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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, my wife aged 23 years is having FSH 48, can u please suggest me how to reduce FSH level to normal level and is any problem for her carrying pregnency.. pls

    • Dear Kiran,

      As shared in this article, right before ovulation during the mid-cycle peak, FSH levels should be between 30 and 50 IU/L. The level of 48 may not be high if testing was done just before ovulation. It may be best to discuss with her doctor if this FSH level is a concern. If it has been determined to be high, revisit the section in this article that discusses natural therapies for low or high FSH, or consider working one on one with our fertility herbalist through a Fertility Consultation.

      All my best!

  2. Avatar

    Hi can someone please help me. I am a 22-year-old woman, who has suffered from irregular periods all my life. I weight 135 pounds and my height is 5’5. Recently i did hormonal tests and found out that my FSH level is 1.3 L, while my LH is 4.3L. can someone help me interpret this results?. thank you so much

    • Dear Claudia,

      Thank you for asking, but it would be best to reach out to your healthcare provider to ask what these test results mean for you. The meaning of these numbers can depend on what cycle day the tests were run and how the lab reported test results. I am not a medical doctor who can interpret them.

      Our Natural Guide to Menstrual Health explains the roles of each of these hormones and offers suggestions of herbs, nutritional supplements and natural therapies along with eating a Fertility Diet to encourage a healthy, regular menstrual cycle.

      We also offer a wonderful service through our Fertility Consultation program through which you get to work one on one with a fertility herbalist who can guide you in the right direction by creating a program designed just for you.

      All my best!

  3. Avatar

    I would please like to know how to lower my levels of the follicle stimulating hormone. According to my MD, they are high making it very hard to conceive. Is the herb Maca good for this condition? Please advise.
    Thank you

    • Hi Jaclyn,

      High FSH levels are often a natural sign of aging if you are over 40 years old, as egg health declines, FSH levels increase as a woman goes through perimenopause and menopause. If you are not over 40, it may be a sign of poor egg quality, premature ovarian failure, PCOS or a problem with the pituitary gland or ovaries. Has your doctor explained what your FSH levels may be related to regarding your health? FSH levels cannot be lowered, if you are going through menopause. If there is another issue contributing to elevated FSH levels such as PCOS or pituitary gland signaling, there are natural options that may be helpful. Knowing why your FSH levels are high would be helpful to point you to the best natural options for your particular needs. Without knowing more about it, it is extremely challenging to say what may be helpful for you. In general, I find Vitex is helpful for women to lower FSH levels who have PCOS, poor egg quality and to support pituitary gland function. Remember, diet and lifestyle choices play a key role in egg health and hormone balance, so those two areas need to be improved in order for the body to utilize herbal remedies.

  4. Avatar

    I’m a 29 year old man. I got married 2 years back & no children yet. 6 months back my doctor found an abnormal lesion in my left testicle & took a blood sample for AFP & BETA HCG found negative. After 2 month I went for a second ultrasound and he found no change in the lesion. I then later went through semen analysis and found Motility is 5% & sperm count 10mill. After I took medicine for one month (medicine name : Carnitiva forte & Clomid 50mg & Omega -3 fish tablet) I went for another semen analysis that showed 5% motility & 15mill sperm count. Another hormone test found FSH-31, LH-14.87 & Testosterone -14.21. What could be my problem? Could you please help me?


  5. Avatar

    I am trying to get pregnant. We checked all the test, my husband is all right according to reports, but in my reports my eggs are coming very few – reports are TSH 2.5, FSH 12.0 and PROLACTIN 14.7. Please advise how I can get pregnant.

    • Dear Dolly,

      Thank you for reaching out to us! We have a wealth of information to share and offer personalized guidance on the best natural fertility program for your needs through a Fertility Consultation. I however am not able to interpret test results. If you have been told these results indicate low or high levels of FSH and Prolactin or that the TSH indicates a thyroid health issue, consider emailing us so that we can link you to supportive information.

      As you continue to educate yourself, normal FSH levels during the follicular and luteal phase should range between 5 and 20 IU/L (international units per liter). Right before ovulation, FSH levels should be between 30 and 50 IU/L. These numbers are for menstruating women. and Prolactin levels for nonpregnant females are considered normal if between 2 to 29 ng/mL Normal (according to the National Institutes of Health (NIH)). Learn more about thyroid function for healthy fertility here…

      All my best!

  6. Avatar

    Hello Asha,

    I am Mrs. Rahat and 27 years old and married for 7 years but not single time conceived pregnancy, last days Doctor advises me for Prolactin and FSH tests and the results are 30.6 ng/ml and 9.3 IU/L respectively, please advise how to reduced my prolactin and any advise from your side to get pregnant.


    Mrs. Rahat

    • Dear Mrs. Rahat,

      Thank you for reaching out to us!

      The goal of our programs is to support the body in re-learning balance and/or supporting balance when fertility issues are present. The great part about herbs, supplements and natural therapies is that they often work wonders in doing this given commitment to dietary and lifestyle change is made as well.

      Consider learning more about supporting hormone balance and healthy prolactin levels. High prolactin levels in when not pregnant may contribute to infertility.

      If interested in personalized guidance on the best natural therapies for your specific fertility health issues, our fertility herbalist is happy to work with you through a Fertility Consultation.

      Take Care!

  7. Avatar

    Good Afternoon,
    I’m 43 and my husband is 42. We both recently had a number of tests as we’re trying to get pregnant. My results came back normal, even my egg production and quality, but my husband has high FSH levels (22) and little to no sperm in his semen analysis. Is there anything we can do to get his FSH levels down to normal? Is there anything we can do to increase his sperm production? Can you please help us?

    • Dear Monique,

      It may help to learn what may have led to your husband’s high FSH levels. Often high FSH levels indicate the testes aren’t functioning properly for some reason and learning this reason will help you best move forward with this care.

      It may help to learn about Azoospermia which is a male fertility health condition where there are undetectable levels of sperm in a male’s semen and what natural support may help.

      We also have an article about naturally supporting Male Fertility Health that may offer helpful tips.

      I hope this is all helpful!

  8. Avatar

    Good Morning,
    I’m 34 yrs old, been TTC for 5yrs now. Been told have High FSH Levels of 17, AMH=.21,one tube blocked Dec/14, but was open in July 2012, HSG results. Been taking for 90Days: FertilAid for women, FertilCM, FertilDetox, COQ10. For 60Days: Myo-inositol, Omega-3, OvaBoost.Took all Vit’s as directed. Last 30Days: Maca, Royal Jelly. Dr. says egg donor best option, I don’t want that or IVF. Want to just do natural. Diet is pretty healthy. Any suggestions???

    Forgot to mention that I’m at the Intermediate level of Fragil X syndrome, and been taking Fertili Tea for last 3months. Did Acupuncture for 1yr Religiously and no pregnancy. Can u Help????

  9. Avatar

    I am 32. Got married half-year ago, then pregnant, but pregnancy did not develop on week 8. Now trying to conceive again. Took various of tests. My day 4-5 FSH level is 9.6, LH 8,8. I was told to take AMH. Should it be worrying?

  10. Avatar

    My FSH levels are high. I’m 41. I have 2 girls, ages 15 and 20. My fiancée has never had kids so we have been trying for 2 1/2 years. 16 months in we got pregnant and at 8 weeks there was no heart beat so I had a D&C. It has been 12 months since we have been trying again. I did the Fertility Cleanse and am going to enter my third month taking the OvaWise Kit. I’m getting really discouraged, what else should I be doing. My clock is ticking…

    • Dear Michelle,

      I am sorry you are getting discouraged! We suggest 3 months minimum use of the OvaWise Kit and for some longer.

      The effectiveness of the program for supporting healthy FSH levels also depends on diet, lifestyle, stress levels, and how well this program, which is outlined in the Natural Therapies For Low FSH and High FSH in this article, is followed. Consider re-reading the tips and suggestions offered.

      You may also want to consider a Fertility Consultation. Our email consultations provide you with a personalized written guide and audio recording from our fertility herbalist explaining the best natural therapies, herbs and nutritional supplements for your unique fertility health needs. She is able to help pinpoint areas of diet and lifestyle to be improved upon and offer guidance for detecting ovulation each cycle and even suggest additional testing to consider.

      I wish you well!

  11. Avatar

    I am 29. I am so confused with my hormone test on 7th day of my cycle which indicates: M.C.H:32.8
    DHEA-S: 2.3
    I have regular periods, clean and without infection uterus, no odd things in papsmear report. can these levels cause infertility?

    • Hello Narin!

      I am sorry you are confused.

      I am not able to interpret what these results mean for you as I am not a medical professional. Each lab can conduct these tests a bit differently as well, and there is no way of me knowing what these numbers mean. Are you able to ask your healthcare provider what they mean and if they are impacting your inability to conceive? This would be best!

      If you learn you need hormone balance support and wish to learn natural options for doing so, please contact us again and we will guide you as best as we can.

      Take care!

  12. Avatar

    I was just wondering can you take Vitex and Maca root together? Not at same time but during the same day.

    • Elizabeth Willett, MA, CH

      Dear Vanessa,

      Fertilica Vitex and Fertilica Maca can be taken together yes.

  13. Avatar

    Just found out my FSH levels are 60+. I was tested in April and again last week. I am only 30 years old. Is there hope? Can the levels go back to normal or it too late? I am devastated.

    • Elizabeth Willett, MA, CH

      Dear Kristin,

      High FSH is often a sign that your follicles are not responding properly to the release of FSH. This means that your follicles may be in poor health. First, the main goal needs to be working on Improving Egg Health. Consider also learning about the herb Vitex. We have seen it help women lower their FSH levels naturally. Nourishing the endocrine system with super foods like Maca and Royal Jelly are also very helpful. The gland that releases FSH is the pituitary. It is part of the endocrine system. The pituitary is considered the master gland. Both Maca and Royal Jelly have been found to be nourishing for the pituitary gland, aiding in hormonal balance. We have seen the greatest changes in egg health just by switching to a nutrient dense diet like our Natural Fertility Diet! Check it out!

      You might also consider a Fertility Consultation because I believe you have time! Fertility Consultations provide the opportunity to work one on one with a fertility herbalist who will guide you in the best natural fertility program for your specific needs.

      Stay positive!

  14. Avatar

    i m 15 yrs old .my fsh level is 13.50 and lh level is 3.09.
    and total testosterone level is 5.090
    and FREE T4 is 1.416 and TSH is 0.746.
    my right testis is not functioning.
    aft consultation with the doctor ,high fsh level reduces fertility
    so what can be done in order to reduce the level of fsh?

    • Elizabeth Willett, MA, CH

      Dear Devesh,

      Thank you for reaching out to us and I am sorry you are concerned. We recommend anyone who is under the age of 18 and interested in natural therapies work with a natural healthcare practitioner in conjunction with their medical doctor.

      Teens are still developing in many ways, including hormonally. We cannot suggest our products because there are too many changes taking place in their developing bodies.

      Best wishes to you!

  15. Avatar

    If a woman of 27 years old has a FSH level of 8.0 – 8.5 IU/ml of blood during 1st and 2nd day of menstrual cycle what would be the consequences? Does she need any antibiotic treatment? I am just in frustration since my doctor (gynecologist) suggested me to take therapy with higher antibiotic like azithromycin.I would be highly pleased if someone who is specialist in gynecology or fertility give me any suggestion.

    • Elizabeth Willett, MA, CH

      Dear Monoara,

      I am not a doctor or gynecologist, rather an herbalist, and I have never heard of suggesting antibiotics for either low or high FSH levels. Do you have an infection, or disease that your doctor is helping you treat? I think it would be best to ask your doctor why he or she suggested you take an antibiotic.

      I hope you find answers!

  16. Avatar

    I’m 38 years old, I had my last period in 7/10/14 . on the last cycle I took clomid, but I didn’t get pregnant I called my doctor to asked him if I try another cycle of clomid he told to wait for my period ..while I m waiting and waiting I have been taking supplements like vitex, maca, multivitamin,cinnamon and royal jelly. I decided in late September to try another doctor the ultra sound was ok with no problem but my fsh was 55.2. I just start acupuncture and Chinese herbs ..I want know is there any hope for me to get pregnant with baby.thanks

    • Hi Siham,

      Honey, I am going to be honest with you here, it is really best to stick to one plan at a time. The reason I say this is because it is very confusing to your body to try one thing, then switch to another, then another and then another, without sticking to one plan for several cycles to see if it is going to be effective. Herbs, natural therapies and acupuncture require several sessions/cycles of use before they can be truly effective.

      We don’t suggest women take any herbs for fertility in the same cycle they are taking medications for fertility, including Clomid.

      Typically elevated FSH levels are a sign of poor egg health and/or diminished ovarian reserve and sometimes a pituitary tumor (typically benign). Have you asked your doctor about any of these? Were you diagnosed with premature ovarian failure by chance?

      Since you have so much going on with your reproductive health, I think you might want to consider a fertility consultation with one of our fertility herbalists. Our consultations will help guide you to the best diet choices, lifestyle changes, herbs, natural therapies and mind-body practices for your fertility health needs. A consultation also lays out a clear plan of what herbs are safe to take with what and when.

      Don’t give up hope just yet, I think with some proper guidance, you will know the best steps to take to help you achieve your goals!

  17. Avatar

    Hi . Till I am 17 years old I didn’t get periods.So I consulted Doctor and took medicines for periods.
    And if i stop taking medicines I wont get periods.
    Now I am 24 and got married. What ever medicines I used till now (lynoral 0.01 mg ,modus 10 mg) stops the production of egg and gets period.But now I want to conceive, So I stopped medicines and consulted Doctor. They said LH(0.31mIU/ml),FSH (0.22 mIU/ml)Hormones are very low.Ovaries,Uterus are fine .AMH level (5.95 ng/ml)is also good.Fallopian tubes are clear and fine .Please sugget me how to increase my lh and fsh levels

  18. Avatar

    has anybody with primary amenohrea been able to get pregnant i.e high level of LH and FSH, if yes how ,cos i need help

    • Elizabeth Willett, MA, CH

      Hello Angela!

      I am very sorry you are faced with this challenge!

      Might I suggest a Fertility Consultation? Through a Fertility Consultation, you will be able to give our fertility herbalists a clear holistic perspective on your situation to analyze and assess properly. It is helpful for her to know your lifestyle, health history, fertility challenges and detailed questions.

      The guidance and support of others on this journey can prove to be invaluable and I hope you have wonderful support on your journey! It is important to remember however that one women’s journey to conception is not going to be the same as that of another. Your fertility needs, given the unique woman you are, are very likely to be different than that of another woman with the very same issue.

      A Fertility Consultation would offer you personalized guidance. I hope you will consider one!

      Best wishes!

  19. Avatar

    Please give any suggestion for having my own child. I have infected with TB in 1998 present my age is 36 but i don’t have child 3 years back i got married my semen report is 0 azoospermia Non obstructive FSH, LH, Prolactin also not normal that is 42,8,4 please give any suggestion for having my own child

    • Hi Vish,

      Your comment is a little hard to understand, this may be due to a language difference. Thank you for contacting us. First, are you posting results for both you (female) and your partner/husband (male)? When you say 0 azoospermia, do you mean he has azoospermia with 0 live sperm?

      You can learn more about treatment options for azoospermia here:

      Has the TB damaged your reproductive organs? Fallopian tubes, ovaries?? This may be the cause for poor hormone test results.
      If you desire personalized guidance, I urge you to learn more about our consultation program. This program can help you to learn specific natural options, including guidance on supportive communication with your doctor, so you can optimize your chances of a successful pregnancy.

  20. Update 2014 – We are back! We have been away for a while and we sure have missed all of your wonderful questions and thoughts on our articles. Moving forward, one of our staff herbalists will be here to respond to comments! We look forward to connecting with our readers once again!

  21. Hello, i ve been married for 9years, had three IVF last year, two was successful but had no heart beat at eight weeks, i was told to go for PGD, i want to order for fertility cleanse and fallopian wise, so that i can try naturally. do u ship to Nigeria and how long does it take.

  22. Avatar

    hello Hethir,
    I’m 34 and have been diagnosed as having high FSH. My lowest was 10.2 and highest 21. I have undertaken some fertility treatments (drugs+iui) and now my specialist is recommending IVF. We have decided to do that in October so i have time to prepare my body. I will also be undertaking acupuncture and following the fertility diet. What products would you recommend to help me in my preparation? I want to improve the quality of my eggs, my lining and get my body ready so we can be successful on this first and last try. thanks.

  23. Avatar

    Hi, I am 43 and my test results are as follows:
    E2 138.64 pmol/LI
    FSH 13.65 mIU/ml
    LH 4.01 mIU/ml
    Prolactin 23.99 ng/ml
    TSH 1.96 uIU/ml

    My last period was on 28th February 2012 when the tests were run. I have not had one since. I am experiencing hot flashes. I am trying to conceive naturally. Is it possible to become pregnant with above results? What should I do to increase my chances of getting pregant? My tubes are fine. Is fertility cleasing appropriate for my situation. I am doing acupuncture and massage. Please help.

    Thank you

  24. Avatar

    hi,i am 23 years of age,i am married from last 7 months,now i want to have a baby,i have irregular periods,doctors told me that i have pcod problem,i have a harmonal test on day 2 of my period,results showed me
    ESR=42 mm/1st hour
    t3=125 ng/dl
    t4=7.45 ug/dl
    tsh=1.44 uIU/ml
    fsh=6.40 mIU/ml
    lh=5.70 mIU/ml
    prl=7.80 ng/ml
    dheas= 130.10 ug/dl
    testosterene=42.61 ng/dl
    now with these can i become pregnant? is every thing normal? or else i have any problem? pls suggest an answer
    thank u.

  25. Avatar

    i m fsh level is140 and lh is 130… periods are very irregular from 2-3 yrs…..know my ayurvedic medicines are going on…should i try vitex with ayurvedic medicines….i want 2 be pregnant by naturally…pls suggest

  26. Avatar


    I am 33 years old women who had undergone a hysterectomy ( ovaries speared) due to cervical pregnancy. And we would like to have a baby from Surrogacy.

    Medical History :

    *2008 Nov 18th – Hysterectomy done due to cervical pregnancy and failed to control bleeding

    *2011 Aug 13th – Pelvic ultrasound done with following results
    Both ovaries appear normal and right ovary shows a follicle of 11mm
    No free fluid/collection seen in cul-de-sac/RIF

    * I had birth control pills and day three of stopping the pills had a blood test and scan on 2012 May. Results as follows.
    Left Overy : Eco pattern with few small follicles, larger one is 6.5mm

    Estrodiol : 24.26 pg/ml
    FSH : 0.52 mlu/ml
    LH : 0.36mlu/ml
    Prolactine : 440 ulu/ml

    Please advise whether i can consider to go for surrogacy. Is FSH and LH too low?What can i do to make it increase?

    Thank you.

  27. Avatar

    I will be 36 y.o on Sunday, and found out through a recent laparoscopy that I have severe endometriosis. It was treated, but the Dr. didn’t treat what I had on my fallopian tubes or ovaries (since I want children). I also found out my FSH level is a bit elevated at 12. My Doctor is starting me on Clomid during my next cycle, which should be the first week of May. I’m interested in further helping my chances naturally, but read that I shouldn’t do a cleanse while on clomid. Any suggestions for me? Oh, and I also want to say, I don’t have any children, and had 2 miscarriages when I was 27 during a previous marriage. Thank you in advance for any help you could offer me!!

  28. Avatar

    hay i am fakhar my wife facing a problem with high level of FSH. Our date of marrage is 16. July 2011 still menses came onyl one time .
    I am very worried about her health.

  29. Avatar

    I am 30 years old, have had irregular periods for 5 years. I had too much stress my whole life. Now I suffer from bad symptoms such as hair loss, low libido, depression and tiredness.
    Now I was diagnosed with Pcos. It seems that my FSH levels are low.
    Since I don’t want to go with pills, I try to cure my body with natural treatments. I found the information on your website useful and decided to buy the cleansing kit.
    Just some questions?
    1- What happens if I use your kit combined with other herbal treatments that I am following?
    2- Are your herbs 100% natural, organic, not GMO ?

  30. Avatar

    I am now 40 years, I gone through all the tests like FSH, LH, Estradiol, AMH, tube test. My follicle tubes are normal. My FSH level is 19.8 U/ml on day3 and AMH is too 0,18%. My period cycle is 24 to 28 days normal. Doctor told that it is not possible for me to get pregnent due to low AMH. Now I am taking ayurvedic medicine, Virechana. By taking ayurvedic medicine can I get pregnant?
    Please tell me will I become a mother?
    Thank you

  31. Avatar

    Thanks for a fantastic site. I’m 27 and recently tested high for testosterone, androstenedione, progesterone, shbg and, most worrying for me, fsh (13 on first test, 10.7 last month.) Estradiol and lh both normal. I’m single and not trying to conceive at the moment but would dearly love to someday! I have no symptoms and have never missed a period so I was shocked to discover I may have something serious, and potentially irreversible wrong.
    I have started taking chromium, royal jelly, omega-3, wheatgrass and maca supplements and I already ate really healthily and run 2 miles a day. I am starting accupuncture next week too. Will see an endocrinologist in May.
    I guess my question is what else can i do? I’m willing to try anything!

  32. Avatar

    Hi! My name is Brooke and I am 35 and ttc #1 for a couple of months. My periods are pretty regular (33 days) though in the past year, I’ve had two that were delayed by about 7 days (not pregnant). They were also preceded by 12ish hours of very, very light spotting (only when I wiped did I see pink). Low progesterone? Those are the only times I’ve spottted like that (when they were delayed).
    Since I’ve just started trying, not sure if there are any issues yet-what would you recommend I take to support my hormones, and/or endocrine system at this stage for optimal health while trying to conceive?
    Additional info for Brooke: I should add that I’ve had irregular periods most of my life and I did conceive in my mid twenties (during irregular menstruation) but it ended in mc and I went back on pill to avoid that and regulate cycles. I last went off pill at age 32 and went a whole year w/o a period (stressful life during this time) but when I moved to my home state, I started menstruating regularly Aug 2010 and have since then, w/ the exception of the two delayed periods. Not sure if it’s stress or what…hopefully NOT perimenopause. 🙁

    Thank you!

    • Hi Brooke,

      In general it sounds like you are doing well. If you are just looking to support a your body in a healthy way, support hormonal balance, eat well, ect., a good protocol may be…

      Fertility Diet, including Fertility Smoothies with Fertility Superfoods (maca, royal jelly, whey protein, greens)
      Whole food Multivitamin
      Omega EFA such as Cod Liver Oil
      Positive, healthy lifestyle choices

      You may find that our Top 5 Tips for Your Natural Fertility Plan may be helpful in getting you headed in the right direction.

      Best Wishes,


  33. Avatar

    My wife is 25, had regular periods till age of 23, went on pill for 18 months and after she came off it she had irregular periods and without pills she is not able to get the cycle. Her FSH levels are elevated 44 while LH , prolactin , fallopian tubes, uterus is all normal. no throid also. we were told it is POF and we might have to consider donor eggs. she is now taking mild estrogen and porogestin oral pills to get the cycle so that we can try to get preggo naturally.

    we believe due to high FSH the adequate estrogen is not secreting as she is not ovulating . the periods are caused by withdrawal.

    would vitex be apt for us considering that LH is normal and we have insufficient estrogen levels . besides we are taking pills for regulating the cycle.

    she has been taking wheatgrass for the last 3 months . we would not want to stop the pills as we are afraid the uterus might get impacted if we dont nourish with the required estrogen supplements. please suggest is there a way out?

    we dont want to go the donor egg route now…

    • Hi Prashley,

      I am sorry to hear of your wife’s difficult diagnosis at such a young age. If you do not want to go through cycles using medications that contain synthetic hormones, which is sounds like may have contributed to her issues now, you should find a practitioner in your area that is an expert with natural healing methods. A naturopathic physician would be best. You can learn more about premature ovarian failure here:

      Best Wishes,


  34. Avatar


    Am having very big problem for Menstrual cycle. It’s not at all regular. If am taking medicines means, its coming. otherwise no. My FSH is too low. only 4. Doctors said, there is no way to increase FSH. Am 22 years old. Kindly tell me, how to balance both FSH and LH for the regular menstrual cycle. It would be great if you give me good contact and solution.

    Thanks in Advance!!!

    • Hi Mani,

      I am sorry to hear of the difficult challenges you are facing. Did your doctor have an explanation for you as to why your body is not producing FSH or LH? From a holistic health care perspective we find that in general it is best to support the systems of the body that produce and manage hormones through proper diet, exercise and sometime herbs and supplements. If there is an actual physical cause for the problem such as a tumor or genetic birth defect or injury, natural remedies often do little to aid the body in healing those aspects of damage. Please talk to your doctor about the causes of this issue. Tribulus has been found to increase serum FSH in some women, so you may want to look into learning more about that herb.

      It sounds like you may need to see a reproductive endocrinologist in your area.

      Best Wishes,


  35. Avatar

    I am 44 years old, my FSH test was 0.3, am I still capable of getting pregnant? I have been taking prenatal supplements, folic acid and my husband and I have been trying now for a couple of months. I ovulated on the 16th of January. I began bleeding on January 31 for a day and 1/2 it was bright red blood with some clots, then it stopped. I was supposed to begin my period on February 3-4th, should I take a pregnancy test and if so, when?

    • Hi Leasa,

      Based on the information provided, there is no way for me to say if you will be able to have children or not. With such low FSH levels it may be very difficult for you to get pregnant. You could test now, I know this post is a bit old, I apologize for the delay.

      All the best,


  36. Hello Brittney Klein,

    Not to alarm you but it sounds that your endocrinologist is on the right path to figuring out what is going on. Hair loss, no lh/fsh, no periods and your body not feeling the way it use to…sounds like you have hypopituitarism. I may be wrong but google it, look at the symptoms and see if they match what is going on with you. If you do have it be rest assured that a doctor will get you back to feeling more yourself and if you desire to have a child it is possible with the help of an RE. I’m not a doctor I have hypopituitarism myself and have been in the same situation with this rare disease. I wish you all the luck in the world

  37. Avatar

    had a hysterectomy 3 years ago at 41. had considered gestational surrogacy then but ran into several financial issues with it. At my current age of 44 is it still a possibility?

  38. Avatar

    Hello there!
    I have somewhat of a mysterious case. Different from most of the other cases I have read so far on this site..desperately seeking answers or a way to help with what I’m dealing with. I am a 23yo female who does not get regular cycles, lucky to get them maybe 3 times a year. First period was at the age of 17 (2005)…that’s pretty late. I went on oral contraceptives(OTC) to help clear up some acne at that time but only stayed on it for a month due to extreme water weight gain. Joined the service a few months later, was again put on oral contraceptives(OTC yet again) in April of 2007, switched to Yaz two months later and stayed on that until September of 2007 which was when I was taken off of it and got Mirena instead. This is where disastrous things happened, though doctors say Mirena had nothing to do with it. I don’t believe that for one second. By the very next month my hair started thinning, and by Christmas, which was only 4 months later, I had lost a good 50% of my hair. Just a general thinning all over, primarily at the crown. I had just turned 20 at this point, WAY too young to have that happen! There was nothing in my life that I had done differently except for that IUD. It also stopped periods completely. Zip zero zilch. Emotions were like a roller coaster, fine one minute and then feeling like I was LITERALLY losing my mind, as in needed to see a doctor. Now, I am quite honestly one of the happiest people I know, these emotions were completely out of the ordinary and I knew something wasn’t right. I came across several thousand different posts about the effects of Mirena and in June of 2010 I had it taken out. I swore to never take hormones after that. I waited to see a change, and while I became the happy go lucky person I once was, my body, even to this day, doesn’t seem to have recovered. No hair growth, no periods. So 2.5 months ago, this past November, I was put on Yaz again to see if it would help with the situation. I have been working with dermatologists, gynecologists, and endocrinologists ever since then as well and they are trying to figure out this mystery but are not having much luck. Physically, everything is fine. Ultrasound showed that everything was as it should be. So then we moved onto bloodwork. Testosterone was normal, as well as Prolactin and TSH levels. Estrogen was low. So they moved on to find that my LH and FSH levels are extremely low, basically nonexistent. LH was <0.1 and FSH was at 0.4. With that information, if my hypothalamus/pituitary glads are not functioning properly and therefore leading to no estrogen production which therefore leads to no periods…what to do? I have recently been reading up on raw food diets and the dangers of using any product other that what nature has to offer..I do not want to stay on Yaz if I don't have to. The only benefit I am getting from it is monthly cycles. It has not helped with the hair situation whatsoever, and I just read that taking oral contraceptives for a hormone problem could cause problems in other areas. I am honestly as lost as I think I ever could be. The endocrinologist has an MRI ordered for the first of February to make sure there is no blockage of the pituitary; he doubts that there will be because they are quite rare. But if that holds to be true, that there is no blockage, then that only leads to more of a mystery as to why my body is not functioning the way it should be! Any help or input I would be forever grateful for!!

    • Hi Brittney Klein,

      Fertility super foods and adaptogen herbs greatly support endocrine function. Adaptogen Herbs for Protecting and Nourishing the Endocrine System
      Adaptogen is one of the many definitions for the therapeutic action a plant has. Adaptogen herbs are nourishing to the entire endocrine system. Adaptogens increase resistance to mind-body stress , enhance overall vitality and health. Plants recognized as adaptogens help to normalize the bodies functions even during diseased states, are non-toxic, nutritive, and have been deemed safe for long term use.

      The following herbs and supplements may help to support proper endocrine function…
      Adaptogen herbs that support endocrine system function:
      Maca Lepidium meyenii
      -Ashwaganda Withania somnifera
      -Schizandra Schizandra chinensis
      -Holy Basil/Tulsi Ocimum sanctum
      -Licorice Glycyrrhiza spp.
      -American Ginseng Panax quinquefolius
      -Eleuthero, formerly known as Siberian Ginseng Eleutherococcus senticosus
      -Gotu Kola Centella asiatica

      Other Important Supplements for Overall Endocrine Function
      -Whole food multivitamin
      Royal Jelly
      -Reishi mushroom Ganoderma lucidum
      -Shitaki mushroom Lentinula edodes

      The above list is an excerpt from an article about endocrine system function and it’s role in fertility. You can read it here, it may help you to understand what may be going on, Endocrinology and Fertility: The Endocrine System is Vital for Reproductive Health

      I also think you will find that learning how birth control methods, that contain synthetic hormones can affect your fertility, is important. We have a great article to help you recover from long-term birth control use at this link:

      Best Wishes,


  39. Avatar

    Hello Dalene

    I’m 37, and TTC for more than 1 year. We are hoping to get pregnant as natural as possible, but nothing happened yet. I just took blood test on day 3 last week, and the result came back with high Prolactin (34.1), other levels were normal (TSH=0.9, FSH=6.9, LH=4.4, and Estradiol=111.) Also, Dr. told me that the result of ultra sound was good.

    As you recommended, I started to take Vitex and hope to get lower the level. My periods cycle is 27~31 days, but my basal temp goes up very slowly after ovulation, and also short high Temp. phase.

    I’m starting acupuncture, also doing hot yoga once a week.

    I would like to ask you if there are something I can do more, and also if I should stop the Vitex when my Dr. prescribes medication for hyperprolactinemia on the next appointment in March 2012? (I’m not sure if my Dr. suggest me to take meds at this point.)


    • Hi Hope,

      Vitex is an herb that required consistency of use and patience. Vitex is best taken for 6-12 months consistently. We do NOT suggest it be taken with medications for fertility, including ones for hyperprolactinemia. Because I am not sure how long you have been taking Vitex, I cannot say for sure what may be going on, or which direction you may want to go from here. A lot of information regarding your situation is lacking for me to answer properly. Have you considered our consultations, if not, learn about them here:

      Best Wishes,


  40. Hi i am akshay( Male ), i am suffering witha big problem. my fsh hormone has incresed it is showing on now 22.12 . is it possible to decerese it or.balance on level. because of this my sperm is not being procduce. please help me. and how to do…….please…
    akshay kumar

  41. Avatar

    Hi Dalene

    I got a second opinion and was told that I need IVF with aggressive superovulation, to maximise my chances of conceiving and that it would help to make the most of my remaining eggs.

    The consultant also recommended I try the following to improve my ovarian reserve.

    1. Yoga
    2. Acupuncture
    3. DHEA, 25mg thrice a day.
    4. Take wheat germ daily
    5. CoQ 10,100 mg daily
    6. Vit D3 ( Calcirol), 50000 IU, once a week for 8 weeks

    I cannot afford to have IVF and where I live it’s a postcode lottery so I cannot get it free either but I read somewhere online today about the effects of DHEA in regards to POF and the success rate is very good.

    I’m seriously thinking about trying acupuncture and purchasing DHEA from abroad without my doctors consent as I don’t think it’s available in the UK.

    I don’t have much to lose really do I?!

    Karen xxx

    • Hi Karen,

      I think the suggestions your consultant gave you are great! We don’t suggest ever using DHEA without being under supervised care of your health care practitioner, so they can monitor your progress and hormone levels!

      Best Wishes Karen!


  42. Avatar

    Hi Dalene

    I only just read your reply to my previous post in June.
    I don’t understand why I have POF when I have regular 28 day cycles. I have no symptoms of starting the menopause yet other than a letter from the fertility clinic where I was tested stating what I wrote in my previous post.

    I miscarried in 2006 and I also miscarried in August this year. I’m not undergoing any treatment or anything. I still try the natural method and I know I’m capable of conceiving because my last miscarriage proved that.

    I met with a psychic clairvoyant who was 100% accurate with the reading I had with her. She gave me names of relatives that had passed over and things that nobody could have possible known about me and she told me that I would fall pregnant and I did but lost it shortly after but she sees me conceiving again in November and I’m remaining positive about that.

    I know I’ll get the baby I so desperately want soon.

    Sending baby dust to you all.

    Keep the faith.

    Karen xxx

  43. Avatar

    Hello. I have been off the pill since Dec last year and still haven’t had a period. My fsh is 3.3, my lh is 0.8, my oestradiol is less than 55 and my prolactin is 59. I have been told that although stress can effect your hormones, they would expect to see high prolactin levels rather than low? Do you have any suggestions as to what this could indicate or what could be causing my low levels?

    (I am 31 and have a bmi of around 18 18.5)

    Kind regards

    • Hi Kate,

      It could be that your body fat is a bit too low. You are borderline low. Having a BMI less than 19 is a signal that you are underweight. There is only one thing you can do to increase your BMI, eat more food. By focusing on eating fertility diet that is geared for healthy weight gain, you will be well on your way. Even increasing it some may greatly help your body to regulate the menstrual cycle once again.

      Due to a lack of other information about your health it is difficult for me to say what may be going on. If you are desiring more information you may want to consider a detailed consultation.

      Best Wishes,


  44. Avatar

    im 27 and had an emergency surgery to removed a benign tumor almost 3 months ago. my husband and i of 11 years have been trying to concieve have only been trying for less then a year. went and had blood work done last weekend and my fsh level was at 11.8 and all my other blood work came back great.. we go in the begining of nov. to do gonadatropins along with the iui…. exciting and trying to stay positive but it has seemed to have been one thing after another…….. wanting a baby so bad…..was wondering if you think that’s a high level and do you know the success with the gonadatropins? and again im 27 with no children.. ALSO ONE LAST QUESTION is it common to have cramping during ovulation?

    • Hi Cassie,

      I am sorry to hear of your struggles! For menstruating women, the normal FSH levels during the follicular or luteal phase should range between 5 and 20 IU/L (international units per liter.) Right before ovulation during the mid-cycle peak, FSH levels should be between 30 and 50 IU/L. So no, your FSH level does not seem high. Because I am not a medical doctor, nor is anyone else that works here at NFI, I do not know if gonadtropins will be helpful for you. That would be a good question for your doctor.

      It is very common to have cramping during ovulation, especially on the side of the body where the egg was released from the ovary. This is called mittleschmerz.

      Best Wishes on your upcoming IUI!


  45. Avatar

    hi, i am 30 yrs old
    i just got my results for the hormonal profile and it indicates high LH of 33ng/ml and FSH of 32mg/ml. it shows also a high prolactin level of 29ng/ml and low PROG of 2mlu/ml
    i really dont know what to do. i have always had a history of menstrual delays but now i am trying for kids and it seems to be a problem



    • Hi Debbie,

      I am sorry to hear you are having a hard time with your test results. Vitex is an herb worth researching more. It helps to lower FSH and prolactin levels. Normalizing hormone levels and working to regulate ovulation so you can have regular cycle should be the goal, as well as improving egg health. It is important to talk to your doctor about what your test results mean for your fertility. If you feel lost, and would like to choose a natural route to balance hormones you may want to consider a Natural Fertility Consultation.

      Warm regards,