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Question
Posted by: Cherie | 2007/07/18

Question to Dr Cassim


Dear Dr,

Would appreciate your views detail if possible on the following:

1. Is there a way to determine if a woman still have eggs in her ovaries? What kind of tests that are used?
2. What are the symptons of ovarian failure?

The reason I ask this question is that I have attempted my first IVF three months ago after 3 years of TTCing. I used menogon injections and the scan showed only one egg on day 4 and day 5 of injection. I had to unfortunately discontinue with the cycle becuase of poor response to the injections and was told that my ovaries are not functioning.

I am very worried of menopausing prematurely and would appreciate if there is hope or other possible fertility alternative.

I thank you and waiting impatiently for your response.

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Our expert says:
Expert ImageFertility expert

Dear Cherie

There are several approaches to determining ovarian reserve, including ultrasound for antral follicle count (AFC), AMH levels, Inhibin B levels, as well as routine ovarian hormone levels. They all, if put together, give a fairly reasonable idea of expected ovarian response. Based on this the appropriate dosage and type of ovulation induction agent can be chosen.

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

1
Our users say:
Posted by: Dee | 2007/07/19

You dont give your age.

Menogon dosage can be increased to produce more follicles (you dont say what dosgae you were on that gave only 1 follicle)

As far as I know ovarian reserve is measured by doing an FSH blood test on day 2/3 of your cycle. You want a number under 15.

Reply to Dee

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