Medical history

Menstrual cycles, previous births, miscarriages, traumas, diseases, family history, sexual behavior/preferences, are useful informations in determining possible root causes for infertility.

Ovarian reserve testing

Ovarian reserve testing is used to predict your ovarian response to ovarian stimulation. Commonly used measurements include AMH,AFC and FSH.

AMH (anti-Müllerian hormone) is a hormone produced by small follicles. AMH is a more reliable predictor of ovarian reserve compared to FSH, because AMH levels stay mainly consistent throughout the menstrual cycle and can be tested on any day. The higher the AMH, in theory the higher number of eggs you can produce after ovarian stimulation.

AFC (Antral-follicle count) is a measurement of 2-8mm follicles in ultrasound. It is best evaluated at the beginning of your menstrual cycle. More AFCs you have, more eggs can be retrieved.

FSH (follicle stimulating hormone) is a hormone produced by your brain to make your small follicles grow. Very high FSH indicates compromised ovarian reserve.