Conversation: The conversation between human and AI assistant.
[|Human|] i am 31 female. my ESR is 25 mms in the first Hour and 55 mms  in the second Hour.iI just make this analyses yesterday,i want to ask u what i shall do, next?. and is this values affect my fertility .especially . i am planing to be pregnant this month.many thanks
[|AI|]  Hi, dairy have gone through your question. I can understand your concern. There are many cause of high ESR level. Tuberculosis is the common cause. Anemia, infection, connective tissue disease, paraproteinemia or malignancy are the other causes. You should find the cause of your high ESR and take treatment accordingly. Some causes can affect your fertility also. Consult your doctor and start treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health