Antral Follicle Count

Dr. Mark Rispler utilizes antral follicle count testing to identify poor ovarian reserve and assess fertility

For couples dealing with infertility, Dr. Mark Rispler believes in evaluating all potential areas to unearth the underlying causes of infertility. Because infertility can impact both men and women, our Manhattan Beach fertility center expert usually recommends a full fertility assessment. Our female patients will provide a full medical history, have a baseline ultrasound and undergo blood testing to check hormone levels. Dr. Rispler will perform antral follicle count testing during the ovulatory phase, the first part of your cycle.

Reviewing the connection between ovarian reserve and fertility

Although men continue to make sperm even as they age, a woman is born with all the eggs she will ever produce. At puberty, menstruation begins, and a woman’s body releases an egg each month as part of her menstrual cycle, which continues until menopause. Ovarian reserve refers to the remaining egg supply that could potentially lead to a healthy pregnancy. Age, chemotherapy, hormone imbalances and premature menopause can cause diminished ovarian reserve.

Dr. Rispler discusses antral follicle count as an indication of fertility

During ovulation, the ovaries release an egg for possible fertilization. Before that occurs, the follicles around the egg began to swell and can be identified via sonogram. A higher number of follicles indicates a reasonable number of remaining eggs and a greater level of fertility. Dr. Rispler often uses antral follicle count in combination with other tests to assess ovarian reserve and potential fertility. Usually, the antral follicle count test is performed on Days 2 to 5 of a cycle.

Interpreting antral follicle count

When viewing the follicles on an ultrasound, the results can be subjective. Generally, an antral follicle count of fewer than 6 indicates low ovarian reserve. The optimal number of follicles depends on age, but an antral follicle count of approximately 8-12 resting follicles signifies a good chance for a successful pregnancy. If the sonogram reveals a low antral follicle count, Dr. Rispler will review the options and map out an individualized treatment strategy for you.

Don’t let the struggles of infertility hamper your dreams of parenthood. Dr. Rispler and our Manhattan Beach fertility center team will utilize advanced fertility testing, including antral follicle count, to provide targeted fertility treatment. Contact us for more information or to schedule an appointment.

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