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Follicle Stimulating Hormone

FSH stimulates sperm production in men and egg development in women. Essential for fertility.

Measured in IU/L

What it measures

Follicle stimulating hormone, or FSH, is another vital messenger produced by the pituitary gland, and it works hand in hand with LH to support your reproductive system. As its name suggests, FSH stimulates the growth and maturation of follicles in the ovaries, the tiny fluid-filled sacs that each contain a developing egg. In men, FSH plays an equally important role by supporting the production of sperm within the testes. FSH matters not just for fertility but for your broader hormonal balance too.

You can think of FSH as the gardener that nurtures seeds before they are ready to bloom; without adequate FSH, eggs cannot mature properly in women, and sperm production may be less efficient in men. The pituitary gland fine-tunes FSH release based on signals it receives from the ovaries or testes. When sex hormone levels are sufficient, FSH production eases off, and when they dip, it ramps up. This elegant feedback system keeps your reproductive hormones in equilibrium.

Your FSH levels can be influenced by several factors. Age is one of the most significant. In women approaching the menopause, FSH tends to rise as the ovaries gradually produce less oestrogen, and this is a perfectly normal part of ageing. Stress, being significantly underweight or overweight, and certain medications can also shift your levels. In women of reproductive age, FSH varies across the menstrual cycle, so the day your blood is drawn can affect the reading. If your FSH result is higher or lower than expected, your GP can interpret it in the context of your age, symptoms, and other hormone levels.

What your results mean

Low

Below Range

A lower-than-expected FSH level indicates that the pituitary gland is producing less of this hormone than usual, which may affect reproductive function. This can be influenced by stress, significant changes in body weight, certain medications, taking testosterone, or pituitary conditions. Discuss this result with your GP, who can consider it alongside your other hormone results and advise on whether further investigation is needed.

Normal

Within Range

Your FSH level is within the reference range. This hormone is involved in egg and sperm development, but on its own a normal result does not predict fertility.

High

Above Range

A raised FSH level indicates that the pituitary gland is sending a stronger signal to the testes or ovaries. In men, it can indicate that there is a testicular issue with the testes not responding as expected to hormonal signals. In women around the menopause, this is expected. In younger women, it may reflect the stage of your cycle, reduced ovarian reserve or ovarian insufficiency. Your GP can interpret this alongside your other hormone results and symptoms to determine the cause and advise on appropriate next steps.

See where your Follicle Stimulating Hormone sits

A blood test that includes Follicle Stimulating Hormone.