Ovarian Reserve Testing helps the gynaecologist assess a woman’s fertility potential by measuring the quantity and quality of eggs present in the ovaries. It is particularly helpful for women who are considering egg freezing, fertility treatments, or are approaching advanced maternal age so that viable eggs remain preserved for family planning in the future.
Indications for Ovarian Reserve Testing:
● Difficulty conceiving: If a woman has trouble getting pregnant, ovarian reserve testing can help assess her fertility.
● Age-related fertility decline: Women over 35 often opt for this test to evaluate their fertility potential as egg quantity and quality decrease with age.
● Pre-fertility treatment: Women looking into in vitro fertilization (IVF) or egg freezing may undergo ovarian reserve testing to guide treatment plans.
How Ovarian Reserve Testing Works:
The test is done in two divisions i.e hormonal estimation and radiological estimation.
● Hormonal estimation involves measuring blood hormone levels such as AMH (Anti-Müllerian Hormone), FSH (Follicle Stimulating Hormone), and estradiol, which provide insights into the number of eggs available.
● Radiologically ultrasound is conducted to check the antral follicle count, which reflects the number of eggs still present in the ovaries.
Normal Range:
● AMH: Levels of 1.0 ng/mL or higher are considered normal for women of reproductive age.
● FSH: Lower levels, typically below 10 mIU/mL, are ideal for fertility.
● Estradiol: Levels of 50–100 pg/mL on day 3 of the menstrual cycle are considered normal.
Abnormal Test Significance:
● Low AMH or high FSH levels: Suggest reduced ovarian reserve and may indicate difficulty conceiving naturally.
● High estradiol levels: Can signal a hormonal imbalance, which may interfere with ovulation.
Management Based on Results:
● For low ovarian reserve: Consider fertility preservation options like egg freezing, or discuss IVF with genetic testing if needed.
● For hormonal imbalances: Hormone treatments, including clomiphene citrate or gonadotropins, may help stimulate egg production.
Price in India:
Approx. ₹3000 – ₹10,000 for ovarian reserve testing, depending on the tests included.
Frequently Asked Questions
Can ovarian reserve testing predict menopause?
No, it helps assess fertility potential but cannot predict when menopause will occur.
How accurate is AMH testing?
AMH is considered a reliable marker of ovarian reserve but should be combined with other tests for a comprehensive evaluation.
Disclaimer: Ovarian reserve testing is not a definitive measure of fertility, and it should be discussed with a fertility specialist to understand the results in the context of overall reproductive health.
How HealthPil Can Help:
HealthPil offers access to fertility specialists who can help interpret your ovarian reserve results and recommend appropriate fertility treatments or preservation options.