🌸PCOS Hormone Test Kaise Samjhein? LH, FSH, AMH, Testosterone Ka Poora Guide Hindi Mein
PCOS ya PCOD diagnose hua hai ya shak hai? Hormone panel mein LH, FSH, AMH, testosterone, prolactin — ye sab kya hai? Ye Hindi guide har hormone ka matlab batata hai.
Dr. Ananya Krishnan
Gynaecologist & Endocrinologist
PCOS Hormone Test Kaise Samjhein? LH, FSH, AMH, Testosterone Ka Poora Guide Hindi Mein
PCOS ya PCOD diagnose hua hai ya doctor ko shak hai. Hormone panel karwaya — LH, FSH, AMH, testosterone, prolactin, TSH, insulin — sab numbers hain par kuch samajh nahi aaya.
Ye sab hormones kya hain? Kaunsa high hai, kaunsa low hai? Ratio kya hota hai? Aur iska PCOS se kya lena-dena hai?
Bharat mein lagbhag 1 in 5 reproductive age women ko PCOS hota hai. Ye itna aam hai ki logon ko pata bhi nahi hota — irregular periods, weight gain, acne, facial hair — sab "stress" kehte hain. Lekin asal mein ye hormonal imbalance hai jo properly diagnose aur manage kiya ja sakta hai.
Ye guide aapko har hormone samjhayega — plain Hindi mein.
PCOS Actually Hai Kya?
PCOS (Polycystic Ovary Syndrome) ek hormonal imbalance hai jismein ovaries zyada androgens (male hormones) banate hain, jisse egg development aur release ka cycle bigad jaata hai.
Iske result:
- Irregular ya absent periods
- Ovaries pe chhote fluid-filled follicles ("cysts" — asal mein immature eggs jo release nahi hue)
- Androgens zyada hone ke lakshan: acne, facial hair (hirsutism), scalp pe baal patle hona
- Bachche paida karne mein dikkat
- Insulin resistance aur weight gain
Ye Rotterdam Criteria se diagnose hota hai — kam se kam 3 mein se 2 chahiye:
- Irregular ya absent periods
- High androgens ke clinical ya biochemical signs
- Ultrasound pe polycystic ovaries
Blood tests biochemical picture confirm karte hain.
PCOS Hormone Panel — Kya Test Hota Hai
| Hormone | Kya Karta Hai | Kab Test Karwayein |
|---|---|---|
| LH | Ovulation trigger karta hai | Cycle ke Day 2–3 |
| FSH | Follicle growth stimulate karta hai | Cycle ke Day 2–3 |
| AMH | Egg reserve aur follicle count dikhata hai | Kabhi bhi |
| Estradiol (E2) | Main female sex hormone | Cycle ke Day 2–3 |
| Total Testosterone | Primary androgen | Kabhi bhi (subah prefer) |
| Free Testosterone | Active androgen fraction | Kabhi bhi |
| DHEA-S | Adrenal androgen | Kabhi bhi |
| Prolactin | Pituitary gland se hormone | Kabhi bhi (fasting, subah) |
| TSH | Thyroid function | Kabhi bhi |
| Fasting Insulin | Insulin resistance check | Fasting |
LH aur FSH — Ovulation Ke Signals
Normal Values (Day 2–3)
| Hormone | Normal Range |
|---|---|
| LH | 2 – 15 mIU/mL |
| FSH | 3 – 10 mIU/mL |
| LH/FSH Ratio | Lagbhag 1:1 |
Normal cycle mein, FSH pehle badhta hai follicle growth ke liye. Phir LH surge hota hai ovulation trigger karne ke liye. PCOS mein, LH chronically elevated rehta hai jabki FSH relatively low rehta hai — ratio ulta ho jaata hai.
LH/FSH ratio 2:1 se upar classic PCOS pattern hai. Ye dikhata hai ki pituitary gland zyada bhej raha hai jo androgen production overstimulate karta hai aur ovulation process bigad deta hai.
Note: Sirf LH/FSH ratio se diagnose nahi hota. Symptoms aur ultrasound findings ke saath samajhna padta hai.
AMH — Anti-Müllerian Hormone
AMH ovaries ke chhote follicles se banta hai. Ye batata hai kitne follicle hain — yaani kitne potential eggs hain.
Normal Ranges
| Level | Matlab |
|---|---|
| 4–5 ng/mL se upar | Zyada — PCOS suggest karta hai (bada follicle pool) |
| 1 – 4 ng/mL | Normal reproductive age range |
| 0.5 – 1 ng/mL | Kam — reduced ovarian reserve |
| 0.5 se neeche | Bahut kam — poor ovarian reserve |
PCOS mein AMH aksar elevated hota hai kyunki normal se zyada chhote follicle hote hain — lekin ye mature hokar egg release nahi kar paate.
AMH aur ovarian reserve assess karne ke liye bhi use hota hai — jo mahilayein conceive karna chahti hain ya egg freezing soch rahi hain. Ye sabse reliable single marker hai.
Testosterone Aur Androgens
Total Testosterone (Mahilaon Mein)
| Level | Matlab |
|---|---|
| 20 – 70 ng/dL | Normal |
| 70 se upar | Elevated — hyperandrogenism |
| 150 se upar | Bahut zyada — tumor rule karein |
High testosterone samjhata hai PCOS mein acne, hirsutism (facial aur body hair), aur scalp ke baal patle hona.
DHEA-S (Dehydroepiandrosterone Sulfate)
| Level | Matlab |
|---|---|
| Mahila 18–50 | 44 – 332 mcg/dL (normal) |
| Elevated | Adrenal androgen excess suggest karta hai |
DHEA-S adrenal glands se aata hai, ovaries se nahi. Agar DHEA-S bahut high hai toh doctor PCOS ke saath-saath adrenal causes bhi investigate karenge.
Prolactin — Mimic
Normal Range
| Level | Matlab |
|---|---|
| 25 se neeche ng/mL | Normal |
| 25 – 100 ng/mL | Thoda zyada — dobara test karein (stress, dawaiyan, timing results affect karti hain) |
| 100 se upar ng/mL | Bahut zyada — pituitary evaluation zaroori |
High prolactin (hyperprolactinaemia) irregular periods karta hai aur PCOS ko bilkul mimic kar sakta hai. Pituitary tumor (prolactinoma) — aamtaur par benign — bahut high prolactin ki sabse common wajah hai.
Isliye PCOS confirm karne se pehle prolactin zaroor test karna chahiye.
TSH — Doosra Mimic
Hypothyroidism irregular cycles, weight gain, aur baal jhadna karta hai — sab PCOS symptoms se milte-julte hain. TSH 4 mIU/L se upar hone par pehle treat karein, baaki sab symptoms ko PCOS mat blame karein.
Insulin Resistance Aur PCOS
70% PCOS women mein kisi had tak insulin resistance hota hai — chahe overweight ho ya na ho. High insulin ovaries ko zyada androgens banne pe stimulate karta hai, hormonal imbalance badha deta hai.
Fasting Insulin
| Level | Matlab |
|---|---|
| 10 se neeche mcIU/mL | Normal |
| 10 – 25 mcIU/mL | Borderline insulin resistance |
| 25 se upar mcIU/mL | Significant insulin resistance |
Agar insulin resistance confirm hai toh aksar lifestyle changes ke saath metformin bhi diya jaata hai — diabetes na bhi ho.
Typical PCOS Report Kaisa Dikhta Hai
| Test | PCOS Pattern |
|---|---|
| LH | High |
| FSH | Normal ya low |
| LH/FSH Ratio | 2 se upar |
| AMH | High (4–5 ng/mL se upar) |
| Total Testosterone | High ya high-normal |
| DHEA-S | Normal ya thoda high |
| Prolactin | Normal |
| TSH | Normal |
| Fasting Insulin | Elevated |
Ilaaj — Overview
PCOS ka koi ilaaj nahi hai, lekin bahut acchi tarah manage ho sakta hai:
- Lifestyle: Sirf 5–10% vajan kam karna hormonal balance mein kaafi改善 laata hai aur kayi mahilaon mein ovulation restore hota hai
- Metformin: Insulin resistance address karta hai; aksar regular cycles restore karta hai
- Oral contraceptive pills (OCPs): Cycles regulate karte hain aur skin aur hair pe androgen effects kam karte hain
- Anti-androgens (spironolactone): Significant hirsutism aur acne ke liye
- Fertility treatment: Conceive karna chahti hain toh letrozole ya clomiphene se ovulation induce karte hain
scanura Se Madad
Apna hormone panel upload karein scanura par:
- LH/FSH ratio automatically calculate aur flag karega
- Har hormone ko aapke cycle day ke context mein samjhayega
- Batayega ki prolactin ya TSH pehle rule karna zaroori hai ya nahi
- Dawai ke saath hormone levels kaise badal rahe hain track karega
Disclaimer: Ye sirf jaankari ke liye hai. scanura medical diagnosis nahi deta. Apne gynaecologist ya doctor se zaroor milein.
Medical References
Step-by-Step Guide
- 1
Sahi waqt pe test karwayein
Zyadatar hormone tests (LH, FSH, estradiol) menstrual cycle ke Day 2 ya Day 3 pe karwayein. AMH kabhi bhi karwa sakte hain. Doctor se sahi waqt poochein.
- 2
LH/FSH ratio dekhein
Normal ratio lagbhag 1:1 hai. Ratio 2:1 se upar (LH, FSH se zyada) — ye classic PCOS pattern hai aur disrupted ovulation signal dikhata hai.
- 3
AMH level dekhein
Reproductive age woman mein AMH 4–5 ng/mL se upar — high antral follicle count hai, PCOS ka important marker. 1 se neeche — kam ovarian reserve.
- 4
Testosterone aur DHEA-S dekhein
Total testosterone 70 ng/dL se upar ya free testosterone high hai aur DHEA-S bhi range se upar — hyperandrogenism confirm hai, PCOS ka core feature.
- 5
Thyroid aur prolactin rule karein
Thyroid dysfunction aur high prolactin PCOS ke symptoms ko bilkul copy kar sakte hain. PCOS confirm karne se pehle TSH aur prolactin zaroor check karein.
- 6
Ultrasound ke saath combine karein
Sirf blood tests se PCOS diagnose nahi hota. Rotterdam criteria ke liye 3 mein se kam se kam 2 chahiye: irregular cycles, high androgens, polycystic ovaries ultrasound pe.