Reader’s question: I am a 32 year–old, single female. I’m interested in fertility testing. My ob/gyn suggests checking the health of my ovaries as a way of checking fertility. What should I know before I see my ob/gyn tomorrow?
Here’s our answer: It's great that you're being proactive about knowing your fertility status. We hope the information below is helpful.
Q: Is there a test that can predict how my ovaries will do?
A: There currently is no proven blood test or any other test that can predict whether your ovaries will age quickly or slowly.
Q: What ovarian reserve tests are available?
A: The most widely used ovarian reserve tests to estimate your ovarian function are:
1) A hormonal blood test called Day 3 FSH, taken on Day 3 of your cycle (with the first day of your menstrual period being counted as Day 1).
2) A hormonal blood test called anti-mullerian hormone (AMH), taken any day of your cycle;
3) An ultrasound test called antral follicle count (AFC), usually performed by fertility clinics on Days 1 to 3 of your cycle. It counts the number of small follicles in your ovaries at the start of your cycle.
Q: How can you get these ovarian reserve tests?
A: The easiest tests to get are Day 3 FSH and AMH. Most laboratories, including Lab Corp and Quest Diagnostics, do these tests. Your ob/gyn can easily order these tests for you.
Q: What can these ovarian reserve tests tell you?
A: If you’re considering IVF or egg freezing, these blood tests can give fertility doctors a good idea about how many eggs your ovaries are likely to produce. Fertility doctors are still debating what a very abnormal test means, because some women with very low values are still able to conceive naturally or with IVF. These tests, by themselves, are not as accurate about predicting your chances of IVF success.
Q: Should I considering eff freezing?
A: The medical procedure and medication used for egg freezing are the same as those used for IVF, except that the eggs will be cryopreserved (frozen) without exposure to sperm. Later, when you are ready to thaw the eggs and have a baby, you can choose to use donor sperm or your male partner's sperm to fertilize your eggs.
Q: What does Univfy PreIVF do?
A: Univfy PreIVF is an online data test that takes your reproductive profile, including your ovarian reserve test(s) Day 3 FSH (currently, AMH and AFC are optional), and your current reproductive profile, analyzes it against the profiles of tens of thousands of women who had done their first IVF treatments, and provides a personalized prediction of your IVF success with a first IVF treatment.
Q: What information can I bring to my ob/gyn?
A: Here are the links to more information about Univfy PreIVF and a fact sheet for your ob/gyn: