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A simple blood test can determine whether your FSH levels are higher or lower than normal for your circumstances. If the test reveals abnormal FSH levels, your doctor will use additional testing to diagnose the underlying cause(s) before developing a treatment plan with you. In males, normal FSH levels range from 1.4 to 15.5 IU/ml. The range for females is much wider, depending on their age and menstrual cycle. To diagnose the cause of abnormal FSH levels, your doctor may look at hormonal panels that compare the level of certain hormones in the body (such as GnRH and estrogen), or they may do a biochemical analysis, which looks at enzymes and other substances that affect the operation of certain organs and glands. In certain situations, you doctor may turn to radiographic methods to diagnose the cause of abnormal FSH levels, such as ultrasound, CT scan, and MRI. FSH levels are determined by a complex and delicate network of hormones. Therefore, there are a large number of conditions that can affect your body's production of FSH. These underlying conditions must be identified and treated in order for FSH levels to return to normal levels. Some of the most common conditions that can impact FSH include: Aging: In females, FSH levels naturally increase during their 30s and 40s as menopause approaches. High FSH levels negatively impact fertility. Polycystic ovarian syndrome: With this condition, there are multiple cystic follicles in the ovaries, which leads to the excessive production of estrogens and androgens. High levels of these hormones can significantly lower FSH levels. Hypopituitarism: With this condition, the function of the pituitary gland is suppressed, which can greatly affect the levels of FSH, since this is where FSH is produced. Hypogonadism: As a result of many different syndromes, the diminished functional activity of the gonads (testes in males and ovaries in females) can interfere with FSH levels. Tumors: A tumor in one of several different locationssuch as the pituitary gland, the ovaries, or the testescan cause abnormal FSH levels. The specific treatments can vary widely, based on your current FSH levels, the underlying causes, and your specific circumstancesfor instance, if you're a female in your late 30s and are trying to get pregnant. If you're undergoing fertility treatments, you'll need to follow a very specific regimen, which may include injections and/or pills, to manage your FSH levels. In some cases, you may be prescribed hormone replacement therapy (HRT). HRT involves using medication in tablet, topical gel, skin patch, or vaginal ring form to adjust the levels of hormones such as estrogen, progesterone, and testosterone. This adjustment can, in turn, improve your FSH levels. Whatever treatments you are prescribed, it's essential that you follow your medical team's instructions to the letter. Don't be afraid to ask questions, get clarifications, or request demonstrations. In some circumstances, abnormal FSH levels are caused by a tumor or cyst on the ovaries, testes, or pituitary gland. Keep in mind that most cysts and tumors are not life-threatening, but having them removed surgically may improve your FSH levels and address other medical issues you may be experiencing. The complexity of the surgery and the risks involved will vary greatly based on your specific circumstances. Discuss your condition and your options with your medical team so that you're informed and prepared.

summary: See your doctor for FSH testing and diagnosis. Familiarize yourself with conditions that can impact FSH levels. Follow the therapy regimen recommended by your medical team. Undergo surgery, if necessary, to remove any tumors or cysts.

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If you breathe through your mouth during the day, you may be doing the same during your sleep. To change this habit, be aware of how you breathe throughout the day. If you find yourself breathing through your mouth, close your mouth and try to consciously breathe through your nose. Before you go to sleep, put an extra pillow below your head. Raising the height of your head while you sleep may help keep your mouth from opening. A daily walk or run will increase your body's need for oxygen, and your body will naturally respond by taking in air through your nose. Exercising regularly will also help reduce stress, which is itself a cause of mouth breathing. If you do not exercise on a regular basis, making this simple change to your daily routine could help you sleep with your mouth closed. You can also practice yoga or meditation as a way to reduce stress and focus on your breathing. Dust mites, pet dander, and other airborne allergens may be clogging your nasal passageways during your sleep, forcing you to open your mouth to breathe. To reduce the amount of these allergens in the air, regularly wash your bedding in hot water, vacuum your floors, and dust. Use a vacuum with a fine filter, like a high-efficiency particulate air (HEPA) filter, for best results.

summary: Practice breathing through your nose during the day. Elevate your head during sleep. Exercise regularly to change your natural breathing patterns. Clean your bedroom regularly to reduce airborne allergens.

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If you're interested in breeding silver dollar fish, you'll need to learn how to identify the males and females of the species so you can provide a suitable mate for your fish. Male silver dollar fish tend to have an anal fin that is longer than females. The anal fin is usually tinted red on most males as well. Once you've identified the males and females of the species, you'll want to pair them up in equal proportions in your aquarium. However, it's generally best to add more than one fish to the tank and let the fish pair themselves up, rather than trying to mate a particular pair of fish. Mix four to six fish with equal proportions of male to female (for example, if using four fish you would have two of each; if using six fish, have three of each). Let the fish decide how they want to pair up and don't interfere. While some aquarium enthusiasts may be reluctant to provide silver dollar fish with aquatic plants, your fish will need some type of underwater plants during mating. These can even be artificial plants if you're worried about your fish eating the plants. Silver dollar fish tend to lay their eggs on or around underwater plants. If you're trying to breed your silver dollar fish, you'll need to ensure that you don't accidentally remove the eggs or hatched fry while cleaning your tank. Eggs hatch within about three days, and within a week the fry will begin to swim around inside the tank and attach themselves to the walls of the tank. Try to hold off on cleaning the tank for a few days until the eggs are hatched and the fry are visible. Avoid using tank vacuums to clean your aquarium while there are eggs or fry present. Instead, try to do partial water changes and be sure you can see the fry at all times.
summary: Identify the sex of your fish. Pair up males and females. Ensure there are plants in the tank. Exercise caution when cleaning the tank.