What is the LH:FSH ratio?

LH:FSH ratio on your report

Indian reports often show LH and FSH separately in mIU/mL, and some print the ratio too.

There is no single agreed cut-off; it varies with the lab's test method. So your doctor will read it with:

• your symptoms
• ultrasound
• other results

What the LH:FSH ratio tells your doctor

In many women with PCOS, LH runs high compared with FSH, so the ratio goes up.

A study of 267 women found:

• the average ratio was about 0.7 in women without PCOS and about 1.25 in women with PCOS
• a higher ratio went along with insulin resistance and more follicles

But the authors concluded the ratio is useful and not diagnostic: many women with PCOS have a normal ratio.

What helps more than chasing the ratio

You do not need to chase the ratio itself. In PCOS, the habits that improve insulin sensitivity are what matter:

• meals built around dal, vegetables, whole grains and enough protein
• fewer sweets, sugary chai and maida snacks
• regular walking and strength exercise
• slow weight loss if needed
• good sleep

These often help periods become more regular. Any hormone treatment is for your gynaecologist to decide.