What is Ovarian Reserve Testing?
Ovarian Reserve Testing is a diagnostic process used to evaluate a woman’s remaining egg supply—both in terms of quantity and quality. It helps assess fertility potential and predicts how the ovaries will respond to treatments like IVF (In Vitro Fertilization).
As a woman ages, her egg count naturally decreases. Ovarian reserve testing provides a clear picture of reproductive health and future chances of conception, especially for those planning delayed pregnancy or undergoing fertility treatments.
When is Ovarian Reserve Testing Recommended?
- To Assess Fertility Potential: Understand how many eggs remain in the ovaries.
- To Evaluate Egg Quality: Estimate the chances of natural conception or IVF success.
- For Infertility Diagnosis: Identify diminished ovarian reserve in women facing difficulty conceiving.
- Before Fertility Treatments: Determine if the ovaries can produce eggs for IVF or IUI cycles.
- To Detect Early Menopause Risk: Diagnose conditions like Premature Ovarian Failure (POF).
Steps Involved in Ovarian Reserve Testing
Step 1: Blood Tests
- Conducted on Day 2 or 3 of the menstrual cycle.
- Includes:
- AMH (Anti-Müllerian Hormone): Indicates the number of antral follicles (egg supply).
- FSH (Follicle Stimulating Hormone): High levels may signal reduced ovarian function.
- Estradiol: Helps interpret FSH levels and assess early follicular activity.
Step 2: Antral Follicle Count (AFC) via Ultrasound
- A transvaginal ultrasound is performed to count visible antral follicles in each ovary.
- It’s a painless procedure and typically takes 10–15 minutes.
- Helps estimate the egg supply available for the current or future treatment cycles.
