{"id":27245,"date":"2025-06-24T14:50:32","date_gmt":"2025-06-24T12:50:32","guid":{"rendered":"https:\/\/www.clinica-sante.com\/ro\/analize-fara-categorie\/fsh\/"},"modified":"2026-03-17T11:02:16","modified_gmt":"2026-03-17T09:02:16","slug":"fsh","status":"publish","type":"product","link":"https:\/\/www.clinica-sante.com\/ro\/analize-imunologie\/fsh\/","title":{"rendered":"FSH"},"content":{"rendered":"<p>FSH (hormonul foliculostimulant) este un hormon produs de glanda hipofiz\u0103, care controleaz\u0103 activitatea gonadelor \u2013 ovarele la femei \u0219i testiculele la b\u0103rba\u021bi \u2013 av\u00e2nd un rol important \u00een reglarea fertilit\u0103\u021bii \u0219i a echilibrului hormonal.<\/p>\n<\/p>\n<p>La femei, FSH ajut\u0103 ovarele s\u0103 preg\u0103teasc\u0103 ovulele pentru ovula\u021bie, stimul\u00e2nd cre\u0219terea foliculilor ovarieni \u0219i produc\u021bia de estrogen. Nivelurile sale cresc \u00een mod natural \u00eenainte de ovula\u021bie \u0219i ating valori maxime \u00een perioada menopauzei, c\u00e2nd activitatea ovarelor scade.<\/p>\n<\/p>\n<p>La b\u0103rba\u021bi, FSH ac\u021bioneaz\u0103 asupra testiculelor \u0219i sus\u021bine formarea de spermatozoizi (spermatogeneza).<\/p>\n<\/p>\n<p>Determinarea FSH, \u00eempreun\u0103 cu LH (hormonul luteinizant) \u0219i hormonii produ\u0219i de gonade (estradiol\/testosteron) permite evaluarea func\u021biei ovariene \u0219i testiculare, fiind frecvent utilizat\u0103 \u00een investigarea problemelor de fertilitate, tulbur\u0103rilor de ciclu menstrual la femei sau a disfunc\u021biilor hormonale de la nivelul hipofizei.<\/p>\n<\/p>\n<p><strong style=\"color: #ed7d31\">1. Indica\u021bii testare<\/strong><\/p>\n<ul>\n<li><strong>Evaluarea fertilit\u0103\u021bii<\/strong> feminine \u0219i masculine.<\/li>\n<li><strong>Evaluarea tulbur\u0103rilor de ciclu menstrual<\/strong> (cicluri neregulate, lipsa menstrua\u021biei, tulbur\u0103ri asociate perimenopauzei).<\/li>\n<li><strong>Diagnosticul hipogonadismului<\/strong> (insuficien\u021b\u0103 ovarian\u0103 sau testicular\u0103).<\/li>\n<li><strong>Evaluarea func\u021biei glandei hipofize.<\/strong><\/li>\n<li><strong>Monitorizarea tratamentelor de reproducere asistat\u0103<\/strong> (ex.: FIV).<\/li>\n<li><strong>Aprecierea r\u0103spunsului gonadal la terapii hormonale.<\/strong><\/li>\n<li><strong>Investigarea pubert\u0103\u021bii precoce<\/strong> <strong>sau \u00eent\u00e2rziate<\/strong> la copii.<\/li>\n<\/ul>\n<p><strong style=\"color: #ed7d31\">2. Preg\u0103tire pacient<\/strong><\/p>\n<ul>\n<li>Se recomand\u0103 recoltarea diminea\u021ba <em>\u00e0 jeun<\/em> (pe nem\u00e2ncate, dup\u0103 post alimentar de 8\u201312 ore), preferabil \u00eentre orele <strong>7:30\u201310:00<\/strong>.<\/li>\n<li>La femei, pentru evaluarea func\u021biei ovariene, se recomand\u0103 recoltarea \u00een prima parte a ciclului menstual \u2013 <strong>zilele 2-5<\/strong>.<\/li>\n<li>Se recomand\u0103 evitarea efortului fizic \u0219i stresului intens \u00eenaintea recolt\u0103rii.<\/li>\n<li>Este important\u0103 men\u021bionarea oric\u0103rui tratament hormonal recent (anticoncep\u021bionale, terapii hormonale de substitu\u021bie, gonadotropine etc.).<\/li>\n<\/ul>\n<p><strong style=\"color: #ed7d31\">3. Tipul probei recoltate: <\/strong>S\u00e2nge venos.<\/p>\n<\/p>\n<p><strong style=\"color: #ed7d31\">4. Valori de referin\u021b\u0103<\/strong><\/p>\n<p>Valorile de referin\u021b\u0103 pot varia \u00een func\u021bie de laborator \u0219i ziua recolt\u0103rii.<\/p>\n<p><strong>Femei:<\/strong><\/p>\n<ul>\n<li>Faza folicular\u0103: 3-10 mUI\/mL<\/li>\n<li>Ovula\u021bie: 4-25 mUI\/mL<\/li>\n<li>Faza luteal\u0103: 1-9 mUI\/mL<\/li>\n<li>Menopauz\u0103: 30-120 mUI\/mL<\/li>\n<\/ul>\n<p><strong>B\u0103rba\u021bi:<\/strong> 1-12 mUI\/mL<\/p>\n<p><strong>Copii:<\/strong> valorile variaz\u0103 \u00een func\u021bie de v\u00e2rst\u0103 \u0219i de stadiul de dezvoltare pubertar\u0103.<\/p>\n<\/p>\n<p><strong style=\"color: #ed7d31\">5. Interpretare rezultate<\/strong><\/p>\n<p><strong>Valori sc\u0103zute:<\/strong><\/p>\n<ul>\n<li>Hipogonadism hipogonadotrop (produc\u021bie redus\u0103 de hormoni de la nivelul hipofizei).<\/li>\n<li>Adenoame hipofizare secretante de prolactin\u0103 (prolactinoame).<\/li>\n<li>Tratament cu contraceptive orale, estrogeni sau glucocorticoizi.<\/li>\n<li>Obezitate.<\/li>\n<li>Stres sever, exerci\u021biu fizic excesiv.<\/li>\n<\/ul>\n<p><strong>Valori crescute:<\/strong><\/p>\n<ul>\n<li>Insuficien\u021b\u0103 gonadal\u0103 primar\u0103 (ovarian\u0103\/ testicular\u0103) \u2013 cum ar fi insuficien\u021ba ovarian\u0103 prematur\u0103 sau menopauza la femei.<\/li>\n<li>Afec\u021biuni genetice care afecteaz\u0103 gonadele (ex. sindrom Turner la femei, sindrom Klinefelter la b\u0103rba\u021bi).<\/li>\n<li>Excizie chirurgical\u0103 sau iradiere la nivelul gonadelor.<\/li>\n<li>Tumori secretante de gonadotropine.<\/li>\n<li>Pubertate precoce la copii.<\/li>\n<\/ul>\n<p>\u00cen contextul evalu\u0103rii fertilit\u0103\u021bii feminine, interpretarea valorilor FSH trebuie corelat\u0103 cu nivelul estradiolului din aceea\u0219i zi de recoltare.<\/p>\n<\/p>\n<p><strong style=\"color: #ed7d31\">6. Factori care pot influen\u021ba rezultatul<\/strong><\/p>\n<p><strong>Fiziologici:<\/strong><\/p>\n<ul>\n<li>Faza ciclului menstrual<\/li>\n<li>Menopauza (cre\u0219tere marcat\u0103)<\/li>\n<li>Pubertatea (valorile cresc progresiv)<\/li>\n<\/ul>\n<p><strong>Medicamente:<\/strong><\/p>\n<ul>\n<li>Pot cre\u0219te valorile: clomifen, gonadotropine exogene, levodopa.<\/li>\n<li>Pot sc\u0103dea valorile: contraceptive orale, estrogeni, testosteron, glucocorticoizi.<\/li>\n<\/ul>\n<p><strong style=\"color: #ed7d31\">7. Analize complementare<\/strong><\/p>\n<ul>\n<li><strong>LH \u0219i estradiol<\/strong>: pentru evaluarea axei hipotalamo-hipofizo-gonadale.<\/li>\n<li><strong>AMH \u0219i inhibina B<\/strong>: pentru estimarea rezervei ovariene.<\/li>\n<li><strong>Prolactina<\/strong>: evaluarea altor cauze de infertilitate\/ tulbur\u0103ri de ciclu menstrual.<\/li>\n<li><strong>TSH<\/strong>: diagnosticul unor disfunc\u021bii tiroidene asociate cu infertilitate\/ tulbur\u0103ri de ciclu menstrual.<\/li>\n<li><strong>Testosteron total \u0219i liber, SHBG<\/strong>: evaluarea tulbur\u0103rilor hormonale at\u00e2t la femei, c\u00e2t \u0219i la b\u0103rba\u021bi.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>FSH (hormonul foliculostimulant) este un hormon gonadotrop produs de glanda hipofiz\u0103, care regleaz\u0103 func\u021bia ovarian\u0103 la femei \u0219i func\u021bia testicular\u0103 la b\u0103rba\u021bi. Este util \u00een diagnosticarea \u0219i monitorizarea unei game largi de afec\u021biuni endocrine, cum ar fi problemele de fertilitate, tulbur\u0103rile de ciclu menstrual sau ale pubert\u0103\u021bii.<\/p>\n","protected":false},"featured_media":0,"template":"","meta":{"_acf_changed":false,"inline_featured_image":false},"product_brand":[],"product_cat":[1209,3180,2876],"product_tag":[3520,3490,3519,3522,3518,3516,3521,3517],"class_list":{"0":"post-27245","1":"product","2":"type-product","3":"status-publish","5":"product_cat-analize","6":"product_cat-imunologie","7":"product_cat-serviciu-laborator","8":"product_tag-axa-hipotalamo-hipofizara","9":"product_tag-fertilitate","10":"product_tag-hipogonadism","11":"product_tag-hormoni-gonadotropi","12":"product_tag-menopauza","13":"product_tag-ovulatie","14":"product_tag-reproducere","15":"product_tag-rezerva-ovariana","16":"pa_conditii-medicale-afecti-disfuctie-erectila","17":"pa_conditii-medicale-afecti-ginecomastie","18":"pa_conditii-medicale-afecti-tulburari-de-ciclu-menstrual-amenoree-sopc","19":"pa_conditii-medicale-afecti-tumori-hipofizare","21":"first","22":"instock","23":"sale","24":"virtual","25":"purchasable","26":"product-type-simple"},"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/product\/27245","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"wp:attachment":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/media?parent=27245"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/product_brand?post=27245"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/product_cat?post=27245"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/product_tag?post=27245"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}