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Blutwerte · Marker

FSH

Follikelstimulierendes Hormon · Follicle-Stimulating Hormone · FSH

Hormone — Reproduktionsachse
Einheit:
IU/L

FSH quantifies the concentration of follicle-stimulating hormone in the blood, which is involved in reproductive processes.

Reference Ranges

Reference
1.512.4IU/L
1.5
12.4
LowNormalHigh
Reference
Unit · IU/L

Reference ranges vary by age and sex; typically higher in postmenopausal women.

Overview

Übersicht

Follicle-Stimulating Hormone (FSH) is a glycoprotein hormone produced by the anterior pituitary gland. It plays a crucial role in the regulation of the reproductive processes, including the development of ovarian follicles in women and spermatogenesis in men. FSH levels are influenced by the gonadotropin-releasing hormone (GnRH) from the hypothalamus and are part of the feedback loop involving sex steroids such as estrogen and testosterone. Clinically, FSH is an important marker in evaluating reproductive health. Elevated FSH levels can indicate primary ovarian insufficiency or testicular failure, while low levels may suggest hypogonadotropic hypogonadism. FSH measurement is also crucial in diagnosing conditions like polycystic ovary syndrome (PCOS) and assessing menopausal status. In the context of athletic performance and biohacking, FSH is less directly relevant but can provide insights into hormonal balance and reproductive health, which indirectly affect overall well-being and performance. Researchers have found that FSH levels can be influenced by factors such as age, sex, and hormonal therapies. Time of day and fasting status do not significantly affect FSH levels, but certain medications and health conditions can interfere with accurate measurement. Therefore, it is important to consider these factors when interpreting FSH results.

Klinische Bedeutung

Elevated FSH levels often indicate primary gonadal failure, such as menopause or testicular dysfunction. Reduced FSH levels may suggest hypogonadotropic hypogonadism or pituitary dysfunction.

Dynamics

Trend Interpretation

Rising Values

Progressively rising FSH levels may indicate advancing ovarian failure or menopause. Re-test in 4-6 weeks if clinically indicated.

Falling Values

Falling FSH levels may suggest recovery from a temporary pituitary suppression or response to hormone therapy.

Re-test Interval

4-6 weeks if outside optimal range

Etiology

Causes — High & Low

Cause

Elevated Levels

  • Menopause
  • Primary ovarian insufficiency
  • Testicular failure
  • Turner syndrome
  • Klinefelter syndrome
Cause

Low Levels

  • Hypothalamic suppression
  • Pituitary dysfunction
  • Hyperprolactinemia
  • Exogenous hormone use
  • Severe stress
Protocol

How to Optimize

Lever

Lifestyle

  • Manage stress levels
  • Maintain a healthy weight
  • Regular physical activity
Lever

Nutrition

  • Balanced diet rich in essential nutrients
  • Adequate protein intake
Lever

Supplementation

  • Vitamin D
  • Zinc

Note:

Consult a healthcare provider before making significant lifestyle or dietary changes.

Testing Guidelines

Fasting Not Required
Not Time-Sensitive

FSH levels can vary throughout the day; morning samples are preferred for consistency.

Testing Frequency

As directed by a healthcare provider based on clinical indications.

Interfering Factors

  • Hormonal medications
  • Recent contraceptive use
  • Severe illness

Related Peptides & Hormones

Luteinizing Hormone

Correlated with

hormone

Open Research Questions

Current research suggests that robust reference intervals for follicle-stimulating hormone (FSH) in women remain incomplete, particularly regarding its role in menopausal symptoms and hormone therapy. Researchers have not yet established optimal FSH targets for various clinical scenarios, such as polycystic ovarian syndrome or during IVF treatments. Additionally, unanswered clinical questions include the implications of FSH receptor signaling in cancer and the potential therapeutic applications of FSH-blocking strategies in conditions like osteoporosis.

23 Research Publications

380

Total Citations

6

Human/RCT

2.3

Avg. Influence

2020

Latest

Sort
Filter
#01

The menopause and aging, a comparative perspective.

ReviewInfluence6.0
130
This review examines the neuroendocrinology of menopause, comparing rodent models to human experiences. It highlights the hormonal changes and their implications, noting that while rodents show hypothalamic impairments affecting LH and FSH surges, similar irreversible changes are not evident in peri-menopausal women.
View on PubMed
#02

Pharmacokinetics of follicle-stimulating hormone: clinical significance.

ReviewInfluence1.0
64
Researchers reviewed the pharmacokinetics of endogenous and exogenous FSH preparations, noting variations in response based on sialic acid content. They identified a threshold FSH level necessary for ovarian response during treatments like IVF. Careful monitoring of FSH levels is crucial to avoid complications such as ovarian hyperstimulation syndrome.
View on PubMed
#03

Genetic evaluation of male infertility.

ReviewInfluence4.0
56
Researchers emphasized the need for genetic testing in men with severe oligospermia or azoospermia to clarify infertility causes. They noted that FSH levels vary between obstructive and non-obstructive azoospermia, which influences genetic testing strategies. The study suggests that genetic analysis can guide management options for male infertility.
View on PubMed
#04

FSH-blocking therapeutic for osteoporosis.

Animal
30
Researchers developed a first-in-class FSH-blocking antibody, MS-Hu6, which has shown efficacy in preventing osteoporosis in mice. The study reported that MS-Hu6 is stable and non-immunogenic, indicating potential for future human testing. The findings suggest that targeting FSH may be a viable strategy for treating osteoporosis.
View on PubMed
#05

The follicle-stimulating hormone receptor: a novel target in genitourinary malignancies.

ReviewInfluence1.0
30
Researchers discussed the expression of the follicle-stimulating hormone receptor (FSHR) in tumor blood vessels of various genitourinary malignancies. The study suggests that targeting FSHR may have therapeutic potential in treating prostate cancer and other solid tumors.
View on PubMed
#06

Relationship between metabolic syndrome and follicle-stimulating hormone in postmenopausal women.

HumanInfluence1.0
20
Researchers examined the relationship between follicle-stimulating hormone (FSH) levels and metabolic syndrome in postmenopausal women. They found that higher FSH levels were associated with lower odds of metabolic syndrome and improved insulin sensitivity. The study suggests that FSH may serve as a biomarker for metabolic syndrome risk.
View on PubMed
#07

Estrogen Versus FSH Effects on Bone Metabolism: Evidence From Interventional Human Studies.

ReviewInfluence1.0
16
Researchers summarized evidence suggesting that while FSH levels correlate with postmenopausal bone loss, interventional studies have not shown FSH to directly influence bone or fat metabolism in humans. Current data from mouse studies and human observations remain inconclusive.
View on PubMed
#08

A Comprehensive Review of Estradiol, Progesterone, Luteinizing Hormone, and Follicle-Stimulating Hormone in the Context of Laboratory Medicine to Support Women's Health.

Review
15
Researchers reviewed the roles of estradiol, progesterone, luteinizing hormone, and follicle-stimulating hormone (FSH) in women's health. They noted that robust reference intervals for these hormones are lacking, which can impact care for women experiencing menopausal symptoms. Collaborative efforts are needed to better define therapeutic intervals for these hormones.
View on PubMed
#09

Optimizing a therapeutic humanized follicle-stimulating hormone-blocking antibody formulation by protein thermal shift assay.

In Vitro
5
Researchers optimized a formulation for the humanized FSH-blocking antibody, MS-Hu6, using protein thermal shift assays. They identified optimal buffer conditions and stabilizers that enhanced the antibody's thermal stability, which is crucial for its potential therapeutic use.
View on PubMed
#10

Efficacy and safety of a therapeutic humanized FSH-blocking antibody in obesity and Alzheimer's disease models.

Animal
4
Researchers developed an FSH-blocking antibody, MS-Hu6, showing potential in obesity and Alzheimer's disease models. The antibody demonstrated safety and efficacy in animal studies, leading to weight loss and improved memory function. This research supports future human trials.
View on PubMed

Clinical Trials (6)

6

Total Trials

890

Total Enrolled

Effects of Adding Quercetin or Alpha Lipoic Acid to Usual Care on Symptoms and Blood Markers in Iraqi Women With Polycystic Ovary Syndrome

NCT07182526Phase 2RECRUITING
Sponsor

Al-Mustansiriyah University

Enrollment

150

Started

2025

Primary outcome

Change in Hormonal Profile (LH, FSH, Testosterone) from Baseline

PCOS (Polycystic Ovary Syndrome) of Bilateral Ovaries

LH/FSH, Testosterone, Prolactin, and Ferritin in PCOS Patients in Jordan

NCT07112768COMPLETED
Sponsor

Future University in Egypt

Enrollment

140

Started

2024

Primary outcome

Hormonal level

PCOS (Polycystic Ovary Syndrome)

An 18-month Prospective Natural History Study to Gain Insight Into FSHD2 Pathophysiology and Disease Progression

NCT06079567RECRUITING
Sponsor

Centre Hospitalier Universitaire de Nice

Enrollment

50

Started

2023

Primary outcome

Minimal clinical importance of the Motor Function Measure-32 (MFM-32) from Baseline (V1) to 18 months (V3)

Facioscapulohumeral Muscular Dystrophy Type 2

Motor Outcomes to Validate Evaluations in FSHD (MOVE FSHD)

NCT04635891RECRUITING
Sponsor

University of Kansas Medical Center

Enrollment

450

Started

2020

Primary outcome

10m walk/run

FSHD

Influence of Laparoscopic Endometrioma Stripping Surgery on Serum Anti-mullerian Hormone Levels

Sponsor

Clinical Centre of Serbia

Enrollment

100

Started

2014

Primary outcome

Change of follicle-stimulating hormone (FSH)

Endometriosis

Ovarian Damage in Young Premenopausal Women Undergoing Chemotherapy for Cancer

NCT00402935WITHDRAWN
Sponsor

Case Comprehensive Cancer Center

Enrollment

0

Started

2004

Primary outcome

Incidence of ovarian damage after cytotoxic chemotherapy as determined by changes in ovarian volume, antral follicle count, and follicle-stimulating hormone, estradiol, and inhibin B levels

LeukemiaLong-term Effects Secondary to Cancer Therapy in AdultsLong-term Effects Secondary to Cancer Therapy in ChildrenLymphomaSexual Dysfunction and InfertilitySexuality and Reproductive IssuesUnspecified Adult Solid Tumor, Protocol SpecificUnspecified Childhood Solid Tumor, Protocol Specific

Publication Trend

Research publications about FSH over time

8total
1
'95
1
'14
2
'22
1
'24
2
'25
1
'26

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