No matter what your reproductive plans are, understanding your fertility is an important first step. Our fertility assessment includes a meeting with a fertility specialist, an ultrasound for your follicle count, a medical history review, and a personalized plan for your fertility care.
The factors informing your fertility
Hormones involved in the ovulation process can be measured to provide a better sense of your fertility potential. The Anti-Mullerian Hormone (AMH), which is released by your eggs as they grow, is one of the most reliable measures of your ovarian reserve. Your levels of AMH levels can be measured through a simple blood test.
AMH ranges are based on age-related percentiles. The average AMH range at age 25 is between 2.7 and 6.1, while the average at age 40 is between 0.4 and 1.9. The AMH percentile range helps you understand what your AMH levels are like in comparison to other women your age.
A detailed gynecological history will be reviewed in order to assess your fertility potential. Examples include whether you’ve ever had Pelvic Inflammatory Disease (PID), Blocked Fallopian tube(s) or a differently shaped uterus (an abnormality like this is usually present from birth).
Your past medical history and lifestyle factors will be taken into account in your assessment. These questions include whether you’ve ever undergone ovarian surgery, chemo, radiation, or if you’ve had any sexually transmitted diseases. Lifestyle factors including nutrition and habitual smoking will also be discussed.
Genetics are an important consideration in determining your fertility plan. If there are genetic diseases like Cystic Fibrosis, Sickle Cell, or Tay-Sachs in your family background, additional genetic testing may be recommended on your embryos prior to implantation, to help mitigate potential risks to a future baby.
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