Dr. Ankita Kaushal - infertility and IVF Doctor in Mumbai

Antral Follicle count is the total number of follicles in both ovaries, between 2-10mm, seen on a transvaginal ultrasound during the early follicular phase, between day2-4 of your menstrual cycle. It is a very important marker for ovarian reserve. If AFC is less than 5 then it is labeled as a poor ovarian reserve. Between 5-15 is considered normal. 15-25 is high AFC and >25 is seen in PCO patients. In recent studies, AMH ( antimullerian hormone) is said to have clinical significance only if AFC is poor (<5). If so then AMH and AFC both are considered to make a diagnosis of the poor ovarian reserve. AMH does not have much role when AFC is normal or high. A baseline scan on Day 2/3 of your menses is an important scan in your initial evaluation for subfertility . Dr. Ankita Kaushal www.drankitasfertilitycenter.com 

When a couple visits their fertility doctor (when should a couple visit – please read the blog post ) a basic evaluation is performed or both husband and wife. In this blog post, we will be discussing the evaluation of the female partner. The first step is HISTORY TAKING, paying extra attention to 1.     Menstrual cycles: what was her age when menses started, if they are regular or irregular, how is the bleeding- average, more, less? Are her periods painful, if yes, how painful are they; so on and so forth. 2.     Any previous treatment is done, records available. 3.     On any current medications 4.     Any surgeries in the past, again special attention is given to any surgery involving the ovary, uterus or fallopian tubes. 5.     Any pregnancies in the past. If yes, details of those pregnancies. 6.     Sudden weight loss, weight gain. On any weight loss/ gain programme. 7.     Any medical condition – Thyroid disorder, Prolactin levels 8.     History o