What does it mean when luteinizing hormone (LH) levels are elevated?

Apr 26, 2021 Source: Cainiu Health
Disease description:

I feel I’m entering menopause and my periods are about to stop. Recently, I went to the hospital for tests, which showed that my luteinizing hormone (LH) level is elevated. I’m curious—what does it mean when luteinizing hormone levels are high?

Doctor's answer (1)
Dr. Liu Xiaohui
Hello, Elevated luteinizing hormone (LH) levels warrant further evaluation of follicle-stimulating hormone (FSH). If FSH levels are low and the LH-to-FSH ratio exceeds 2, along with elevated serum androgen levels, a pelvic ultrasound should be performed to assess for polycystic ovary syndrome (PCOS). Alternatively, if both LH and FSH levels are elevated but estradiol (a key estrogen) levels are low, this may indicate diminished ovarian function. In such cases, further assessment—including measurement of anti-Müllerian hormone (AMH)—is recommended to evaluate ovarian reserve. We hope this information is helpful. Wishing you good health and happiness!