Your Fertility

In both men and women, having a balanced level of hormones is essential to proper fertility. FSH, or follicle-stimulating hormone, is a naturally occurring hormone that is made by the pituitary gland in the body. In this article we’ll be discussing the fertility implication of FSH in both men and women, how to determine if your FSH levels are high or low, causes of FSH imbalance, and natural therapies to help support the body with FSH imbalance such as herbs maca and vitex, fertility cleansing, self fertility massage, and eating a natural fertility diet.

If the FSH levels are either low or high at the wrong time in your cycle, it is a clear indicator that something is out of balance within the reproductive system and may be causing issues with the couple being able to conceive. While FSH levels are used to determine if there is an imbalance, low or high FSH is not the direct cause of fertility issues, just a sign that there may be one.

FSH in Women

Doctors believe a level higher than 10-15mIU/ml may indicate diminished fertility or diminished ovarian reserve if the sample is collected on day 3 of your cycle.

For women, follicle-stimulating hormones help to control and regulate the woman’s menstrual cycle and is also responsible for the production of the ova, or eggs, in the ovaries. It is normal for a woman’s FSH levels to vary throughout her monthly cycle, with there being a spike in the levels immediately before ovulation.

At about the age of 40, most women begin a new phase of life and hormone changes begin to take place in preparation for menopause. The ovaries begin to lose their ability to produce mature follicles, estrogen and progesterone. This may be signaled by higher levels of FSH.

According to Reproductive Endocrinologist Norbert Gleicher, MD, Medical Director and Chief Scientist for the Center for Human Reproduction (CHR), a leading New York City fertility center, measuring FSH (and AMH) based on age is more accurate than using the universal cut-off values for these hormones. The following values for FSH are based on age:

  • <33 Years old - <7.0 mlU/mL
  • 33-37 Years old – <7.9 mIU/mL
  • 38-40 Years old – <8.4 mIU/mL
  • 41 Years or older – <8.5 mIU/mL

Note: < means less than. Be sure to talk to your doctor about what your test result mean based on your health and fertility status. FSH levels may vary throughout the menstrual cycle, so it is important to know why FSH levels are tested at the time of your cycle that they were.

FSH in Men

It is also essential for men to have normal levels of the FSH hormone. An imbalance of this hormone in men can contribute to infertility, so if a couple is having trouble conceiving it may be wise to have the FSH levels of both partners tested. For men, FSH controls sperm production which is of course essential to fertility.

Unlike women, a man’s FSH levels remain relatively constant rather than fluctuating throughout the month. Typically, a man’s follicle-stimulating hormone levels should be between 5 and 15 IU/L. High levels of FSH in a male could indicate that the testicles are not functioning properly, or may have been damaged by some condition. They can also indicate the presence of Klinefelter syndrome, a genetic disorder that causes the presence of too many X chromosomes in the male. Low levels of FSH usually indicate that testosterone and sperm are under produced.

How Do You Know If Your FSH Levels Are High or Low?

FSH Fertility LevelsFSH levels are determined by a blood test which is usually combined with other tests to diagnose hormonal levels and depending on the results may indicate reproductive problems such as low sperm count, lack of menses, or anovulation.

A low level of FSH may indicate an imbalance in the pituitary or hypothalamus (eggs are not being produced, stress levels are significant, or one is severely underweight).

A high FSH level may indicate an imbalance with the testes or ovaries ability to function properly (poor ovarian function, polycystic ovary syndrome (PCOS) or that one is starting or in menopause).

In women, the FSH test (it is a blood test) is taken on the 3rd day of the menstrual period. FSH test results will depend on age and stage of fertility, and can be affected by the phase of the menstrual cycle when testing is performed. Many labs report test results with a reference range as a guide. Be sure to talk to your doctor about what your test result mean based on your health and fertility status. Doctors believe levels higher than 10-15mIU/ml may indicate diminished fertility, poor egg health or low ovarian reserve.

When looking at an imbalance such as high FSH or low FSH holistically, remember that these hormones are secreted and regulated by the endocrine system (hypothalamus, pituitary, ovaries, testes). It is not that imbalanced FSH levels are the problem, it is the health and current state of the endocrine system that needs to be looked at.

Both FSH and LH secretion are affected by the hormonal balance of other hormones in the body and vice versa. High doses of estrogen or testosterone therapy/medications have been shown to suppress FSH and LH.

What Can Cause FSH Levels to Become Imbalanced?

The possible causes for low or high FSH are many, so it is hard to give a reason why FSH levels may be high or low. In the holistic world we do not look at the FSH levels as the “cause” of the fertility issues, but more as a result of an underlying imbalance. Imbalances such as these are a signal or sign that the body is out of balance.

When it comes to hormones, it is a delicate balancing act. The glandular system is one of the most important and complex systems in the body. It can be easy to get caught up in wanting to increase one hormone so your levels are back to normal. The problem that can occur with this approach is a hormone in another area, which is just as important as the first, may become out of balance as a result. This is why natural therapies can be so helpful. They are complementary, and help to support the body instead of forcing it into an action or adding one hormone.

Natural Therapies For Low FSH and High FSH

Herbs for Fertility and FSHWhat we focus on is helping the body to function at its best. When working to support the hormonal glands it is important to help the body to rid itself of excess hormones and maintain healthy weight while also focusing on some key areas we find helpful… These therapies can be used by themselves or in conjunction with medical therapies. Talk to your doctor about natural therapies first if you are taking hormonal drugs.

Support the Pituitary and Hypothalamus Glands Through Nutrition

Good Nutrition Supports a Healthy Pituitary and Hypothalamus Gland- Nutrition for the Hypothalamus

Insulin resistance and blood sugar levels have a big impact on the endocrine system and hormone levels. This is one of the reasons maintaining a healthy weight is important for healthy hormonal function. Following the Natural Fertility Diet to make sure you are getting proper nutrients in your diet will help a lot. Here are some specific nutrients and foods you should incorporate into your diet:

The hypothalamus is fed by essential fatty acids (EFA’s) and other nutrients. The glandular system utilizes essential fatty acids to produce hormones. If you are deficient, the body doesn’t have the building blocks to make the proper hormones.

‘”Omega 3 fatty acids are the building blocks of hormones that govern much of the body’s physiology.,” according to one of the nation’s top nutrition experts Dr. David Katz, founding (1998) director of Yale University’s Yale-Griffin Prevention Research Center. Problems seem to arise when more pro-inflammatory Omega 6s are consumed than anti-inflammatory Omega 3s. A sign that you may not have enough EFA’s in your system is if you have dry skin and hair, or a chronic inflammatory fertility health condition.

Sea Vegetables and dark greens
Sea vegetables such as kelp, nori, and wakame contain large amounts of minerals which are essential for endocrine health. You can eat these in a salad, with sushi, they even come in dried strips that you can eat right out of the package.

Bee Pollen
Bee pollen is one of the most nutrient dense foods you can eat. It contains proteins, minerals, vitamins, immune system compounds, and much more.

Spirulina is a dense green food which is mineral and protein rich. It is high in two essential minerals needed for proper endocrine system function – magnesium and potassium.

Herbs to Help Support and Nourish

American ginseng root

Adaptogen herbs are some of the best therapies to support the endocrine system, the pituitary and hypothalamus specifically. They contain no hormones but have a nourishing and balancing effect on the pituitary and hypothalamus. This in turn helps to balance the delicate hormonal system which then causes FSH, LH, Progesterone, Testosterone, etc. to be secreted in proper amounts at the correct times. Think of adaptogens as food for the pituitary and hypothalamus. They can be taken for long periods of time and their effects can be life changing. Remember as with most herbs, they should be taken for at least 3 months before you see beneficial results, and may need to be continued long-term.

Maca is an adaptogen herb that has an effect on the endocrine system as well. In women, maca works by supporting healthy estrogen in the body. Estrogen levels that are high or low at the wrong time can keep a woman from becoming pregnant or keep her from carrying to term. Excess estrogen levels also cause progesterone levels to become too low. Taking maca may help to increase progesterone levels which are essential to carrying a healthy pregnancy.

Estrogen in men produces erectile dysfunction or lack of libido, low sperm count, and lowered production of seminal fluid. Men who use maca have been seen to have an increased libido and healthy sperm.

Vitex encourages luteinizing hormone production while mildly inhibiting the release of follicle stimulating hormone (FSH). This indirectly boosts progesterone production and the chances of achieving and maintaining a successful pregnancy.

Vitex decreases high prolactin levels, which are associated with breast pain. Prolactin is a hormone that stimulates milk production and breast growth during pregnancy. High levels in the absence of pregnancy are often the result of a very common women’s endocrine disorder called hyperprolactinemia. High prolactin levels are also linked to fertility problems.

Vitex is an incredible hormone balancer, which adapts to women’s different needs.

Panax and American Ginseng
These herbs are adapotgenic and help to nourish and support the hypothalamus and pituitary gland (and all the glands in the endocrine system). Ginseng is generally used by men to help with low FSH levels, low testosterone, or other hormonal imbalances.

In 2017 researchers sought to learn the effects of Ginseng on estrogen and androgens receptors. Their findings were published in the Korean Journal of ginseng research (J Ginseng Res), and among the many benefits of Ginseng are that it acts as:

  • a gentle estrogen agonist – when bound with estrogen receptor sites
  • an anti-androgen; maintaining healthy levels of androgen receptors to ensure the proper functioning androgens
  • a sexual arousal booster
  • an antioxidative; particularly in the brain where ginsenosides protect brain cells from oxidative stress
  • anti-inflammatory to smooth muscles cells

The American Journal of Chinese Medicine shares that in animal studies Ginseng active constituents called saponins can produce an “increase in hypothalamic-pituitary-adrenal sensitivity.”

Natural Body Therapies

Promote hormonal balance

Too much estrogen or testosterone can cause FSH levels to be low. Cleansing the liver is one of the best things you can do for your hormonal health. The liver is responsible for taking the excess hormones from the body which are then excreted through elimination. Liver supporting herbs help the liver to function optimally so excess hormones are not circulating in the blood. Fertility cleansing is one of the best ways to cleanse your liver.

Fertility Massage

Massage encourages healthy communication between the pituitary, hypothalamus, and ovaries. This is called the “feedback loop”. It controls the levels of hormones produced in the body. By massaging the ovaries and including the stress relieving benefits of massage, a healthier balance can be found in the body. In Self Fertility Massage™ the liver is also massaged, which is another important organ for hormonal balance.


Acupuncture normalizes the dysfunction of the Hypothalamus- Pituitary – Ovarian Axis. This improves ovarian function creating more follicles, and better egg production. It has also been suggested that the concentrations of central opioids may regulate the function of the hypothalamic-pituitary-ovarian axis via the central sympathetic system, and that a hyperactive sympathetic system in anovulatory patients could be normalized by ElectroAcupuncture (Chen and Yin, 1991). It has been assumed that various disorders in the autonomic nervous system, such as hormonal disturbances, may be normalized during auricular acupuncture (Gerhard and Postneck, 1992).

Maintain a Healthy Weight

Being underweight and overweight can cause FSH levels to be off. Being 10% below the ideal body weight can cause FSH levels to be low and cause many other fertility issues. Being overweight can also effect FSH and hormonal levels. The Natural Fertility Diet is a healthy way to move towards a healthy weight.

Reduce Stress

The release of stress hormones have a big impact on hormonal balance and health. If you are constantly stressed out, stress hormones are released and general hormone production is reduced. Taking steps to reduce your stress through yoga, meditation, prayer, massage, or exercise can help to keep your hormonal system healthy.


Dr. Kimberly Langdon Cull M.D., OB/GYN
Dr. Kimberly Langdon Cull M.D., OB/GYN

Dr. Kimberly Langdon Cull is a University-trained Obstetrician/Gynecologist with 19-years of clinical experience. She delivered over 2000 babies and specializes in gynecologic diseases such as menstrual disorders, infertility diagnosis and treatment especially pertaining to tubal blockage and polycystic ovarian syndrome (PCOS). Dr. Langdon is the inventor of 6 patent pending medical devices, and attended Ohio State University from 1987-1995 receiving her Medical Doctorate Degree (M.D.) with Honors in Obstetrics and Gynecology.

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  1. Avatar

    Hi ,
    I recently got diagnosed with pof with high fsh of 90 and then this month it has dropped drastically to 25. Which supposed is good! I had a miscarriage and Doctor think my body went through trauma so that’s why my FSH was through the roof.. Is there any supplements that can help me regulate it and achieve a baby 🙂
    Thanks 🙂

    • Hi Kay,

      One of the best herbs for supporting the entire hormonal feedback loop, while indirectly lowering FSH is Vitex. An FSH level of 25 is still high, so supporting your body with an herb like Vitex may be something worth researching more. Vitex increases luteinizing hormone production while mildly inhibiting the release of follicle stimulating hormone (FSH). Also supportive nutritional supplements like Maca or Royal Jelly. It sounds like your body went through some trauma, I am truly sorry for your loss! Superfoods like Maca and Royal Jelly support the body in times of stress while nourishing the endocrine system, which is a key player in hormonal balance.

      Best Wishes,


  2. Avatar

    I am 30 yrs old and TTC#1, My Dr has put me on Clomid 50 mg(5-9). I have not been pregnant ever inspite of unprotected sex for a couple of yrs. I do not ovulate very regularly. At times, I spot mid cycle and then I know I have not ovulated. My periods are very painful. I always throw up on my first day. DO you think I may have endometriosis. Isnt that why though having regular sex and ovulating at times never made me pregnant. I have done the HSG test which was normal. Do you think I should get tested for Endo?

    • Hi Reva,

      If you have extremely painful menstruation it is important to talk to your doctor about this. It is important to rule out if what you are experiencing is actual Primary Dysmenorrhea, or Secondary Dysmennorrhea. Primary means that it is the first issue, whereas secondary means there is another health issue causing or contributing to the painful menstruation. For example; Secondary Dysmenorrhea is often caused by endometriosis, ovarian cysts, or uterine fibroids. There may also be other factors that are causing pain that may also need to be ruled out, such as IBS, constipation, UTI, ect. If you know that you have other fertility issues that are the underlying cause of your menstrual pain, it is important to address those issues as well. While it is always easier to treat pain acutely (when it is happening) rather than address the root cause, it is very important to find out what is causing the pain in your body. It would also be helpful to have a full hormonal work-up to help determine why you may not be ovulating.

      Best wishes,


  3. Avatar

    I read your tip and pointers, I am 27 and I have high fsh !! I was told that I would probably not be able to conceive due to high Fsh it’s 90 and my Lh is35 !! Yikes I recently had a miscarriage and my hormones went through the roof now four month later the doctor say I probably can’t since my hormones are high is there anything you recommend to do?! What I can take naturally to lower my fsh?!? Thank a bunch 🙂

    • Hi Kay,

      Have you been given a diagnosis? Usually when a woman has a very high FSH level at such a young age she is diagnosed with Premature Ovarian Failure. Has your doctor talked to you about what your test results mean for you? Vitex is specific for lowering FSH, but in the case where FSH is as high as 90 there is no way to know if Vitex will help or not. It really depends on the health and status of your follicles. Please talk to your doctor about your egg health. If you would like to learn more about what you can do to Improve Egg Health please go to this link:

      Best Wishes,


  4. Avatar

    How accurate is high FSH result (33.9) if I haven’t been having period on any regular basis? Last period was December 2010, went to doctor who tested FSH in late June 2011, now suddenly period has appeared in late July. This pattern of period disappearing for months at a time has been going on since probably early 2008 (it started disappearing for about 2 months, then 3-4 months, disappeared for 6 months in early 2010, disappeared for 7 months until this current cycle started; I’ve had 21 periods out of past 37 months; when it does show up, it’s relatively normal). Saliva labs in February 2010 showed normal estrogen and low progesterone (so maybe estrogen dominance?). I was under extraordinary stress 10/2007 – 12/2008 due to terminal illness in family (I had severe depression, extreme hair loss, but also possible hypothyroidism, still untreated). My question is whether all of this info taken together seems to suggest I’m heading into menopause (I’m 44), or whether there’s work I can do to turn things around.

    • Hello Guest,

      I just answered a similar question and here is part of the answer to Denise in this same blog post:

      Doctors test on day 2, 3, and 4 to see how hard a woman’s body is trying to mature a follicle for ovulation. The higher the FSH in the beginning of the cycle, the harder the woman’s body is working to mature the follicle, the lower egg quality and ovarian reserve. It would be good to ask your doctor what day he tested you on and why that day, as well as what your test results mean for you. Most IVF clinics and RE’s agree that any test result over 20 indicates very poor to no response from the follicles to FSH stimulation. This indicates low to no ovarian reserve, or very poor egg quality.

      A woman with healthy eggs and high ovarian reserve should stimulate follicles with little release of FSH prior to ovulation, so a test result of 20 or higher does not mean your body is necessarily about to ovulate, but that it is trying very hard to get a follicle to stimulate for maturation.

      Menopause is a natural process which a woman goes through when her body gradually no longer produces eggs; estrogen and progesterone levels naturally decline thus causing the menstrual cycle to come less often until eventually this stops. The normal age range for women to naturally go through menopause is 45-55, with the average mean age of 51. When you ask if you can “turn things around” I am wondering what you mean exactly. You can not reverse menopause with natural remedies. You may want to speak to your doctor about your specific test results, this will help you to understand what they mean for you. Women 40 and older need to focus on Improving Egg Health, Improving Uterine Health and maintaining hormonal balance. Stress greatly impacts fertility and egg health. If your doctor feels you still have a fighting chance you may want to consider those areas of improvement I mentioned.



  5. Avatar

    I am hoping you can answer this for me. I am 46 my last period was in June. My doctor checked my FSH on July 22 and it came back at 25.7 and he says I’m in Menopause. Everything I’ve been reading since says to test on the 3rd day of your cycle (which did not happen in my case) and that FSH spikes prior to ovulation. I had ovulation pains on July 25. I also read that your cervix is very high just before ovulation and on the 22nd my doctor said mine was VERY high. Can the high FSH reading simply mean I was about to ovulate? I’m trying estimate when to expect my next cycle. I want to understand what is going on with me. Thanks.

    • Hi Denise,

      The increasing levels of estrogen trigger the secretion of GnRH from the hypothalamus which then signals the surge of LH and FSH which most likely triggers the release of the egg. Once ovulation occurs FSH levels drop fast and LH starts to drop slowly. I am not sure why your doctor did not do the day 3 test for FSH. Usually most doctors test on day 2, 3, and 4 to see how hard a woman’s body is trying to mature a follicle for ovulation. The higher the FSH in the beginning of the cycle, the harder the woman’s body is working to mature the follicle, the lower egg quality and ovarian reserve. It would be good to ask your doctor what day he tested you on and why that day, as well as what your test results mean for you. Most IVF clinics and RE’s agree that any test result over 20 indicates very poor to no response from the follicles to FSH stimulation. This indicates low to no ovarian reserve, or very poor egg quality.

      A woman with healthy eggs and high ovarian reserve should stimulate follicles with little release of FSH prior to ovulation, so a test result of 25.7 does not mean your body is necessarily about to ovulate, but that it is trying very hard to get a follicle to stimulate for maturation. I hope this helps you, though it is not very encouraging. Consider calling your doctor up and asking if you have any indication of ovarian reserve at all.

      Best Wishes,


  6. Avatar

    Hello Hethir/Dalene!

    I am new to this website.i found useful information here.i have a question.
    Thank you very much for the has whole lot of very useful information.
    i have high FSH as 13.3 and I was told that my eggs are poor quality.everything else looks okay.I had 3 IUI is chemical pregnancy and other 2 are negative though I reponded well to the Gonal – F injections and produced 3-4 good folicles each time.
    I am 33 yr old and i have very regular period of 26-28 days and I ovulate on my you know what my problem is and what do you recommend for me?

    thank you for your help.

    • Hi wanttobeamom,

      The goal would be to support the endocrine system and nourish the hormonal feedback loop so that hormones are released at the correct time. There is no way for me to know why your FSH is high. This would be a good question for your doctor. Ask your doctor what your test results mean for you. Herbs that support endocrine function and indirectly boost progesterone production, which may help to lower FSH are Maca, Vitex and in some cases Natural Progesterone Cream. You can learn how to improve egg quality here:

      To lower FSH naturally takes work and consistency over time. This is not an easy path, but it can be done with persistent work.

      Without more information about your situation, diet, health, lifestyle it is very difficult to guide you in the right direction. I suggest you consider a Natural Fertility Consultation.

      Know that you can change your health!


  7. Avatar

    my age is 39, suddenly started very poor Errection ,my desires disappeared,anxiety headache problems since 10 doctor Andrologist told after followed testings its a “HYPOGONADISM”
    testosterone LEVELS are ,
    Total t 521,ng/dl (Normal Range241-827),
    FSH 0.73 mlu/ml (NR 1.40-15.4), LH 2.24mlu/ml(NR 1.2-7.8),
    PROLACTIN 6.63 ng/ml(NR 3.0-14.70)
    he recomends to see the result upto 3 weeks with injection,&cernos cap, but finally result NIL, then i went Endocrinalogist for further treatment ,but he recomends to go for MRI-PITUITAY, bcoz FSH,&LH levels are relatd to Head, then i tested result is,
    BUT my Endocronlogist SUGGESTED me to consult with Neurologist,but when i met 2 neurosurgens they told nothing WRONG in the brain.,he suggested to take SUSTANON INJ 250 Monthly Once.right now iam using. Even after 15 days of inj,there is no any improvement, kindly suggest me what u will prfer for me.
    Thank u

    • Hi Ahmed,

      It sounds like you may need a 3rd or 4th opinion. If some of your test results showed problems within your brain and then others showed nothing, I would get another opinion. If you do indeed have something physically abnormal within your brain it would be best to work one-on-one with a doctor in your area. We do not recommend using any herbs for fertility while on any kind of medications to treat hormonal issues.

      If you are desiring a more natural approach to combine with your medical doctors approach, please see a Naturopathic Doctor.

      Best Wishes,


  8. Avatar


    I’m 34 years old and I had a miscarriage in 2006. I don’t have any children so far and I decided to have my ovarian egg reserve count checked out privately because my mother and grandmother both started an early menopause at age 36 and I wanted to know if I would follow suit and how much time I would have left to try to conceive.
    I had a transvaginal ultrasound scan which showed a normal size and shape anteverted mobile uterus. The endometrium appeared normal and endometrial thickness was 0.7cm, both ovaries appeared normal and there were follicles present in both ovaries. I had blood tests for AMH (anti-Mullerian Hormone) which is a very reliable marker of ovarian reserve. The results have come back at 6.05pmol/l, which is very low for someone of my age.

    Please can anyone recommend anything I can take or do to improve my chances of conceiving and becoming a mother?


    Karen. x

    • Hi Karen,

      A definitive diagnosis of POF usually means that you will have extreme difficulty getting pregnant; though women with POF may still become pregnant, so do not give up hope if you have not yet had a child because it could still happen. Focusing on Improving Egg Health, and nourishing the endocrine system and maintaining optimum health of the ovaries, fallopian tubes and uterus are vital. Below are some ways to support all of these important parts of our fertility.

      Honestly if there is a genetic factor that runs in your family that causes POF, there is little you can do. I don’t want to hurt you at all, but it genetic factor POF is hard to understand and little is known about it. It never hurts to do all you can to keep your reproductive health at optimum levels to support your chance of conception. Do not give up hope, because there is still a chance.

      Best Wishes,


  9. Avatar

    I am 29 years old . I had chemotherapy in my teenage. so my periods so irregular I’m sure my hormones are not balanced. I want to go for IVF, but m not sure about my eggs. Would doctor b able to make my egg normal? I am so upset. My last fsh level was 26. I feel I can never become pregnant. Is their any solution. coz doctor always tells me that my eggs are very small. She gave injections to make it bigger but didn’t even reach 1.6, normal should be 1.9. please give me some info.

    • Hi Jasmin,

      I am sorry to hear of your very difficult situation. Chemotherapy can cause a lot of damage to the cells in our bodies. Chemotherapy and Radiation treatments are one of the leading cause of Premature Ovarian Failure. A definitive diagnosis of POF usually means that you will have extreme difficulty getting pregnant; though women with POF may still become pregnant, so do not give up hope if you have not yet had a child because it could still happen. Milk Thistle extract has been used for many years to help chemotherapy patients restore their liver health, which is vital to healthy hormonal balance. Please read over our entire Premature Ovarian Failure page to help to understand how you may be able to work toward restoring some of your fertility.

      Best Wishes for your healing,


  10. Avatar

    Hi Hethir,

    I am 35 and been TTC for about 5 months now. I am experiencing horrible physical PMS symptoms – tender breasts, bloating, and this past month I spotted at 6/7DPO (thought it was implantation bleeding). I took a pregnancy test last night (12 DPO) and it was negative. My OB was very responsive and tested my progesterone via blood test and it was excellent in her eyes – 17.8. I also had a pelvic sonogram b/c she thought my ovary was enlarged. All looked good – no cysts, etc.
    I am just confused as to why I am having these horrible symptoms. Is there something else (hormonally) that we are missing? Thanks so much for your help!

    • Hi Alana,

      It is hard to say what may be going on Alana. PMS can also be related to stress, diet changes (poor diet/nutritional deficiency), alcohol consumption, ect. There is no way for me to know for sure. Have you had any changes in your life that may be contributing to this? Have you only experienced this this one time or has this been going on for a while? There is not real way for me to answer properly. I am sorry! If you would like to continue this conversation with more questions/reply’s to my questions please copy and paste this to a message at this link:

      All the best,


  11. Avatar

    ive had a hysterectomy 12 yrs ago and have just been told ive got very low fsh levels how can this be? and whts the cause of it

    • Hi Julie,

      This would be something you would want to speak with your doctor about. This is beyond our scope of practice or expertise. Removal of any part of the reproductive organs can lead to hormonal imbalance because a part of the communication cycle (hormonal feedback loop) is no longer there to communicate. Please talk to your doctor about what your test results mean for you.

      Best Wishes,


  12. Avatar

    thanks for this informative site. i have high fsh, 1st reading was 9.8 on day 4 and 7dpo progesterone test of 52 and second fsh reading 16 on day 3, on that second reading they also tested my oestrogen which was 140, which they tell me is ok. I have been ttc my third child for about 6 months. I am 42 and my last child born after 6 months ttc at 40, although then i had good fsh.

    My cycles are 27 days mostly and I used OPKs seeming to indicate I am ovulatiing. I am also temping and have a massive oestrogen temp dip at Peak LH, which pressume is Ovulation and then stair step up to a good temp which holds until about day 10-12, when it then dips and I spot for a few days prior to period (always have) My periods are a couple of days shorter now, but thats the only difference I can see.

    i am doing all the obvious with food and supplements and acupuncture. i am wondering whether to take soy isoflavones for the 1st 5 days of my cycle to help my chances, what do you think? And your overall opinion is valued v much.

    • Hi Louisa,

      Here is my opinion on soy isoflavones from another post:

      I don’t feel that using soy isoflavones, especially when self prescribed are very effective or the best option. It sounds like you may be having a major imbalance between your estrogen and progesterone. We feel that supporting and nourishing the systems that produce and control hormones is best through nutrition, herbs, supplements and natural therapies, rather than manipulate the hormones.

      Many people think that soy isoflavones are natures clomid and will stimulate ovulation. Clomid binds to estrogen receptor cells and blocks them in the hypothalamus. Once these are blocked your brain no longer receives signals from estrogen. This tricks you body into thinking you have low levels of estrogen (which is released from your follicles as they are maturing). This confuses your body and then Gonadotropin-releasing hormone (GNRH) signals release of Follicle Stimulating Hormone (FSH) which signals the follicle to release estrogen. The hope is that the clomid will increase FSH production which will stimulate the follicles to release estrogen and then ovulation will occur.

      The thing with using soy isoflavones in the same way is that they bind weakly to estrogen receptor sites. So while some of the soy isoflavones are binding others are just creating excess estrogen. There is also insufficient data supporting the use of soy isoflavones in this way. The research goes back and forth, some say it will work for some people and other studies show that soy isoflavones have potential risk of damaging the Thyroid as well as decreasing fertility.

      I have seen too many times soy isoflavones completely mess up a woman’s menstrual cycle. If you were wanting to increase your estrogen naturally it would be best to work with a naturopathic doctor, someone who could monitor and adjust remedies as necessary. You may want to learn more about Vitex. Vitex helps to lengthen the entire cycle if needed and regulate timing of ovulation. Also for short, scanty periods, the herb Donq Quai can be very nourishing to the uterus and blood, which may greatly help with short menstrual bleeding times.

      Best Wishes,


  13. Avatar

    am 27yrs its been 7 yrs we’re trying to have a baby well am not regular went to see doctor he say that my follicle are too small to get pregnant
    he gave me 12 injection gonal f and after 2 weeks i was pregnant but unfortunately at 2 and a half week of pregnancy the foetus heart had stop beating so had a miscarriage naturally just for precaution i did a d & c
    now my question is can i be pregnant naturally without doing any injection ?
    is there any natural way to make my follicle become bigger


    • Hi San,

      I am sorry to hear of your loss. It sounds like you have been through a long time of struggle!

      You can learn the best ways to increase your egg health, including the growth cycle and size by reading our Improve Egg Health Guide at this link:

      There is no way for me to know if you will be able to conceive on your own naturally or not. You may also want to consider a Natural Fertility Consultation. Our consultations may help you to learn the natural remedies specific for your unique fertility challenges.

  14. Avatar

    Hi just after some advice
    I’m 34 and been trying for a baby for 3 years now.
    I have very irregular period.
    Went to the doctor last who did blood tests.
    I was told my FSH is 20 and my LH is 54
    Also he said am anovulatory.
    what does this mean and what can i do to have a baby soon?
    Am really worried.thanks a lot

    • Hi Arianna,

      Anovulatory simply means you are not ovulating. There are several reasons you may not be ovulating, did your doctor mention why this may be happening for you? It is important that you have clear communication with your doctor so that you can receive the best care. I hope that you can speak with your doctor about your test results and what they mean for you individually.

      Throughout a woman’s life her ovaries contain thousands of follicles, and these follicles contain eggs. The pituitary gland begins releasing FSH at the beginning of the menstrual cycle and the release of FSH signals some of the follicles in the ovary to begin maturing. As the follicles begin maturing they are supposed to release and increase the hormone estrogen over time. The rising estrogen level signals the pituitary gland to curb release of FSH. If the follicles do not mature, the body continues producing FSH and the FSH levels remain high. In a normal functioning follicle, the estrogen levels rise and signal the pituitary gland to release Lutenizing Hormone (LH). LH signals the follicle to open and release the mature egg, this is ovulation. When the delicate communication between the pituitary gland, the ovaries and the follicles does not work properly, ovulation does not occur.

      This can happen for a variety of reasons, the reasons are not always easy to know, that is why it is important to ask your doctor why he/she thinks your hormones are so off balance. Your FSH is borderline high. Some reasons for high FSH could be PCOS, Premature Ovarian Failure, Poor Egg Health or damaged ovaries.

      I am sorry to hear how worried you are. Once you find out more about your test results please write back and I may be able to help guide you.

      Best Wishes,


  15. Avatar

    I am 29 years old TTC#1. My blood test showed a very low FSH of 1.2 and LH as 3.4. Can you please help me and tell me what it indicates. Also how can I correct it.

    • Hi Yara,

      Low levels of the FSH hormone can indicate that eggs are not being produced, that the pituitary gland is not functioning correctly, that there are significant levels of stress present or that the person is severely underweight which is causing problems to occur.

      Because I don’t have any information on you I cannot say why you may have these test results or what you can do to correct it. It would be best for you to talk to your doctor about what these test results mean for your fertility.

      Best Wishes,


  16. Avatar

    I was just informed today that my FSH levels are some what elevated. I’ve had 3 miscarriages in the past year and they are running tests to determine a possible cause. So far the FSH is the only possibility, however is only slightly higher than where they like it to be. I see by reading your website, that accupuncture may help. Do you have other articles or specific research data I can read and/or present to my doctor? Thanks.

  17. Avatar

    Dear Dalene:

    I am 33 years old. I consider myself very healthy, as I just had a general check up and everything is at optimal level. My doctor just told me that my FSH level is 157. My period is always on the dot, without any problem. I wonder if there is anything I could do. We already decided to go through IVF.

    By the way, I had an extremely stressful year last year…. I wonder if that could be a factor.

    Many thanks!

    • Hi Victoria,

      Did the doctors mention anything about your egg/follicle health? High FSH is often a sign of poor egg health.

      Recent research tells us that stress boosts levels of stress hormones such as cortisol, which inhibits the body’s main sex hormones GnRH (gonadotropin releasing hormone) and subsequently suppresses ovulation and sexual activity.

      GnRH is responsible for the release of Luteinizing hormones and follicle-stimulating hormones by the pituitary gland, the suppression of testosterone, estrogens, and sexual behavior. So stress may very well be a factor in your high FSH since all of these hormones must work together for optimum fertility.

      You can learn how to increase egg health while preparing for IVF here:

      Learn how stress affects fertility and how to deal with it here:

      Best Wishes,


  18. Avatar

    i am 30 year old testotron level is very low, is 170 and it is above to fsh is0.17 and lh is 0.32.plz send me the msg. of good treatment. thanks

  19. Avatar

    Hi just after some advice
    I’m 31 and been trying for a baby for 12 months now.
    In september I suffered a miscarrage.
    When to the doctor last who did blood tests.
    I’ve been told my FSH is 21 and my LH is 13
    Can some one help as I was told over the phone this was s concern.

    • Hi Christine,

      High FSH can be of concern because it may be a sign that your follicles (eggs) are not responding to the release of FSH, which stimulates a group of follicles to release estrogen. Once the estrogen is released at peak levels this signals release of LH which then signals ovulation. High levels of FSH mayy indicate that the follicles are not responding for some reason and because of this the body continues to release FSH, thus making the levels higher than normal in the body.

      Please contact your doctor and talk to them about what your test results mean for you.

      Best Wishes,


  20. Avatar

    Hi,I diagnosed as POF(High FSH over 100) at the age of 26 just after my marriage.we consulted with gyno and he suggested for HRT, i started taking medicine Premarin 0.625 and Deviry, initially my level came down rapidly to 43 but now after 6 month of the last result i did check my level which is 45.i am very much worried and is there any chance of conception in future? shall i change my medicine? or should i carry the same? please help

    • Hi Vandana,

      I am sorry to hear of you diagnosis, premature ovarian failure can be a devastating diagnosis. Because this diagnosis is a complicated one I feel it best to continue working with your doctors and maybe seeking out complimentary alternative natural methods with a Naturopathic Doctor. You are pretty young still and it seems like there is some time for you to work toward healing and boosting overall fertility. If you would like to learn more premature ovarian failure please consider reading our article Understanding Premature Ovarian Failure.

      There is no way for me to know or for anyone else to know for sure if you will be able to have children. I am not a medical doctor and cannot recommend fertility medications.

      All the best,


  21. Avatar

    I’m 36 and havn’t had a natural menstrual cycle since I was 16. I was told that I went through early menopause for no medical reasons that could be diagnosed. I’ve been tested with complete blood work regarding all hereditary and turners syndrome possibilities. All tests have been negative, but I have high fsh unless I take birth control to get my period I don’t get a cycle at all. I’ve been told that I can carry a child but need an egg donor which has devastated me for the past few years. I really want to concieve naturally. I plan on trying Vitex and Maca but havn’t as of yet. Any ideas ????

    • Hi April,

      Women with Premature Ovarian Failure who still get their periods sometimes do still have a chance to become pregnant, even though that chance is slim it is still a chance. It never hurts to try to improve your fertility, but there is no way for me to know if these herbs will work for your particular situation. It would be best to see a Naturopathic Doctor that specializes in fertility issues.

      Best Wishes,


  22. Avatar


    I am a 34 year old woman who has had 3 high day 3 FSH readings of 21.4, 12.1 (stopped all alcohol intake) and 18. I have a low oestrogen reading although my LH is normal.

    I have spoken to my doctor about what can cause elevated FSH and low oestrogen other than premature ovarian failure/diminished ovarian function. They haven’t been overly helpful but seemed to think stress would reduce FSH day 3 reading rather than cause an elevated response. They are not keen to continue testing my day 3 FSH as I am single and therefore not actively trying to conceive. I have regular periods and although I have a low waking basal body temperature (my thyroid is functioning normally) my cycle seems to indicate that I am ovulating.

    I have been suffering from chronic insomnia for 9 and a half years and have been seeing an acupuncturist. She diagnosed me with post-traumatic stress. I have now been successfully and treated with EMDR. My sleep has improved and I no longer have anxiety or the nightly panic attacks. My father also died this year. In your opinion could this have caused a high FSH and low oestrogen reading?

    I have also been looking into other potential causes. I have recently been advised that I have a severely mis-aligned atlas bone (was a breech birth), which from my research can cause hormonal imbalances. Have you come across this as a cause of infertility?

    Are you able to point me in the direction of any other research that has been done on the causes of high FSH and low oestrogen?

    Many thanks

    • Hi Becs,

      I am not a medical doctor so I cannot say for sure what may be causing your high FSH levels. Women with POF have follicles that are either not responding to the release of FSH due to damage or depletion, that is why the FSH continues to rise. But in POF cases the LH is usually off as well because the follicles are unable to release adequate amounts of estrogen to signal the pituitary gland to release LH.

      You may want to seek a second opinion and have the testing redone, by another doctor. We are talking about your health, and if you want to have a baby someday these results are going to be important.

      Because FSH is released by the Pituitary gland it is important that you keep it healthy, nutrient dense diet, stress reduction, a good wholefood multivitamin and herbs like Maca may be helpful. Maca supports overall endocrine function. You may also want to consider learning how improving your egg heatlh may help as well. Because your follicles release estrogen to signal release of LH to stimulate ovulation it is important that your eggs are healthy.

      Have your doctors mentioned any hint to poor ovarian response or poor egg quality? Stress wreaks havoc on our endocrine system. It sounds like you are already taking steps to improve your health and reduce stress, that is why I urge you to seek a second opinion.

      Bone alignment may effect our fertility more than we know. Please talk to an expert in this field such as a chiropracter.

      Google Scholar is a great search engine for documentation on studies of all kinds. I personally have not heard of other reasons for high FSH and low oestrogen other than the reasons for the causes of Premature Ovarian Failure which include: autoimmune disorders, exposure to environmental pollutants such as pesticides and herbacides, genetic factors, exposure to a virus, chromosomal defects, chemotherapy and radiation. If you happen to find some useful studies you would like to pass on to us please do so, we always are hungry for new information to provide people with the most up-to-date information on fertility.

      Best Wishes,


  23. Avatar

    Thanks Dalene,
    Your site is educative and informative.
    will still be keeping intouch.

  24. Avatar

    Hi Dalene.Iam 45,and i have suffered for premature ejeculation,erectyile dysfunction.After serveral treatment iwas cured of the premature ejeculation and erectyile dysfunction.i and my wife we have been trying to have baby for the last four years,but could not.i have been to the hospital and i was diagonised of being azoospermia,and my FSH is high at 21.My question is could my erectile dysfunction be the cause of my azoospermia.please is there anything i could to bring back my Fsh to normal so that my testis will be able to produce sperm.

    • Hi Tony,

      Azoospermia is beyond our scope of practice as this condition often times has physical causes as well as hormonal causes. This cannot be determined over the internet and it would be best to talk to your doctor about your particular case. That being said it is never to late to work toward hormonal balance through proper diet, exercise or the use of supplements like Maca. FSH is released by the pituitary gland and Maca has shown to be nourishing for the endocrine system, the pituitary gland is part of the endocrine system. If you would like to learn about other supplements for Men’s Fertility please go to this link:

      Please talk to your doctor about your options and the cause of your diagnosis.

      Best Wishes,


  25. Avatar

    Iam a man of 44years old,married for about four years ago without any Child, I had a serious erectile dysfunction once which has been trated and i now have normal erection.All other fertility text has carried on me and My Doctor says that My FSH is a bit high at 21mlg, inwhich case that made me to have Zero sperm count and he is recomending Ivf,which i refused he then placed me on Clomid.Pls Could you help to advice me on how lower to my FSH and build up sperm to impreganat my wife because she is 39yrs and you know time is flying.

    • Hi Cordy,

      The goal with natural fertility remedies would not be to work directly on lowering FSH, but to nourish the entire endocrine system which controls the release of hormones. The root of the problem with high FSH is deeper than just one hormone being too high. The pituitary gland releases FSH and the pituitary gland is just one part of the entire endocrine system. The herb Maca is a plant that nourishes the endocrine system and has been shown to be very helpful with overall men’s fertility. To learn more about Maca please go to this link:

      To learn about the best natural remedies for Men’s Fertility please read our article at this link:

      Best Wishes,


  26. Avatar

    i recently discovered I had premature Ovarian Failure because my FSH levels are 66.4. can I be treated or its the end? Can I follow eating and taking the herbs on this website to lower my fsh levels? if my fsh levels are lowered can I start producing eggs and hence have a period again.

    best wishes

    • Hi Melisa,

      I highly encourage you to talk to your doctor about your diagnosis. The high FSH indicates that your follicles are no longer producing estrogen, which is a sign of depleted count of follicles or lack of healthy follices. The pituitary gland releases FSH which signals a group of follicles to release estrogen as they mature. The estrogen builds up over time and then signals the pituitary gland to curb prouduction of FSH. If the follicles are not responding properly FSH levels continue to rise beyond normal levels. In a healthy follicle that matures the estrogen levels rise and signal the pituitary gland to prouduce Lutenizing Hormone (LH), the LH signals the mature follicle to release the egg, this is ovulation. In women with POF this does not happen regulary as it should, but it still does happen some times. There is still a chance that a woman diagnosed with POF may become pregnant, but the chances are not great.

      Premature Ovarian Failure is complicated and hard to diagnose because the symptoms are similar to other fertility issues such as PCOS, that is why it is extremely important to talk to your doctor about your individual results and diagnosis. The issue at hand is deeper than lowering your FSH, that is only one part of this delicate balance of communication within the entire reproductive system. High FSH is a sign that the follicles which contain your eggs are not responding, there are many different reasons this may be happening, once the follicles are damaged or die they do not come back. It is never to late to support the health of our bodies with proper nutrition, exercise, and sometimes herbal and nutritional supplement support.

      Please talk to your doctor because there is no way I can tell you this is the end, there is no way for me to know that. It is very important to learn what your diagnosis means for you individually.

      Best Wishes,


  27. Avatar


    Also wanted your opinion on what supplemets to take if your periods are montly, can produce one egg a month, but suffer from high FSH and R.A. Where would you start in helping lower the FSH and producing better quality eggs since usually only one follicle is procuced a month for retrieval?

    Thank You,


    • Hi Kerry,

      I am not sure what R.A. is, please spell it out. Thanks.

      Having high FSH shows that there is a deeper problem. High FSH is a signal that something in the delicate system of communication between the pituitary gland and the ovaries is not functioning properly. The goal should be to nourish the endocrine system through proper diet, exercise, stress reduction, avoidance of environmental pollutants and some herbal help. The endocrine system is a system of hormonal glands, if these glands have been stressed out, overworked, or the body is full of toxins it may impair the endocrine systems functions. We cannot have hormonal imbalance if our bodies systems are not funcitoning properly. Any of the suggestions in this article would be worth reasearching more. Also, high FSH is often an indicator that the follicles are not producing enough estrogen to signal the pituitary gland to stop releasing FSH, so your body keeps producing it, creating a high level of FSH. Nourishing your eggs as well will be important. Learn more here:

      You may also want to talk to your doctor and have him explain why he thinks your FSH is high. We are all unique individuals that have different reasons for fertility issues.

      Best Wishes,


  28. Avatar

    I’m age 42 and ttc. I have not had a blood fsh test done only a home urine fsh test which seems to indicate that my fsh level is normal. First, do you know if urine fsh tests are reliable? Second, what numbers ranges (IU/L) are considered low, normal, and high (with blood test)?
    Thank you so much for your wonderful website and all the wonderful information you guys provide.

    • Hi Laura,

      In women, the FSH test (it is a blood test) is taken on the 3rd day of the menstrual period. Doctors believe that a level higher than 10-15mIU/ml may indicate diminished fertility or diminished ovarian reserve. We are not sure what the urine results range should be. This would be a good question to ask your doctor. You stated that it was a home test. I ran across this article just today. You may find it interesting:

      Best Wishes,


  29. Avatar

    I have had 4 miscarriages & lots of tests carried out both in a fertility clinic & recurrent miscarriage clinic, with no diagnosis of any serious fertility problems. I have had on couple of occasions had low progesterone level & more recently told FSH level on higher side but within normal range. My periods were always 28 day cycles since age 13 when started, until i had last MMC 2009 which i am now havin irregular periods. I am 38yrs old. I am definately purchasing Fertility cleanse kit, but what else do you recommend? Desperatly seeking baby & ridiculously anxious & stressed.

    Sorry i forgot 2 mention that i have been trying 2 get pregnant for 10months, but since last MMC & DNC, nothing happening, which is long in me conceiving compared to in the past. Been trying for last 8 years, but miscarriage after miscarriage, but i remain hopeful & glad i’ve found this sight, which appears to have promising results.

    • Hi Mrs. Goldson,

      Have you read our 5 step guide to Preventing Recurrent Miscarriage? Preparing ahead of time for your pregnancy is the key to decreasing the chances of a miscarriage. There are steps you can take to reduce the chances of another pregnancy loss, but they must be begun months before you become pregnant again. I know you feel like time is running out, but the steps you take today are deffinitely going to impact your next pregnancy for the better. This guide also helps identify key reasons recurrent miscarriages happen and natural therapies that may help.

      You may also want to consider learning about our Natural Fertility Consultations. An email natural fertility consultation can provide you with a guide to the best natural therapies specific to your unique fertility challenges. Having a tangible step-by-step guide may be very helpful to you since you are feeling at a loss of where to go from here.

      Best Wishes,


  30. Avatar

    Dear Sarah,
    I too have hypopituitarism. I am 26 and I take a birth control with high hormone levels to have a period. I have such low levels of feminine hormones that I would have to have shots of FSH and LH in order to produce viable eggs.

    Thanks, Melissa

  31. Avatar

    Hi Hethir,
    Also, I am taking Prometrum and Estradoil for Premature Ovarian Failure. My doctor is hard to get in touch with, but I would like to know what you can recommend for treatment for infertilty with me taking these hormones. I have to stay on them for hormone replacement because thats the only thing that works.


    • Dear Lindsay,

      We do not recommend taking any herbs for fertility while on hormone replacement therapy. There has been some research with the herb Tribiulus Terrestris on sitmulating ovulation. A study conducted on women who were not ovulating to see if Tribulus could stimulate ovulation. 67% realized normalized ovulation. In this same study it was shown that tribulus used with ovarian stimulation drugs produced better results then using the drug alone.

      It would be best to consult your doctor about using herbs with the medications you are on.

      Best Wishes,


  32. Avatar

    Hi Hethir,

    Hey I would like to know what company makes the Fertilica products before I buy any of them. I want to research the company.

    • Hi Lindsay,

      Sorry it took me so long to get back to you. Fertilica is our own product line. For manufacturing questions… All of the information about the products is available through our Natural Fertility Shop website, or if you have any specific questions you can contact us here…

      Best Wishes,


  33. Avatar

    Hi, just wanted to say i loved this article. A bit of background regarding my problem. Iam 25, overweight and i have been diagnosed with hypopituitarism. Ive never had a natural period and the doctors say i wont concieve naturally since my pituitary gland doesnt produce enough ‘sex hormones’ ie lh and fsh. I was just wondering is any of the above treatments could help me by stimulating the pituitary or such like? I understand since my pituitary gland doesnt release the hormones (but releases everything else so not completely broken) would it work? Thanks for any information .

    • Dear Sarah,

      Your condition is beyond our scope of practice or expertise, but your question is great. You may want to ask your doctor or local naturopath about this. Adaptogen herbs may be a great place to begin research, since they support the pituitary gland.

      Best wishes,


  34. Avatar

    I’m at the age of 33,I married 12 years ago and I have decided to be pregnant since 1.5 years ago, but I havent been pregnant despite trying. my doctor says that the only abnormal parameter in you is FSH whose levels during the follicular is abit high(=10.5IU/L).I should mention that my period is reqular and I have proper ovaries functioning base on vaginal sonography. the other factors of me and my husband are normal. Could you please guide me how I can solve my fertility problem if there is any. Thanks.

    • Hi Maryam,

      You may want to learn about Maca and Vitex. Though becuase you have regular cycles Vitex may not be the best choice.

      Vitex increases luteinizing hormone production while mildly inhibiting the release of follicle stimulating hormone (FSH). This indirectly boosts progesterone production and chances of achieving and maintaining a successful pregnancy. Maca is a nourishing food for the endocrine system, aiding both the pituitary, adrenal, and thyroid glands (all involved in hormonal balance.) Maca has the ability to affect key hormones in both women and men without containing hormones itself.

      Maca helps to stimulate and nourish the pituitary gland, acting as a tonic for the hormone system. When the pituitary gland functions optimally, the entire endocrine system becomes balanced, because the pituitary gland controls the hormone output of the other three glands.

      Since your FSH is only a bit high Maca may be just enough to help balance your hormones out along with nutrient dense diet and regular exercise.

      Best Wishes,


  35. Avatar

    I am 38 years old male. Since few years i have been complaining low libido and sexual drive since i diagnosed hypothyroidism due to Hashimotos. Since last year my endo after tested harmones LH,FSH and Testosterone level and prolactin level, she prescribed me clomid to increase Lh and FSH level and testosterone eventually but again testosterone level didn’t go up. Since last month i have been taking HCG injection .In recent test it was found following
    Total testosterone = 650 (270-800)
    Estrodoil 77.7 (16-41).
    FSH 0.9 (1.5-12)
    LF 5.5 (1.7-18)

    It looks like my estrodoil is now responsible for my low erection as my Testosterone to Estrogen level is very low.
    My concern mainly on FSH which wasn’t very high even earlier but not that low either . Do you think therapy of taking HCG , can cause this FSH to go low ?. Also i am overweight and mostly weight on belly fat , what do you suggest in terms of diet and herbs to increase FSH and keeping testosterone high

    • Hi Ray,

      I wanted to consult with Hethir Rodriguez, creator of this site first. This is her response:

      I do not know much about HCG injections as I am an herbalist. But maca is wonderful for balancing testosterone and estrogen. Don’t worry so much about FSH as the main focus needs to be on nourishing your endocrine system (which maca does). A diet rich in whole foods, fruits, vegetables, grains and eggs does wonders. You may also want to look into the following supplements:

      ThyroFem (works great for men and may be used with thyroid medication with doctors approval) – This supplement helps the body to balance this and nourish the thyroid.

      Male Performance – Helps with male hormonal balance as well as libido.

      Male Fertility Cleanse – Improve hormonal balance, remove toxins from the body, which the thyroid is very sensitive to.

      Exercise – Daily exercise is also beneficial for the thyroid.

      Possible program:
      Month 1 – Whole food diet + Male Fertility Cleanse
      Month 2 and beyond- Whole food diet + Male performance, ThyroFem and Maca.

      This is just a quick thought and possible guidance based on the information you provided thus far. I am currently working on a guide for thyroid imbalances, it should be up in the next week or two. Look out for it. You may find it helpful.


      I hope you find this helpful. Let us know if we can be of more assistance.

      Best Wishes,


  36. Avatar

    I’m 34yrs old and have been dx w/poor ovarian reserve, my day 3 FSH was 15.3. I’m waiting to begin an IVF cycle w/clomid and injections and will start when my next period starts (approx 4 weeks), I read all the info. and was wondering what herbs should I take to start with and will any help by the time I start.

    • Hi Monica,

      Honestly 4 weeks is not going to be enough time to start an herbal program before you begin your IVF injections. Focusing on eating well, getting exercise, drinking plenty of water may be very beneficial at this point. You could also learn about Self Fertility Massage. Self Fertility Massage™ is a series of massage techniques that are used to help support reproductive health, the menstrual cycle, and your fertility. Self Fertility Massage™ is a very effective and low cost way to boost your fertility naturally and help reduce the effects of fertility issues on your body.

      Best Wishes,


  37. Avatar

    I have tested FSH at 12 and then had other month in which it was 6, 7 and 8….doctors said they go by the worst one which is 12. Don’t understand that at all. Anyhow, I am 39, unexplained. I am currently trying acupuncture and fertilaid. Any other suggestions? Tried IUI but no luck. IVF was not a good candidate as only produced 3 good eggs. Doctors is suggesting donor eggs as saying I am too ‘old’. I don’t want to do that.

    • Hi Debbie S,

      It is very important to have good communication with your doctor, please voice your questions and concerns about your test results with them. If they are not supportive it is always your right to seek a second opinion. Have you read our Increase Egg Health page? In the past a common belief was that the only factor which determine ovarian health was age. Based on the discovery of many new studies, we know that this is not true. Stress, balanced hormones, proper circulation, lifestyle and diet choices can also impact the quality of your eggs and fertility. Another option may be a Natural Fertility Consultation, I just don’t have adequate information about your fertility challenges, health history, ect. to guide you in the best direction.

      Best Wishes,


  38. Avatar

    Thanks. Sorry but one more question. I can only find royal jelly with panax ginseng or with a soy content. Which is best?

    Sorry (again) – just noticed that it also contains licorice root with the gingseng and royal jelly (although not in the title name of the supplement). What is licorice root – is it ok?

    • Hi Antonia,

      Panax Ginseng is an adoptogenic herb for overall immune support, aiding the body in times of stress. Its benefits vary greatly. It is generally used as a male fertility tonic. It should not be taken for more than six weeks straight. Licorice is a perennial, woody-stemmed medicnal plant, the root is used for medicinal purposes. Soy, licorice root and royal jelly may increase estrogen in the body, so if you have low progesterone and high estrogen this may not be a good choice for you. Our Fertilica Royal Jelly does not contain any extra herbs.

      Best Wishes,


  39. Avatar

    Thanks so much for all the helpful information on your site. it is truly excellent! In spite of having high FSH (and partner has sperm antibodies) I have had 2 positives (latest Dec 09), each time when taking vitex. I haven’t been able to carry any to term (yet), but I truly believe that vitex and maca had a positive outcome. Far better than my failed IVF cycle in October 09. Based on your website I started taking CoQ10 in November 09. I was/am also taking a conception vitamin, B6, flax seed tablets and wheat germ oil.

    I am currently looking to see what else I can do to enhance ‘my case’, and will add spirulina (if I can find it) and royal jelly. My question is: I see many blog sites talk about wheat grass. Does this help? I see that you don’t mention it.

    By the way, I’d like to say that my partners sperm antibodies reduced from 85% down to 10% (when tested for IVF in Oct 09) and the only change he introduced was taking a vitamin supplement and acupuncture. This may interest you as the doctor was adamant that you could not reduce these antibodies.

    • Hi Antonia,

      Without knowing more about you it is difficult for me to say what may be best for your situation. For women like you I generally suggest learning about our Natural Fertility Consultations.

      I am glad to hear you are experiencing benefits from the changes you have made. That is also wonderful news about your husband!

      We don’t mention wheatgrass because while we think wheatgrass is wonderful nutritionally, we find there are other supplement and herbs that are more specific for fertility. It is very important to get in lots of greens each day and wheatgrass is a good one!

      Best wishes,


  40. Avatar

    I just turned 28 years old and have a high fsh of 27. It was only tested once 5 months ago. I’ve been going to get acupuncture once a week, have been taking wheatgrass shots for the last 4 months, and am possibly starting herbs once my acupuncturist gets back to me.

    However, my question for you is, have you ever heard of DHEA? I’ve come across an abundance of success stories, but would love to hear your opinion on it. It’s said to improve egg quality and quantity.


    Thanks so much!

    • Hi Keri,

      We do not support the use of DHEA as taking pure DHEA is likely to convert into the wrong hormones and can also go into androgen and estrogen pathways, causing more hormonal imbalance. The goal should be to support the endocrine system by using adaptogen herbs and supportive nutrients to help the body to restore hormonal balance instead of using supplements as hormonal replacement therapy. If you do whish to use DHEA, we would suggest you work closely with your doctor a naturopath so your hormones can be monitored while you are taking DHEA.

      Best Wishes,


  41. Avatar

    Hi Hethir,

    I wanted to know what would be, if any, the right treatment for me… I was recently diagnosed with Premature Ovarian Failure and my doctors are going towards donor eggs… They have basically given up on me… I have an FSH level of 64 and a very high LH level as well… I have not had by period for 2 months now… I have been seeing a fertility specialist for 1 1/2 years now and I was not responding to meds… I have been looking into a natural approach and came across you site… I was thinking of ordering the Fertility Cleanse but not sure if in my situation if this will help… Please assist in making the right decision in using the right product.
    Thank you.

    • Hi Grissel,

      It is difficult for me to answer your question based on the information you have given me. It is helpful for me to know more about you…health history, age, ect. Have you considered a Natural Fertility e-mail Consultation? A consultation may be of great benefit as I would have a list of things to go over about you to help me determine the best natural remedies, diet and therapies specifically for you.

      The Fertility Cleanse is a great way to start any natural fertility journey. The cleanse may help to balance hormones by detoxing the liver, uterus, fat cells and body. Many women choose the Fertility Cleanse as their first step along with the Natural Fertility Diet and a good whole food multivitamin.

      Best Wishes,


  42. Avatar

    I am male,43 years old. I have married 10 years ago with no children . I have had Seminoma 7 years ago due to which i put out one of tests followed by x-ray therapy. After operation the number of sperms decreased to low level and inactive. Recently I have got a high level of FSH in my blood. Testosterone is measured show high level.Please guide me the reason of high level of FSH and testosterone and how can i balance them.

  43. Avatar

    HI Hethir
    I am 42 have 3 boys, 24yo, 14yo and 23 month old, was pregnant in Jan 09 had m/c in March 09. Had my FSH tested over 4 months, gone from 20 to 25 to 33 to 55. My E2 was with in normal range.
    Also i have a lack of fertile CM, olny since the m/c. Have been taking the EPO (which used to work wonders) but now doesn’t seem to do anything.
    I am starting Acupuncture in 2 days, what would you suggest for the high FSH? My Dr thinks i should just do IVF but i don’t think i need to go to that level, what do you think?
    Thanks for any help.

    • Hi Debbie,
      I am not able to say if you should do IVF or not as I have not seen your medical history, tests, etc. And that is not my area of expertise. But what I can suggest is to use the information on this page to make a decision for yourself. Acupuncture is also a great idea.

  44. Avatar

    Is it safe to do a fertility cleanse and be on clomid?

    • Hi Kelly,

      It is best to not mix fertility medications with the Fertility Cleanse or other natural fertility herbs.

  45. Avatar

    Dear Hethir,
    Thank you very much for the link!!! It’s great! Great recipes! I really like them! : ))
    Best Wishes!

  46. Avatar

    Dear Hethir i did a partial hysterectomy last year and i am now an ivf but did not respond to menopour in that there were not many follice on day 9 and those that were there were not growing Dr recommend acupunture along with fertility blend. My fsh was 12 and my Lh was 5.7 I am on liquid vitex any suggestion I am 42 and never being pregnat before I am expected to repeat the fsh test on the 17 of august

    • Hi Diana,

      What do you mean by partial hysterectomy, what was taken? There is nothing I can think of that is natural that can effect FSH levels in 6 days. Herbs and lifestyle changes that can effect FSH must be done over a period of time for the body to balance itself and become healthy (around a 3 month period).

  47. Avatar

    Hi Hethir,
    Thank you very much! I hope the high FSH dues to stress/hormonal imbalances.
    I went through some stressful things in the past one year, including losing my job (still unemployed), final exams at the college, getting ready to move overseas, concerning about a new start in a country I’ve never been. I think it ads up, and I really hope that’s the only reason of the high FSH.
    I already got Vitex, but want to finish the cleanse first. I’m vegan for 7 years and am on raw food in the past several months( was actually on and off raw food in the past 3 years). I try to get organic food as much as I can, lots of green and fruit smoothies, raw soups, salads, avocados, hemp seed etc.
    I’ll check out the links.
    Thank you for your assistance!!!
    Best Wishes!

  48. Avatar

    Dear Hethir,
    I’ve got my blood test result yesterday. I was basically told by an elder gynecologist (man), ” You’re old!”, I told him that I didn’t think so that age 45 was old. Although, my results don’t look good: FSH is 138, and LHS is 78. I was shocked in the afternoon to find out how high these levels are and gave in to worrying and crying. I didn’t have my period since April. I’m doing Fertility Cleanse, and also Fertility massage for nearly two weeks. Is it possible to achieve hormonal balance, get my period back and be able to ovulate/have healthy eggs after I’m done with the fertility cleanse?
    I would like to have a baby with my boyfriend next year. What are your suggestions? I’d truly appreciate your help!
    Thank you!

  49. Avatar

    Dear Hethir,i have just received my AMH results today 0.7. As i am 44 years of age i was told this is somewhat low and normal of someone of my age! Having said that,the clinic is starting my treatment for ivf and icsi at the start of my next period.Is there something i can do to improve this level,as apparently i have a low ovarian reserve.I am taking nearly everything you have on your site and i am on my 6th accupunture session.Please can you help? Debbie

    • Dalene

      Hi Debbie,

      It sounds like you are doing everything you can to prepare for this upcoming IVF. Remember it is best for you to take the supplements for 90 days prior to IVF. Have you been taking them for that long?

      Have you thought of meditation? It sounds like you are super stressed out about the AMH results. Remember that your doctor said this is “normal for your age”.
      I think it would be best to go into this upcoming IVF with a clear head and heart. You are taking everything you can, but have you focused on your heart and quieting your mind? Taking time to clear your mind of its non stop thoughts can help to reduce stress and induce a peaceful state of mind, which can lead to a successful pregnancy.

      All the best,


  50. Avatar

    Great article!! Thanks so much! Could you do an article on lymphatic drainage? I know, I know, it’s like we’re never satisfied…but your articles are amazing! Thanks again.