Follicle Stimulating Hormone (FSH)
Label Mnemonic: FSH
Epic code: LAB86
Downtime form: A-1a Doctor/Provider Orders - Pathology Core and Specialty Care Nursery
Chemistry
6240 RCP
356-3527
Specimen(s):
Plasma
Collection Medium:
Plasma Separator Tube 4.5 mL
Alternate Collection Media:
Call laboratory for additional acceptable specimen collection containers.
Minimum:
3 mL in light green top tube or TWO Microtainer® devices
Testing Schedule:
24 hrs/day, 7 days a week, including holidays.
Turn Around Time:
1 hour (upon receipt in laboratory)
Reference Range:
FEMALES - menstruating:
  Follicular phase        3.5 - 12.5 mIU/mL
  Ovulation phase         4.7 - 21.5 mIU/mL
  Luteal phase            1.7 - 7.7 mIU/mL
  Postmenopause          25.8 - 134.8 mIU/mL
MALES:                    1.5 - 12.4 mIU/mL

    AGE            MALE            FEMALE
1 - 3 years   0.2-1.5 mIU/mL   1.2-5.7 mIU/mL
4 - 8 years   0.5-1.6 mIU/mL   0.8-3.0 mIU/mL
Tanner I      0.7-3.1 mIU/mL   0.5-5.1 mIU/mL
Tanner II     1.1-6.9 mIU/mL   2.4-8.7 mIU/mL
Tanner III    1.8-6.2 mIU/mL   3.8-8.1 mIU/mL
Tanner IV     1.8-4.8 mIU/mL   1.1-9.6 mIU/mL
Tanner V      1.4-6.8 mIU/mL   2.0-7.6 mIU/mL
Interpretive Data:
Assay updated with increased tolerance to biotin on February 7, 2023.
Comments:
This test is also performed in the Iowa River Landing (IRL) clinical laboratory (for specimens drawn at that site).
Test Limitations:
The assay is unaffected by icterus (bilirubin is less than 64 
mg/dL), hemolysis (Hb is less than 1,000 mg/dL), lipemia (Intralipid 
is less than 1900 mg/dL) and biotin is less than 1200 ng/mL. (criterion: 
recovery within plus or minus 10% of initial value).

No interference was observed from rheumatoid factors up to a 
concentration of 2250 U/mL.

No high dose hook effect at FSH concentrations of up to 2000 mIU/mL.

In vitro tests were performed on 17 commonly used pharmaceuticals. No 
interference with the assay was found.

As with all tests containing monoclonal antibodies, erroneous findings 
may be obtained from samples taken from patients who have been treated 
with monoclonal mouse antibodies or who have received them for 
diagnostic purposes.

In rare cases, interference due to extremely high titers of antibodies 
to ruthenium can occur.

FSH contains additives which minimize these effects.

Extremely high titers of antibodies to streptavidin can occur in 
isolated cases and cause interference.

For diagnostic purposes, the FSH findings should always be assessed in 
conjunction with the patient's medical history, clinical examination 
and other findings.
Methodology:
Electrochemiluminescence Immunoassay
CPT Code:
83001
 
See Additional Information:
Biotin Interference with Immunoassays