Unlocking Your Fertility Potential: The Comprehensive Guide to Ovarian Reserve Screening

Ovarian reserve screening is an invaluable tool for women looking to understand their fertility potential. Whether you're planning to start a family soon or considering your options for the future, knowing your ovarian reserve can provide critical insights. In this guide, we will delve into the importance of ovarian reserve screening, how it's conducted, and what the results mean for you.

Doctor discussing ovarian reserve screening with a patient

What is ORS?

Ovarian Reserve Screening involves a series of tests designed to evaluate the quantity and quality of a woman’s remaining eggs. This assessment helps in determining the likelihood of successful conception.

Why is Ovarian Reserve Important?

Understanding your ovarian reserve is crucial as it provides a clearer picture of your reproductive health. Women with a lower ovarian reserve may have a more challenging time conceiving, which can influence family planning decisions.

Lab technician handling a blood sample for ovarian reserve test

How is Ovarian Reserve Tested?

  1. Anti-Müllerian Hormone (AMH) Test: Measures the levels of AMH in the blood, an indicator of the number of remaining eggs.
  2. Antral Follicle Count (AFC): Uses ultrasound to count the visible follicles in the ovaries.
  3. Follicle-Stimulating Hormone (FSH) Test: Blood test conducted on the third day of the menstrual cycle to assess ovarian function.

Interpreting the Results

  1. High AMH and AFC: Indicates a good ovarian reserve.
  2. Low AMH and AFC: Suggests a diminished ovarian reserve, which may affect fertility.
  3. High FSH Levels: Often associated with lower ovarian reserve and potential fertility issues.

Factors Affecting Ovarian Reserve

  • Age: Natural decline in ovarian reserve with age.
  • Medical Conditions: Conditions like endometriosis or polycystic ovary syndrome (PCOS).
  • Lifestyle Factors: Smoking, diet, and overall health.

When to Consider ORS?

If you’re over 35, have a family history of early menopause, or have been trying to conceive for over six months without success, ovarian reserve screening can be particularly informative.

Ultrasound machine used for antral follicle count


Ovarian reserve screening is a crucial step for women wanting to understand their fertility potential. By providing insight into your reproductive health, it allows you to make informed decisions about family planning and fertility treatments.

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What is the best age to get an ovarian reserve test?

It's ideal for women over 30, especially if they have concerns about fertility.

Can lifestyle changes improve ovarian reserve?

While lifestyle changes can improve overall reproductive health, they typically do not increase ovarian reserve.

Is ovarian reserve screening covered by insurance?

Coverage varies, so check with your insurance provider for specifics.

What if my ovarian reserve is low?

Consult with a fertility specialist to discuss potential treatments and options.

How often should I get my ovarian reserve tested?

It depends on individual circumstances and fertility plans. Regular screening may be advised for those with concerns.

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