What is ovarian reserve testing?
Ovarian reserve testing (ORT) is a medical procedure used to determine the number of eggs a woman has available for fertilisation. It is typically performed on women of childbearing age, considering IVF or other fertility treatments.
Why is ovarian reserve testing important?
Ovarian reserve testing is important because it helps estimate a woman's potential to produce eggs. This information can help plan fertility treatment. For example, a woman with a low ovarian reserve may be more likely to need IVF (in vitro fertilisation) to get pregnant.
While ORT is considered a reliable predictor of fertility potential, it is important to remember that it is not a perfect test. Several factors can affect a woman’s ovarian reserve, including her age, health, and family history.
How is ovarian reserve testing done?
There are several ways to test ovarian reserve, but the most common method is a blood test. This test measures the levels of certain hormones in the blood, which can indicate ovarian function.
ORT involves the collection of blood and/or ovarian tissue samples, which are then analysed to determine the number of eggs present. Follicle-stimulating hormone (FSH) test measures the level of FSH in a woman's blood. A high level of FSH may indicate that a woman has a lower ovarian reserve. Other methods of testing include ultrasound and antral follicle counts.
When should one have ovarian reserve testing done?
Ovarian reserve testing is a way to measure the number of eggs a woman has in her ovaries. The doctor can use the findings to predict the likelihood of conception and fertility.
Ovarian reserve testing is typically done during a woman's reproductive years, from 35 to 45. However, it can be done earlier if a woman has difficulty conceiving or has a family history of early menopause.
Are there any risks associated with ovarian reserve testing?
Some risks are associated with ovarian reserve testing but are generally very low. The most common risk is false-positive results, which can occur if the test results are misinterpreted. In rare cases, there is a very low risk of this testing causing physical harm to the ovaries. Overall, the chances of ovarian reserve testing are very low, and the benefits of the test outweigh the risks.
What do the results of ovarian reserve testing mean?
The results of these tests are essential to know what they mean to make informed decisions about a woman's fertility. It indicates a woman's fertility potential and helps her make decisions about her reproductive health.
When considering fertility treatment, it is important to speak to a doctor about the meaning of the results of ovarian reserve testing. The doctor will be able to advise her on the best course of treatment for her situation.
What is the next step after having ovarian reserve testing?
After having ovarian reserve testing, the next step is to speak with a fertility specialist. This specialist can interpret a woman's ovarian reserve test results and help her create a fertility treatment plan. If a woman is not ready to conceive immediately, her specialist may recommend freezing her eggs. This can give her the peace of mind of knowing that she has a backup plan if she ever wants to have children in the future. If a woman wishes to know about her fertility health, it is recommended that she can consult with experts at Apollo Fertility Centre in Brookefield in Bengaluru.
Results that fall between 0.7 and 5.0 are often regarded as normal. Levels below 0.7 indicate a declining ovarian reserve. AMH levels above 1.2 are ideal for better ovarian stimulation outcomes. Polycystic ovarian syndrome may be indicated by levels higher than 5.0.
Diminished ovarian reserve (DOR) is primarily due to ageing but can also be due to genetic disorders, certain medical procedures, and injuries. Physicians assess a woman's ovarian reserve using hormone tests and ultrasound imaging.
If a woman is 35 or older and has been trying to conceive for at least six months, her doctor can advise her to have ovarian reserve tested.
Women who experience high levels of daily stress have greater levels of serum FSH, lower levels of LH and E2, and higher chances of anovulation.
Home kits to evaluate reproductive hormone levels are far less reliable than regular blood testing at the fertility centre.