What Ovarian Reserves Testing States Regarding Your Fertility


How to improve ovarian reserve to get pregnant after 40 | Marc Sklar The Fertility Expert

Video taken from the channel: Dr. Marc Sklar FertilityTV


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Video taken from the channel: Dr. Marc Sklar FertilityTV


Low AMH and reduced ovarian reserve

Video taken from the channel: Phil Boyle


Ovarian reserve test used to measure fertility

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Ovarian Reserve Tests: How Many Eggs Do You Have Left?

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Video taken from the channel: Center for Human Reproduction

Ovarian reserve tests can help your doctor determine if you’re likely to respond poorly or better than expected, relative to other women your age. Ovarian reserve testing is done for two primary reasons: diagnosis of the cause for infertility and insight into how your ovaries may respond to. Several tests are used routinely as indirect measures of ovarian reserve, but these tests do not tell us the actual quantity of eggs available. Some common tests that your doctor may order include baseline follicle-stimulating hormone (FSH) and estradiol levels, anti-Müllerian hormone (AMH), and antral follicle counts.

Ovarian reserve testing can’t tell us the chances of getting pregnant right now (or this month) and hormones are one part of fertility. Modern Fertility is focused on helping women understand all of these factors including what ovarian reserve can and cannot help us understand. What ovarian reserve testing can tell us. On the other hand, ovarian reserve testing does have some important uses in fertility medicine.

These tests can tell us when a woman is getting close to menopause; a sustained high level of FSH in the blood or urine, along with a lack of a period, is often used to confirm menopause, and AMH levels are strongly tied to time until menopause. Are ovarian reserve tests actually good predictors of fertility? While AMH tests, like the one I took, are considered the most accurate indicator of ovarian reserve, Dr. Klein points out that they.

Ovarian reserve testing indicates the amount of eggs you have remaining in your ovaries for pregnancy – known as your ovarian reserve. We assess your ovarian reserve by measuring the amount of Anti-Mullerian Hormone (AMH) in your blood. AMH is a substance produced by the follicles – egg sacs which contain all your immature eggs.

However, ovarian reserve tests can assess egg quantity to help predict ovarian response to stimulation (if you decide egg freezing or in vitro fertilization are right for you). It can also indicate conditions like PCOS (polycystic ovarian syndrome) which may affect your ability. Ovarian reserve tests fail to predict fertility, NIH-funded study suggests Hormones linked to onset of menopause not associated with chances of conception. Tests that estimate ovarian reserve, or the number of a woman’s remaining eggs, before menopause, do not appear to predict short-term chances of conception, according to a National Institutes of Health-funded study of women with no. A woman’s ovarian reserve refers to a woman’s present supply of eggs and this form of testing can evaluate the quality and quantity of eggs a woman currently has in her body.

Ovarian reserve testing at Palm Beach Fertility Center tells us a lot about future fertility and help us to explain your options to you. The term “ovarian reserve” refers to the number and quality of your eggs, also known as oocytes. If you have diminished ovarian reserve, this means that the number and quality of your eggs is lower.

List of related literature:

Ovarian function tests include those to document normal ovulation and those to assess ovarian reserve.

“Women and Health” by Marlene B. Goldman, Rebecca Troisi, Kathryn M. Rexrode
from Women and Health
by Marlene B. Goldman, Rebecca Troisi, Kathryn M. Rexrode
Elsevier Science, 2012

More sensitive indices such as levels of ovarian hormones, the frequency of ovulation, the size of the follicle before ovulation, and the thickness of the uterine lining show variation with age parallel to age variation in natural fertility (Ellison 1996).

“Human Biology: An Evolutionary and Biocultural Perspective” by Sara Stinson, Barry Bogin, Dennis H. O'Rourke
from Human Biology: An Evolutionary and Biocultural Perspective
by Sara Stinson, Barry Bogin, Dennis H. O’Rourke
Wiley, 2012

Whereas the results of ovarian reserve testing may vary between cycles, particularly in older women with higher FSH concentrations,” the response to gonadotropin stimulation generally does not.

“Clinical Gynecologic Endocrinology and Infertility” by Leon Speroff, Marc A. Fritz
from Clinical Gynecologic Endocrinology and Infertility
by Leon Speroff, Marc A. Fritz
Lippincott Williams & Wilkins, 2005

Other tests, such as antral follicle counts and day 3 follicle-stimulating hormone (FSH) levels, are also used to estimate the likelihood that a woman will become pregnant.

“Making Parents: The Ontological Choreography of Reproductive Technologies” by Charis Thompson
from Making Parents: The Ontological Choreography of Reproductive Technologies
by Charis Thompson
MIT Press, 2005

An assessment of the ovarian capacity for fertility can be accomplished with some simple tests.

“Encyclopedia of Women's Health” by Sana Loue, Martha Sajatovic
from Encyclopedia of Women’s Health
by Sana Loue, Martha Sajatovic
Springer US, 2004

It predicts ovarian response to FSH stimulation (20).

“Textbook of Assisted Reproductive Techniques Fourth Edition: Volume 2: Clinical Perspectives” by David K. Gardner, Ariel Weissman, Colin M Howles, Zeev Shoham
from Textbook of Assisted Reproductive Techniques Fourth Edition: Volume 2: Clinical Perspectives
by David K. Gardner, Ariel Weissman, et. al.
Taylor & Francis, 2012

Low AFC on days 2 and 3 of the menstrual cycle has a high specificity for predicting low ovarian reserve.111 Early follicular phase FSH is one of the most well-known tests in determining ovarian reserve.

“Abeloff's Clinical Oncology E-Book” by John E. Niederhuber, James O. Armitage, James H Doroshow, Michael B. Kastan, Joel E. Tepper
from Abeloff’s Clinical Oncology E-Book
by John E. Niederhuber, James O. Armitage, et. al.
Elsevier Health Sciences, 2019

The primary tests for the evaluation of ovulatory factor infertility involve looking for evidence of ovulation by tracking the menstrual cycle, measuring the basal body temperature (Fig. 24-1), monitoring the cervical mucus, and measuring the mid-luteal progesterone (days 21 to 23).

“Blueprints Obstetrics and Gynecology” by Tamara L. Callahan, Aaron B. Caughey
from Blueprints Obstetrics and Gynecology
by Tamara L. Callahan, Aaron B. Caughey
Wolters Kluwer Health/Lippincott William & Wilkins, 2009

The diagnosis of PCOS is confirmed from the constellation of oligoovulation or anovulation, androgen excess (clinically or with biochemical confirmation), and typical ovarian morphology on ultrasound.

“Nelson Textbook of Pediatrics, 2-Volume Set” by Robert M. Kliegman, MD, Bonita F. Stanton, MD, Joseph St. Geme, MD, Nina F Schor, MD, PhD
from Nelson Textbook of Pediatrics, 2-Volume Set
by Robert M. Kliegman, MD, Bonita F. Stanton, MD, et. al.
Elsevier Health Sciences, 2015

The AFC can be quantified by transvaginal ultrasound to assess ovarian reserve but is not useful in determining oocyte quality or predicting pregnancy outcomes with IVF.12 The granulosa cells of ovarian antral follicles produce AMH, and serum levels are a surrogate for the number of developing ovarian

“Holland-Frei Cancer Medicine Cloth” by Robert C. Bast, Jr., Carlo M. Croce, William N. Hait, Waun Ki Hong, Donald W. Kufe, Martine Piccart-Gebart, Raphael E. Pollock, Ralph R. Weichselbaum, Hongyang Wang, James F. Holland
from Holland-Frei Cancer Medicine Cloth
by Robert C. Bast, Jr., Carlo M. Croce, et. al.
Wiley, 2017

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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  • Struggling to conceive 2nd time around, my son is almost two.
    Im lighter by a stone this time and my husband is about a stone heavier (he was very underweight) we eat organic meat now aswell.
    I think I’m going to start tracking my fertility. I don’t want to come across spoilt but it’s a real Shock to the system, because first time we fell pregnant straight away.

  • I’m 47 AMH was 2.86 and I don’t have PCOS. I have 7 children and 10 pregnancies. My last pregnancy ended on 12/11/2019 at 12 weeks subchorionic hemorrhage. I saw my dr yesterday he reiterated I am a fertile older mom and spontaneous pregnancies are definitely a strong possibility. Women in my family have had babies in their late 40’s forever I didn’t know it was a rare occurrence until I began to have losses. My last 4 babies were delivered at 37, 38 and 41.

  • Doctor my age is 34 and in 2017 I was diagnosed with pcod and with healthy diet it stabled. But in 2019 I was diagnosed with low amh 0.08, and I don’t know how could this happen?
    Could you please tell me is that possible? And what could be the reason?
    I have hypothyroidism and taking 50 mcg.
    What are the ways to find out the root cause? Please help me.

  • I am 39 yrs old my amh 0.8, fsh 8.7, estradiol 27 day 4 of my cycle. I have 4 children. Do you think I could get pregnant again naturally?

  • I wish you could change the name of your channel to “Fertility Channel” instead, since you are telling us about improving our fertility

  • My doctor just called me today to confirm what I was suspecting was happening!! I told my mom and my best friend that I feel like the fibroids are disappearing! I can’t feel them anymore when I press around my lower abdominal area!! Today I confirmed that the scan from last week is showing that they have disappeared! The largest one was about 9 cm and that one is gone completely!! And that my uterus is almost all the way back to it’s natural size!! I have been praying for healing! At church during healing prayers I will take them by faith. I didn’t change my diet. I’ve just been living upright and obeying my doctor commands and herbs works with faith and believe!! I highly recommend Dr. Isah Johnson  true that you are a great man for a solution. To everyone trying to cure rid of fibroids. You can contact herbal cure today Dr. Isah Johnson on whatsapp {+2349065613964 } I am so happy today. or email. [email protected] gmail.com:he also has the cure to the following sickness:1. CANCER 2. HERPES 1 AND 2 3. HIV AIDS 4. FIBROID…..5. HPV

  • My husband and I have been trying to have a child for five years and we have used different method just to try and have a child and the trying included visiting fertility doctors, under-going tests of all manners, hormone shots and during all these miscarriages had begun to be a stifling force to our marriage. My husband was ready to give up and I was emotionally exhausted. And I was on the edge of losing my happy home. On this faithful day a friend simply mentioned a FERTILITY SPELL as a common joke but never (never joke with a barren and desperate woman). After she left I had to surf the internet to make enquiring and my first and last encounter was Dr. Isi of website: http://ancientspiritualtemple.com and WhatsApp number +254795696876, he gave me hope and agreed to take my case and help me become a mother that I have always dreamed of all my life. Dr. Isi of http://ancientspiritualtemple.com and WhatsApp number +254795696876 understood and knew the devastation and conquered feeling that hopeful mothers with fertility were likely to go through, and I could feel his sincerity and his hope for me. We talked for a few days back and forth and we finally decided to go ahead. She did the spell and also send me some herbal medicine. After five weeks I took a pregnancy test and it was POSITIVE. Why i can proudly share this testimony is because I’m now 6 months pregnant with my healthy baby BOY. Thanks to Dr. Isi of http://ancientspiritualtemple.com and WhatsApp number +254795696876 for saving my MARRIAGE. I will tell the whole WORLD about his good work.

  • Would you consider an AMH of 4.9 high like pcos high (fsh was 9?) Cycles seemingly getting longer though longest one was 32 days. Trying to figure out why I’m having a hard time getting pregnant. I had two miscarriages last year, and I have a healthy 4 yr old little girl whom I had no trouble conceiving. Thanks!

  • I’m new to this channel and I’m kind of alarmed by some of her claims. I just met with my fertility specialist for the first time and I was told that u can’t “improve the quantity” of eggs because when we are born we are born with all the eggs we will ever have…I come here and hear something entirely different. Can someone tell me what her qualifications are? I just don’t want to get my hopes up. My amh is only.01….

  • Hii dear
    First of all God bless you for all ur good work. U r like an angel.
    This is Riki from India.
    I m 31yrs now
    My AMH was 1.8 then & my husband’s(49yrs old) sperm DNA Fragmentation index was 63% for that reason doctor suggested us to go for IVF & we got positive result in the first test after that got negative. Then i was lost nd suffered from excessive depression. But after going through ur video i m very motivated now & can see some rays of hope. I tested my AMH yesterday. Its 1.62 now. Will you pls suggest me whether i should try naturally or go for IVF. Looking forward to your suggestion

  • I’m 43 and low ovarian reserve.. I used doterra capsules which has everything from coq10 to all the vitamins, pomegranate oils etc.. Its a miracle

  • Hello, hope you notice me. Suffered from high fsh and low amh.. period gone for a year �� doctor advised to get a donor egg.. is there any chance for my period to come back without taking synthetic meds? Thank you

  • I did a amh test in December it came out to be 0.02 very low.
    I have on vitamins D and co q10 along with Dhea since December.

    Just done another amh test and they was no numbers.
    Doe that means I have no eggs left������

  • Hi Fleur! I’m 39 and husband and I have been TTC for year and a half now. Recently had HSG and doc said my right tube is blocked and there is a small fibroid in uterine cavity. Also my period is becoming irregular with a shorter cycle and negative OPKs, please help. I’m so confused on what to do next and doc is encouraging a hysterectomy.

  • I had my AMH tested one month before my 30th birthday, 0.03. I was tested again after 1.5 years of dieting, prolonged fasting and a lot of supplements my result was 1.15. I did all on my own, with God’s help of course, but my doctor told me multiple times nothing could be done, the only solution is IVF. I still haven’t gotten my miracle, but my day will come. The whole experience with doctors has been very disheartening and disappointing.

  • I am 32 (nearly 33) my husband was very I’ll and nearly lost his life 12 years ago, after he had treatment he has now become nearly infertile. He has sperm, but low quality, volume and mobility. We were told we could have funded IVF but, now I have been told my AMH level is too low for the funded treatment.�� But, the level they want is 5.4 or above and my level is 2.3 but from research I have done I dont think that this is that low? We have been trying naturally for 7 years and I am devastated that we now may never get the chance to have children. Please help, thank you x

  • There are many factors in increasing fertility. One place I discovered which successfully combines these is the ThePregnancyFact. Com it’s the most helpful remedy i’ve heard of. Check out the interesting info

  • Another question, can my numbers be improved? What do you recommend?, also i wished i had a way to show you my charts! I am charting, and bbt. Is there anyway i can have you take a look at them? Thank you

  • I am 25 years old, my amh is 0.01 and my fsh is 39. Would you recommend trying naturally for a few more months since I made dietary changes and started acupuncture or do you think I am running out of time and need to go to ivf?

  • Me and wife we are at our mid 30`s and just gone through a series of test and her AMH value was 0.81, and the doc says it`s was considered as a LOW value, and he added that we might opt. for DONOR in IVF process in future, My wife was broken when she heard what the doc said, even me i was feeling low. but Thnx to ur video we do have a long way to go. Much love from IMPHAL, MANIPUR

  • Hi we have tried for over an year but My Boy friend is smoking and drinking a lot if Coca Cola maby that is why we can not get pregnant ��i dont smoke or drink alkohol i drink smoothies and eat some vitamines ��

  • Hi friends. I managed to get pregnant following this method: infertilityinwomen. com (Google it)
    It is a natural method that works.

  • Phil I really feel positive after listening to you. I am 41 i have been told i have low Amh. And no point of ivf. But I really want to conceive. I still ovulate and have menstrual cycles. Please can I contact you. Will there be help for me.

  • I have not yet seen anyone to give me an ideal amh for each age group, the info online is very confusing so i stopped looking up this info. Another confusing info, my amh is not too high and i ve pcos. How can egg quality be checked?

  • hello mam, i’m renee and i’m having pcos. recently i have taken the AMH test and it has shown higher value around 10 is there any chance to lower it to get back to optimal range naturally.

  • Thank you so much for this film�� I received results of amh yesterday and I got depressed. My result wt 34 is 1.54 ng/ml… but I did the test on the 22dc. Will do it once again surfing folicular phase��…is 1.54 a very low resault?

  • Hi doctor i m 27 years old
    And my amh is 1.98,prolactin17.89,
    My vitamin D3 is also low.
    What should i do??
    I want to conceive asap

  • My AMH is low very low iam 28 yrs old and my number is 0.22, can this be hard to conceive. Iam also 5ft and weigh 153 can weight be a factor

  • Hi Fleur, thank you for this wonderful video. I am 34 years old. 1.5 years ago (at age 32), my amh was very high at 4.9 ng/ml. I had it rechecked a week ago and it is 2.08 ng/ml. I am devastated and panicking. Does this mean I will enter menopause early? Is there any way it could be inaccurate? I took two morning after pills two months ago, could that still be effecting things? I am so scared. I am single and not ready to have a baby right now but terrified I am quickly running out of time. My FSH is 5 IU/L

  • I love this dr and his educational video.. I discovered this channel today.. I’m about to gired my fertility dr.. lol how come.does she dont explain this things? I didnt know what an AMH or FSH is or even means?

    Thank you for so much light.. add a new subscriber to you channel ��

  • Hello
    I am 37 and my AMH level is 1.35. I am trying to get pregnant whitout success. Is my AMH level so low for me to get pregnant?

  • Hi Marc,my vitamin d test result is 15.7 and my amh is 1.36..m 29..can I be pregnant naturally?thanks for your great help and advice

  • I have tested AMH twice once 0.95 ng/ml. And another time 5 pmol/l. Both times after ovulation had occurred cycle day 17/18 what would that say?

  • i had a blood test for other reasons but because of hormonal imbalance, my doctor tests all kinds of hormone related levels and he told me I had lower than normal AMH. I want to fix it because I want to get pregnant. Hoe do I get my AMH level up?

  • Thank you so much for your videos. You always have encouraging words. Sometimes doctors can make you feel so bad about yourself, quite insensitive. Its nice to hear, all may not be lost, to be hopeful and healthy, and you may just get pregnant. ❤.
    Does high AMH necessarily mean pcos? Skin tag seems to be my only symptom but 3 years ago my AMH was over 4ng/ml…now my doctor basically thinks its a hopeless case. (I’m 40 now)

  • I need your help!! My Obgyn ran some test on me and told me i have poor egg reserves, it will be almost impossible for me to conceive again, I am sending you my numbers and can you please explain it to me?

    AMH 0.052
    LH 8.3
    FSH 13.3
    Estradiol 10.0
    Can i do anything about this? I am 49, 28 days cycles and i get possitives opks and i verify it with my temperature chart

  • just found out yesterday that I got mine at 0.56 and now I’mm so sad, not loosing hope though, the testing was done on LH faze though so I will definetelly repeat it…just in case, hoping it will be higher next time. and YES PLEASE ON FERTILITY TESTING!!! ��

  • Hey! thank you for explainind these AMH levels. I had AMH level test on my 3rd day of periods this Friday, I got result: 2.04 ng/ml. In some resources on the internet said that everything lower 2.2 considered as low ovarian reserve, some resources states that 1-2.5 is normal and up to 3 is a risk of PCOS. It is really strange that we do not have 1 correct source of info. Should I worry I have AMH 2.04 at 34.5 y.o. age or I am fine?

  • What about high AMH? Mine is 20.00.
    How do you lower you AMH?
    Also, my deep gratitude for you channel. It has been incredibly helpful for me. I have lean PCOS

  • Thank you so much for making these videos. You’ve become such a great resource for me and also a source of positivity for me while trying to conceive.

  • Hi, I am a little over 34 years and have been trying to conceive for about 5-6 months but have had no luck. My Husband’s sperm analysis report is Good. My AMH is 1.36, LSH is 2.300 & prolactin is 15.05. For last 03 months my doctor had put me on tab Stimulet(5 days) followed by BHCG injection on follicles maturation. I ovulated properly all 3cycles but no pregnancy. Hence the gynac has asked us to go through HSG test. Post that has recommended IUI if reports are normal and there is no blockage.
    Also, in the 3rd cycle I HV been diagnosed with post wall feudal adenomyosis (2.5cm*2cm). I have had extremely painful periods for years.
    I would like to know what are my chances of conceiving normally or shall I go ahead with IUI. Also what are the complications of adenomyosis & if it could obstruct in conceiving, decline my fertility further and the hurdle the pregnancy term?

  • I just came across your channel yesterday and I love your videos. My FSH is 7.3 and my AMH is 0.181 which i know is very low but it’s not 0. So I will continue trying to conceive naturally until I reach menopause ��

  • Hi
    I’m now 4 days late from my monthly period date and I tested after 2 days with evening urine sample at home and it was negative.
    Should I repeat the test again after few days or can this be a hormonal imbalance since it came negative once?

  • I’m 42. My amh in feb was 2.20, then 2 months later 0.898!
    Per blood test below (and specs ) my results are below=
    Estrogen= 61 (<80)
    Progesterone = 0.27 (<3)
    Fsh= 9.18 (<12)
    LH= 2.6

  • Doctor my AMH is less then 0.08 and my age is 35 and I haven’t got periods since 6 months can I improve my AMH level and get pregnant. Please suggest me some supplements and medicines. Also please tell me how’s my ovarian reserve? Please help me.

  • Advice please! I am trying to conceive. Last June my doctor gave me clomid and it doesnt work I had my period on my 30CD. Then she prescribe me Femara on my CD3. Today, its my CD16 and she told me that I dont ovulate��. I did my test for AMH last night. Awaiting for the result. Anyone have issue like mine. How to ovulate naturally?

  • Yes please add fertility testing to ask for. I’ve had recurring pregnancy loss… 5 miscarriage and they (kaiser) will not do any testing. They did test AMH it came back low after my 2nd and 3rd miscarriage but they didn’t care to inform me till I had other medical issues… the last test came back at.69 and from there they blamed my miscarriages on that.

  • Wrong information here.
    Your egg quantity is also known as your ovarian reserve. It’s not quite the same thing as egg quality.
    Low AMH doesn’t mean low quality.

  • Good day I really need your help, I’m 35 and have been trying for 3 years after stopping my DEPO I started taking when I was 19 and stopped it after 12 years when I was 30 and my husband & I started trying for a baby when I was 33 only last year November after seeing my doctor and getting clomid i fell pregnant and unfortunately long story short, we lost the baby at 7 weeks. I have been on clomid, Femara letrozol. Same story of fertility medication again letrozol and clomid this time again NOTHING HAPPENED after doing as my doctor said I didn’t get pregnant. The other thing is that I was told to continue with folic pills and keep taking progesterone pills and I always take my mult vitamins, I go to the gym, twice a week I eat healthy Please please I’m begging you help me, is there anything wrong with me? Regards Nancy

  • Hi Dr. Boyle. I am 34 years old. 1.5 years ago (at age 32), my amh was very high at 4.9 ng/ml. I had it rechecked a week ago and it is 2.08 ng/ml. I am devastated and panicking. Does this mean I will enter menopause early? Is there any way it could be inaccurate? I took two morning after pills two months ago, could that still be effecting things? I am so scared. I am single and not ready to have a baby right now but terrified I am quickly running out of time. I can’t understand how it fell so low, so fast. My FSH is 5 IU/ML