The fertility check for woman (synonym: fertility examination) is used to verify, whether there is a fundamental impairment of fertility, and whether there is a normal ovarian reserve, proofing if there are sufficient egg cells for a future pregnancy.
Many women are trying to get pregnant over the age of 35, thus an early investigation of the hormonal status and determining the ovarian reserve is very important.
The fertility check gives you security and information about your current or future fertility.
The following tests are necessary:
- Inquiry of your family and personal medical history
- Gynaecological examination
- Ultrasound examination of the female genital organs with assessment of the ovarian activity (follicle-account).
- Blood test to determine the following hormones to assess your fertility potential:
FSH (Follicle Stimulating Hormone) - FSH is produced in the pituitary gland and controls with the Luteinizing Hormone (LH) the follicle maturation (ovule maturation) and oestrogen production in women. An elevated FSH blood levels may indicate a menopause praecox (early entry into menopause).
Estradiol (estrogen) - is produced mainly in the ovary (Graafian follicle, corpus luteum) and in pregnant women in the placenta. The estradiol concentration varies during the menstrual cycle.
Progesterone (luteal hormone) - is formed in the ovaries in the corpus luteum and rises in the luteal phase. On the 5th to 8th day after ovulation the peak serum levels are achieved.
Anti-Mullerian Hormone (AMH) - This hormone is produced in the granulosa cells of growing follicles in the ovary. The AMH levels are related to the number of maturing egg cells, so that this hormone parameter can provide information of the existing ovarian reserve.
In addition to the laboratory tests mentioned above there are numerous other methods of investigation (cycle monitoring by ultrasound, etc..) - depending on the exact issue.