The Day 3 fertility testing process with Dr. Johnson - What an infertility workup entails and what the results mean for suggesting an infertility treatment plan.

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If you've been struggling to get pregnant and gotten fertility testing at a fertility clinic, you may have found out your results and given an infertility diagnosis. But what do these test results mean as far as next steps?

We sat down with Dr. Matrika Johnson, a fertility doctor at Reproductive Specialists of the Carolinas to explain how a woman's fertility is tested and what that means as far as treatment to help her get pregnant.

A lot of different tests are done when you go to a fertility clinic and these all tell your doctor how your body will likely respond to infertility medications and what treatment makes sense for you.

The most important testing your doctor does is looking at your ovarian reserve. Ovarian reserve testing gives an estimation of how many eggs you have. Ovarian reserve is tested by measuring your AMH, FSH, and doing an antral follicle count. The most important measurement of ovarian reserve is your AMH level, as this has been shown to be the most accurate measure of how many eggs you have. It also can be tested at. any point in your cycle. Most fertility hormones need to be tested early in the menstrual cycle when your hormone levels are lowest, which is why day 3 fertility testing is common.

The ideal AMH level for women to have is a level greater than 1ng/mL. Women with an AMH of less than 1 are classified as diminished ovarian reserve. Younger women with diminished ovarian reserve may experience early menopause. Ovarian reserve declines with age so older women are. expected to have a lower AMH level than younger women. However, your fertility doctor still prefers an AMH of 1 or better for ideal outcomes with IVF.

Your Day 3 FSH level is also an important marker when estimating your ovarian reserve. If your FSH is high, it can also signal that you have diminished ovarian reserve and that you may get a lower number of eggs from an IVF cycle.

An HSG is an x-ray test done to check that your fallopian tubes and your uterus are normal. An HSG is normally done between Day 5 and 12 of the menstrual cycle to get a clear view of your uterus and tubes.

Some doctors also pay close attention to how thyroid function can affect your ability to get pregnant. A TSH of less than 2.5 is ideal for fertility.

After you have done your fertility testing and have your results, a fertility doctor then suggest which sort of fertility treatment would be best to help you conceive. The most common options are IUI or IVF.

TIMESTAMPS
0:00 Intro
0:17 How is fertility tested in women?
1:21 Fertility hormone levels change throughout the menstrual cycle
1:56 AMH levels and fertility
3:01 Low AMH and age
3:35 What is diminished ovarian reserve?
4:11 Normal Day 3 FSH level
4:42 Normal Day 3 estrogen level
5:24 Day 3 LH level
5:45 HSG test (hysterosalpingogram)
5:54 When during the menstrual cycle is an HSG done?
6:11 Prolactin and TSH
6:25 Does TSH affect fertility?
6:45 Ideal TSH level to get pregnant
7:36 TSH levels for infertility treatment
7:56 When to go straight to IVF

In this video we cover:
-ovarian reserve testing
-how female fertility is tested
-fertility hormone fluctuations during the menstrual cycle
-Day 3 fertility testing
-normal AMH level
-what does having a low AMH mean?
-what is diminished ovarian reserve?
-normal Day 3 FSH level
-normal Day 3 estrogen level
-HSG test
-thyroid function and fertility
-best TSH level for getting pregnant
-what should thyroid level be when starting fertility treatment?
-when to go straight to IVF

Find out more about Dr. Johnson at:
https://fertilityspace.io/clinics/rep...

Want to learn more about the process of seeing a fertility doctor? Read our blog!

What to ask your doctor during your FIRST FERTILITY APPOINTMENT: https://fertilityspace.io/blog/fertil...

Getting pregnant with PCOS - what you need to know:
https://fertilityspace.io/blog/gettin...

IVF Success Rates by Age in the US:
https://fertilityspace.io/blog/ivf-su...

Guide to the IUI process:
https://fertilityspace.io/blog/what-i...

The Cost of IVF in 2022:
https://fertilityspace.io/blog/the-co...

How to choose a fertility clinic:
   • 5 tips for choosing the BEST IVF clin...  
https://fertilityspace.io/blog/how-to...

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