Ovarian Reserve Testing

Ovarian Reserve Testing

Ovarian reserve testing provides a snapshot of your egg quantity. Since there is not one specific ‘ovarian reserve test’, a combination of multiple tests provides a gauge of your fertility potential.

Note, however, these tests cannot predict egg quality. Just because an egg is mature does not mean it is a good quality egg (i.e. chromosomally sound). As you get older, the quality and quantity of your eggs significantly declines.  And, unless you freeze embryos (which can be graded for quality), you will not know your “true” egg count until you are ready to use your eggs.

Get Tested in Your Early 30s

Didn’t know you could test your ovarian reserve? Don’t worry, you are not alone! Because these tests are not widely promoted by the medical industry, most women do not know that three relatively inexpensive blood tests (AMH, FSH, E2) can gauge the health of their eggs. If your GP or GYN is reluctant to request a blood panel because ‘you’re young and have nothing to worry about’- find another doctor. Take ownership of your fertility and surround yourself with professionals who will help you plan and achieve your fertility goals.

Ovarian Reserve Tests

AMH (Anti-Mullerian Hormone)

AMH measures the size of follicles in the ovary and provides a good indication of egg quantity. Low AMH levels often correlate to poor response rates to ovarian stimulation medication, while high AMH levels typically indicate favorable simulation results.
How is it measured?: Blood test
How much does it cost?: $100-200

Day 3 FSH (Follicle Stimulating Hormone)

Administered on Day 3 of the menstrual cycle, FSH measures the hormone produced by the pituitary gland responsible for egg follicles to grow. Contrary to AMH, high levels of FSH may indicate poor ovarian reserves, while low levels of FSH indicate strong ovarian reserves.
How is it measured? Blood test administered on cycle day 3
How much does it cost? $75-150
Egg Freezing Ovarian Reserve tests
Egg Freezing Ovarian reserve testing

Estradiol (E2)

Estradiol is a hormone produced by the follicles that stimulates immature eggs to mature. The E2 test provides a good indication of how well your ovaries are working. High estradiol may indicate hyperthyroidism or evidence of tumors in the ovaries, while low estradiol may indicate diminished ovarian reserve or PCOS (polycystic ovary syndrome).
How is it measured?: Blood test
How much does it cost?: $75-150

Antral Follicle Count (AFC)

AFC is perhaps the best indicator of ovarian reserve as it measures both the quantity and quality of eggs. Antral follicles, found in the ovaries, contain immature eggs that have the potential to develop into mature eggs. High AFC indicates a strong fertility potential, while low AFC may indicate a diminished ovarian reserve.
How is it measured? Transvaginal ultrasound
How much does it cost? $125-250