Resting Folicle count?

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This topic contains 10 replies, has 11 voices, and was last updated by Apple Apple 1 year, 1 month ago.

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  • #156
    Victoria
    Victoria
    Participant

    My friend is 29, and undergoing IVF. Today she was told that her resting folicle count was 7. Everything she have read information wise has said that this is low for someone of her age, and abnormal. When she asked the nurse at her doctors office she would not give her a straight answer,when hosnetly she just wanted a yes or no.
    So is this low for someone her age?

    #252
    Alice
    Alice
    Participant

    My antral count was 5-6, my fsh and e2 were normal but AMH was low at 0.8…. And so this puts me in the “diminished ovarian reserve” bucket. I just did one round of IVF (bfn) and on maximum doses of stim drugs, I only got 4 eggs retrieved… So guess I fit the description you have above :( I asked my doc if it was possible to get more follicles growing during stims than what they see at baseline and he said that sometimes happens in the younger girls … So theres def more hope for your friend than me and your friend egg’s quality will probably be great too at 30!I’m sure this is a shock, I remember that feeling .. Tell your friend to try to get the blood work results and an appointment with RE asap so that she can get some answers… at the end of the day, all she need is one good egg!

    #294
    Kate
    Kate
    Participant

    psht antral follicle count isnt everything. Its just part of the picture. At 30 I had a count of 24 – all of the doctors said this is very good for my age. Yet I wasn`t getting pregnant. Basically I was making crappy eggs .. just lots of them It took ivf for us but we did get there, worked first frozen transfer cycle. Try to keep positive and do lots of research on how to improve your count. One of the best you can do is become healthy and exercise, to improve blood circulation to the ovaries. I am currently looking at IVF though and will have another scan within 2 months so I’m curious if my follicle count will change and by how much.

    • This reply was modified 1 year, 11 months ago by Kate Kate.
    #321
    Milka
    Milka
    Participant

    My antral count was 25+ on both IVF cycles. I’m PCO though, and my AMH was right on the edge of high fertility/PCO. That wasn’t helping me get pg with our MF and my crummy hormone levels. I was on pretty lowish doses of hormones given my high AFC each time, and actually pushed for higher doses myself each time because I knew how I’d responded to stims in the past for monitored cycles. I ended up with 12 of mature size at trigger, 16 retrieved, 14 mature, 13 fertilized, and 6 blasts. I know my RE was aiming for around 10-15 mature eggs at retrieval, rather than risking OHSS.I agree – don’t flip out till you see what the bloodwork shows. I think there’s a really good chance that your sister will still work out as a donor. Maybe you could wait another month off the pill and redo the scan to see if things improve?
    Fingers cross all will work out well for you!

    #348
    Molly
    Molly
    Participant

    Despite when some people say, antral follicle count can change some from cycle to cycle and from u/s tech to another one. When I went in for baseline testing, I was ecstatic to hear I had 16 – 18 resting AFCs, but when I went in for Day 2 testing post BC cycle, I only had 5-7 on one ovary and my other ovary was blocked on the u/s temporarily. The good news was after 4 days of stimulation, both ovaries were able to be seen. I had already decided that if on day 4 of stimming, I only had 3 follicles at over 5 mm, I was going to call it quits for that cycle and try again a different month. Since insurance was not paying for it, I wanted to get the biggest bang for my bucks. Egg freezing is different than IVF in that they are not as concerned about the possibility of Ovarian Hyperstimulation syndrome post the egg retrieval. Therefore, they might pump you up with more stimulation drugs than they would if you were just going through a fresh IVF cycle. Trust the experts. I think day 4 or your first u/s post stimulations is the best indicator of how you will respond to the drugs and how many eggs you could produce that cycle. Best of luck!

    #425
    Monica
    Monica
    Participant

    Antral follicles are small follicles that are in the ovaries. Some fertility docs do an unltrasound to check the antral follicle count. This give the doc an idea as to what medication dose to start at, along with hormone levels. The antral follicles that are present are whats available to grow to maturity while injecting gonadotropins. You may also produce new follicles while undergoing stimulatiion. An AFC of 8 for a 28-year old is low. That’s more for a female in her 40s. Even 12 is low for someone your age. My guess is that you are having fertility issues and needing IVF because of premature ovarian reserve isues. In any case, it’s quite common for more follicles to develop as you are stimulated with meds. You could quite possibly have 15 follies ready for retrieval by the time you are done stimming. But, even if you don’t… there’s nothing wrong with them get a few good eggs. It only takes ONE.Good luck.

    #498
    Bridget
    Bridget
    Participant

    Normal AFC is a bit variable in different centres. It is roughly considered to be about 3-8 per ovary. AFC count is a major predictor of the ovarian reserve and could reflect the size of the remaining primordial follicle pool.Low fertility is characterized by low numbers of oocytes and are usually associated with high follicle stimulating hormone levels (FSH).It is considered to be more accurate than the basal FSH testing for older women >44 years of age when predicting IVF outcome.When an average to high number of antral follicles (eight or more) are visible on the ultrasound, fertility specialists expect to be able to retrieve a good number of eggs and the pregnancy rates are higher than average. If few antral follicles appear, a poorer response is expected and the IVF cycle could be cancelled to try for better results the following month.

    #682

    Daria
    Participant

    The syndrome of “empty” follicles (SPF) is difficult to explain complication in IVF programs. Determining risk factors for SMA will allow for a differentiated approach to controlled ovarian stimulation. A retrospective analysis of 52 cases of SMA in IVF cycles. Late reproductive age (˃ 35 years), chronic anovulation, endometriosis are significant risk factors for SMA. Using a modified stimulation regimens, higher doses of gonadotropins, follicle wash buffer, repeated administration of ovulatory dose of human chorionic gonadotropin (hCG) – possible solutions to the SPF.

    #707
    Ana
    Ana
    Participant

    well i think that it is really small. i think that it si really worth to change the doctor because these do not see really as good specialists. i do not know hat to tell you even about it but still it is not very good situation. i think that you friend need treatment but first of all she needs good consultation, because everybody has to know what difficulties she has and what may be complications. when she does not know anything and she does not whether hse has some chances to get rid of it then i think that it is better to ask for the second opinion. i wish her good luck.

    #779

    Donna
    Participant

    Since insurance was not paying for it, I wanted to get the biggest bang for my bucks.
    Egg freezing is different than IVF in that they are not as concerned about the possibility of Ovarian Hyperstimulation syndrome post the egg retrieval. Therefore, they might pump you up with more stimulation drugs than they would if you were just going through a fresh IVF cycle. Trust the experts. I think day 4 or your first u/s post stimulations is the best indicator of how you will respond to the drugs and how many eggs you could produce that cycle.

    #854
    Apple
    Apple
    Participant

    As for me I was on pretty lowish doses of hormones given my high AFC each time, and actually pushed for higher doses myself each time because I knew how I’d responded to stims in the past for monitored cycles.
    I ended up with 12 of mature size at trigger, 16 retrieved, 14 mature, 13 fertilized, and 6 blasts. I know my RE was aiming for around 10-15 mature eggs at retrieval, rather than risking OHSS.I agree – don’t flip out till you see what the bloodwork shows. I think there’s a really good chance that your sister will still work out as a donor.

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