Diagnosis

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0:00:00.000,0:00:03.000 (text on screen): Fertility Authority. Your Most Trusted Source 0:00:03.000,0:00:05.000 Ask the Experts 0:00:05.000,0:00:10.000 What do FSH and Estradiol levels and Antral Follicle Count tell us about a woman's fertility? 0:00:10.000,0:00:15.000 Dr. Jane Frederick, HRC Fertility: Ovarian reserve testing starts with an FSH level and an Estradiol level 0:00:15.000,0:00:19.000 on day three of the woman's menstrual cycle. 0:00:19.000,0:00:25.000 And those are both blood tests that can be drawn at the physician's office, or at the patient's lab. 0:00:25.000,0:00:32.000 And they do tell me what is a good ovarian reserve, and how I can counsel that patient with those results. 0:00:32.000,0:00:38.000 Usually, an FSH level under 10 signifies that there's a good ovarian reserve. 0:00:38.000,0:00:45.000 We also look at the Estradiol level, and if the Estradiol level's under 80, that also signifies a good ovarian reserve. 0:00:45.000,0:00:50.000 The other measurement tool that I use is called the antral follicle count. 0:00:50.000,0:00:56.000 And an antral follicle count is an ultrasound that I would do on day three of the menstrual cycle, 0:00:56.000,0:01:04.000 and I'm basically measuring all the follicles that are visible on the ovary, on the early part of her menstrual period. 0:01:04.000,0:01:11.000 And if there are a lot of antral follicles, that's a good sign that the patient has an adequate ovarian reserve. 0:01:11.000,0:01:15.000 And if there are few antral follicles, then I would counsel that patient 0:01:15.000,0:01:20.000 that perhaps she needs to move quicker in order to achieve a successful pregnancy. 0:01:20.000,0:01:29.000 So, FSH and Estrodiol on day three, along with an antral follicle count, can give that patient a good idea of her ovarian reserve. 0:01:29.000,0:01:32.000 (text on screen): Fertility Authority. Your Most Trusted Source