The Medical and Surgical Practice of NaProTECHNOLOGY, 285-292, 2004

Chapter 24: Establishing Normal Hormone Levels

Thomas W Hilgers

Author affiliations
  • Pope Paul VI Institute for the Study of Human Reproduction, Omaha, Nebraska. ROR
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Abstract

Normal estradiol and progesterone reference ranges in NaProTECHNOLOGY are derived from fertile, ovulatory cycles with confirmed CrMS Peak days and sonographic ovulation, with blood sampling timed to Peak-anchored days (pre-ovulatory P-days for estradiol, P+3 through P+11 for luteal hormones) rather than to calendar cycle days. These day-specific normative values allow detection of subtle deficiencies -- such as a blunted progesterone rise at P+5 or inadequate pre-ovulatory estradiol -- that are clinically actionable for diagnosing follicular and luteal phase disorders but are invisible to standard mid-luteal or phase-independent reference intervals.

Topics

what are normal progesterone levels across the menstrual cycle, why are standard hormone lab ranges inadequate for fertility assessment, how is ovulation confirmed by ultrasound for hormone reference values, what is a relative progesterone ratio, how is Type III luteal phase deficiency diagnosed, serial progesterone profile versus single integrated luteal progesterone, targeted hormone evaluation menstrual cycle NaProTechnology, Pope Paul VI Institute hormone reference ranges

Cite this article

Hilgers, T. W. (2004). Chapter 24: Establishing Normal Hormone Levels. *The Medical and Surgical Practice of NaProTECHNOLOGY*, 285-292.

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