Female ovarian reserve and fertility test

Investigations:

1.Anti-Mullerian Hormone (AMH)

AMH is a hormone produced by the early developing antral follicles. The level of AMH in blood can reflect female’s fertility.
Low level of AMH indicates a low ovarian reserve, which means that patients have a reduced chance of getting pregnant.
Women who have extremely high levels of AMH are most likely to have polycystic ovarian syndrome.

2. Prolactin

3. Thyroid Stimulating Hormone

Abnormal level of TSH indicates that female has ovulation problem.

How do you identify women with diminished Ovarian Reserve?

A woman is born with approximately one to two million eggs. Her egg numbers will decline as they are lost through natural attrition and ovulation over her reproductive life.

There are about 25,000 follicles in the ovaries when women reach the age of 37. Most of them are lost through natural cell death (apoptosis). The rate at which eggs are lost through apoptosis varies between individuals and this will account for the difference in fertility.

For instance, a 30-year-old woman may have ovarian reserve same as a 40-year-old woman while a 40-year-old woman may have ovarian reserve similar to a woman at a younger age.

Additional charge is required for doctor’s consultation.

Fee: HK$1600

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