Diminished Ovarian Reserve

As the age of the woman increases, egg quantity and quality decline. Becuase of this, the likelihood of getting pregnancy decreases and the risk of miscarriage increases as the age of the woman increases. For example, 1/3 of couples will have problems getting pregnant when the female partner is 35 years or older.

Testing is available at the Fertility and Reproductive Medicine Center to assess a woman’s ovarian reserve. Call to schedule a consult today: 314-286-2400.

To be clear, these are not perfect tests and they are best utilizing in determining how aggressive to be with treatment, and more specifically how the woman might respond to in vitro fertilization.

Ultimately, they can help us better customize a treament plan that will maximize your chances of live birth. Abnormal results suggest that fertility potential has declined but they do not tell us who will or will not conceive.

At the Fertility and Reproductive Medicine Center we typically test multiple ovarian reserve screens to get picture of one’s ovarian reserve. Tests include:

  • Antimullerian Hormone: A blood test that serves as a marker of ovarian responsiveness to ovarian stimulation with IVF.
  • Antral Follicle Count: An ultrasound measurement, quanitfying the number of small follicles in both ovaries performed typically while on your menses (cycle day 2-5). The ultrasonographic “equivalent” to AMH.
  • FSH/estradiol: A blood test performed while on menses between cycle day 2-5. An “indirect marker” of the efficiency of the communication between the brain and the ovaries.

If you have had these tests done and are not really clear on how they work, schedule a visit with one of our specialist to review the results with you. These tests should not be used to make treatment decisions in isolation and all factors: age of woman, other fertility factors, duration of infertility, etc need to be considered.

Call us today to schedule a visit. 314-286-2400