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Ovarian Reserve

A blog by Dr. Daniel Kort, Damien Fertility Partners, November 17, 2014

Measuring the quantity and quality of eggs is one of the most challenging aspects of fertility care. While many patients and couples are often given the diagnosis of “egg factor” or “advanced age” or “decreased ovarian reserve”, the actual diagnosis can be hard to make and even harder to understand.

Three Questions to Ask Before Trying to Conceive

By Dr. Yvonne Bohn, Dr. Allison Hill and Dr. Alane Park, OB/GYNs and Chief Medical Consultants for e.p.t®

Congratulations! You’re planning on having a baby! In order to ensure a healthy, happy conception, ask your doctor these three questions.

Ovarian Reserve and Fertility

By Dr. Yvonne Bohn, Dr. Allison Hill and Dr. Alane Park, OB/GYNs and Chief Medical Consultants for e.p.t®

The decline of a woman’s egg quality and egg quantity is known as diminished ovarian reserve. One culprit is age. We are born with all the eggs we will ever have and over the years that supply decreases and the quality lessens. Another culprit is premature ovarian aging or premature ovarian failure, a condition in women under 40.

Testing Male and Female Fertility

By Dr. Yvonne Bohn, Dr. Allison Hill and Dr. Alane Park, OB/GYNs and Chief Medical Consultants for e.p.t®

If you’re concerned about the length of time it’s taking you to get pregnant, or if you suspect issues with your fertility or your partner’s fertility, some simple tests can determine if it's time to see a fertility doctor.

Estradiol Levels

Estradiol is a type of estrogen, the major sex hormone in women. It is secreted by the ovarian follicles. As the follicles grow and develop each month, they produce estradiol. This sets the rest of the reproductive cycle in motion.


Anti-Mullerian Hormone (AMH) Fertility Test

The AMH test (Anti-Mullerian Hormone) is a blood test to help the fertility doctor assess the woman's ovarian reserve. The test measures the levels of AMH in a woman's blood and is helpful in determining whether a woman has premature ovarian aging (diminished ovarian reserve) or premature ovarian failure.


Evaluating Fallopian Tubes with Sono HSG

Blocked fallopian tubes are responsible for approximately one-third of infertility in women. Blockage can be caused by endometriosis, pelvic inflammatory disease (PID) or pelvic surgery, and has historically been diagnosed with a hysterosalpingogram (HSG) using dye and x-ray. Alternatively, a Sono HSG uses sterile saline and air, and unlike the HSG there is no radiation involved; the tubes are evaluated with ultrasound.

Three Steps To Infertility Awareness

How to know if you'll have trouble with fertility?
Will YOU have trouble getting pregnant?

a blog by Suzanne Rico, April 28, 2014

In 2004, when I began seriously trying to have a baby, I had a sneaking suspicion it might not be that easy. I was 37-years-old, and while I was fit and healthy, I’d never been pregnant and I hadn’t always been THAT careful. Turns out my intuition was right; it took 7 IVFs, three miscarriages, one surgery, one surrogate, and countless tears for my husband and I to finally have the family we’d always wanted.

Your Current and Future Fertility: AMH and Egg Freezing

Haven’t met the right partner, or not ready to have a baby on your own? Focused on your career right now? Just not ready to be a mom? Perfectly understandable. But if baby-making is on your future to-do list, and you could get information about your current fertility, or preserve your future fertility, wouldn’t it make sense to look into it? That’s where AMH testing – info on your current fertility, and egg freezing – preserving your future fertility, come in.

Limitations of AMH to Determine Ovarian Reserve

New information is available about the limitations of the current assay for serum Antimullerian Hormone (AMH) for determination of your ovarian reserve.

A recent study published in the February, 2014 journal of Fertility and Sterility evaluated the current assay used to determine serum AMH and found that the values obtained in the newer current assay may be flawed, resulting in significant clinical implications for patients who are told they have decreased ovarian reserve when, in fact, they may not.


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