Visit ID : MKRL43625 Registration : 09/Oct/2023 05:16PM

UHID/MR No : AKRL.0000043606 Collected : 09/Oct/2023 05:27PM

Patient Name : Ms.KIRAN Received : 09/Oct/2023 05:31PM
Age/Gender : 24 Y 0 M 0 D /F Reported : 09/Oct/2023 06:31PM
Ref Doctor : Dr.SELF Status : Final Report
Client Name : KARNAL LAB Client Code : 4427
Client Add : NEAR CHAUDHARI HOSPITAL KARNAL Barcode No : A4344350

DEPARTMENT OF HORMONE ASSAYS

Test Name Result Unit Bio. Ref. Range Method

PROLACTIN
Sample Type : Serum
PROLACTIN 8.59 ng/ml REFER INTERPRETATION CLIA

INTERPRETATION:
Non Pregnant Female 2.8-29.2 ng/ml
Pregnancy 9.7-208.5 ng/ml
Post-Menopausal 1.8-20.3 ng/ml
Male 2.1-17.7 ng/ml
-The major physiologic action of prolactin is the initiation and maintenance of lactation in women.
-Hyperprolactinemia has been established as a common cause of infertility and gonadal disorders in men and women.
-Causes of increased prolactin concentrations include pituitary tumours, amenorrhoea and/or galactorrhoea, primary
hypothyroidism, anorexia nervosa, polycystic ovarian syndrome, renal failure and ectopic production. Women taking oral
contraceptives or receiving estrogen therapy can have elevated prolactin concentration. Stress, coitus, some psychotropic
and antihypertensive drugs may give falsely elevated values.
-Causes of decreased prolactin concentrations include hypopituitarism, post partum, administration of certain drugs like L-
dopa, apomorphine, clonidine and bromocriptine.
LIMITATIONS:
-Prolactin levels have been found to be influenced by various factors other than the diseased state.
-Prolactin may exist in alternate structural forms (e.g. macroprolactin) which may exhibit variable levels of physiological
activity. Additional information may be required for diagnosis.
-Specimens from patients who have received preparations of mouse monoclonal antibodies for diagnosis or therapy may
show either falsely elevated or depressed values.

Page 1 of 3

363-364/4, NEW RAILWAY ROAD JAWAHAR NAGAR, GURUGRAM, Mobile:8586988847 Landline:01246712000

Visit ID : MKRL43625 Registration : 09/Oct/2023 05:16PM
UHID/MR No : AKRL.0000043606 Collected : 09/Oct/2023 05:27PM
Patient Name : Ms.KIRAN Received : 09/Oct/2023 05:31PM
Age/Gender : 24 Y 0 M 0 D /F Reported : 09/Oct/2023 06:31PM
Ref Doctor : Dr.SELF Status : Final Report
Client Name : KARNAL LAB Client Code : 4427
Client Add : NEAR CHAUDHARI HOSPITAL KARNAL Barcode No : A4344350

DEPARTMENT OF HORMONE ASSAYS

Test Name Result Unit Bio. Ref. Range Method

TSH - ULTRASENSITIVE
Sample Type : Serum
Ultrasensitive TSH 6.694 ulU/mL 0.55-4.78 CLIA

INTERPRETATION:
1. Serum T3, T4 and TSH are the measurements form three components of thyroid screening panel and are useful in
diagnosing various disorders of thyroid gland function.
2. Primary hyperthyroidism is accompanied by elevated serum T3 and T4 values along with depressed TSH levels.
3. Primary hypothyroidism is accompanied by depressed serum T3 and T4 values and elevated serum TSH levels.
4. Normal T4 levels accompanied by high T3 levels are seen in patients with T3 thyrotoxicosis. Slightly elevated T3 levels
may be found in pregnancy and in estrogen therapy while depressed levels may be encountered in severe illness,
malnutrition, renal failure and during therapy with drugs like propanolol and propylthiouracil.
5. Although elevated TSH levels are nearly always indicative of primary hypothyroidism, rarely they can result from TSH
secreting pituitary tumors (secondary hyperthyroidism).
6. Low levels of Thyroid hormones (T3, T4 & FT3, FT4) are seen in cases of primary, secondary and tertiary hypothyroidism
and sometimes in non-thyroidal illness also.
7. Increased levels are found in Grave’s disease, hyperthyroidism and thyroid hormone resistance.
8. TSH levels are raised in primary hypothyroidism and are low in hyperthyroidism and secondary hypothyroidism.
9. REFERENCE RANGE :

PREGNANCY Ultrasensitive TSH in

uIU/mL
1st Trimester 0.100 – 2.500
2nd Trimester 0.200 – 3.000
3rd Trimester 0.300 – 3.000

( References range recommended by the American Thyroid Association)

Comments :

1. During pregnancy, Free thyroid profile (FT3, FT4 & Ultra-TSH) is recommended.
2. TSH levels are subject to circadian variation, reaches peak levels between 2-4 AM and at a minimum between 6-10 PM.
The variation of the day has influence on the measured serum TSH concentrations.

Page 2 of 3

363-364/4, NEW RAILWAY ROAD JAWAHAR NAGAR, GURUGRAM, Mobile:8586988847 Landline:01246712000

Visit ID : MKRL43625 Registration : 09/Oct/2023 05:16PM
UHID/MR No : AKRL.0000043606 Collected : 10/Oct/2023 02:51AM
Patient Name : Ms.KIRAN Received : 10/Oct/2023 03:43AM
Age/Gender : 24 Y 0 M 0 D /F Reported : 10/Oct/2023 06:53AM
Ref Doctor : Dr.SELF Status : Final Report
Client Name : KARNAL LAB Client Code : 4427
Client Add : NEAR CHAUDHARI HOSPITAL KARNAL Barcode No : A4344350

DEPARTMENT OF HORMONE ASSAYS

Test Name Result Unit Bio. Ref. Range Method

ANTI MULLERIAN HORMONE (AMH)

Sample Type : SERUM
ANTI MULLERIAN HORMONE 4.080 ng/mL 0.96-13.34 CLIA

INTERPRETATION:
Assay results should be interpreted only in the context of other laboratory findings and the total clinical status of the patient. AMH
is used to:
-Assess Ovarian Reserve -Evaluate fertility potential and ovarian response in IVF -Assess the condition of Polycystic Ovary and
premature ovarian failure. -Evaluate testicular function in infants and children. -Diagnose and monitor patients with AMH secreting
ovarian granulosa cell tumours.
Increased in:
Polycystic ovarian syndrome. Ovarian hyperstimulation.
Decreased in:
-Reduced ovarian reserves in females
-Anorchia , Abnormal or absence of testis in males
COMMENTS:
AMH measurement alone is seldom sufficient for diagnosis and results should be interpreted in the light of clinical findings and other
relevant test results such as Ovarian ultrasonography (in fertility applications); abdominal or testicular ultrasound (intersex or
testicular function applications); measurement of sex steroids (estradiol, Progesterone, Testosterone), FSH, Inhibin B (for fertility),
and Inhibin A and B (for tumour work up).

Interpretation of AMH levels for women under 35 years of age (www.advancedfertility.com)

Interpretation AMH blood level (ng/mL)
High(Often PCOS) >4.0
Normal 1.5-4.0
Low normal range 1.0-1.5
Low 0.5-1.0
Very Low <0.5

*** End Of Report ***

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363-364/4, NEW RAILWAY ROAD JAWAHAR NAGAR, GURUGRAM, Mobile:8586988847 Landline:01246712000