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Antral Follicle Count and FSH

chocci

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Hi Guys

Just a quick one really but worried:

Cutting a long story short I am just turned 33 and hubby is just turned 32. We were refered for fertility treatment, ICSI to be precise based on hubbies SA being below normal range on all counts, worst was abnormal forms. During investigations for me they found no real problems, patent tubes, no STIs ever, ovulating normally, periods every 26-28 days, FSH was between 6 and 7 each time. The only thing they found was a small cyst on the outside of my left ovary (2cm) but it was not interfering with ovulation since they saw follicles in it so told me not to worry. Mrs average really or so i thought. During our ICSI cycle i was on 225 of menopur for 10 days, had 14 follicles, retrieved 10 eggs, 9 of which were mature good eggs, 5 fertilised normally, all were great quality embryos by day 3 (4 grade 4 out of 4 grade and 8 cell day 3 and 1 4/4 6 cell) Although 1 was put back and was great quality it sadly resulted in a negative cycle.

So i had my review today with the consultant to plan our FET, and she said the who cycle went really well, i responded well, fertilisation good and embryos good blah blah. Then she mentioned i was on slightly higher than normal for my age does of menopur so i asked why and she said well looks like back in feb when i had the cyst checked for location inside or outside ovary, i did not know at that stage that they would do an antral follicle count but apparently they did and i have only just got the results. The consultant said the reason i was on slightly higher does was because my count was only 4 on the side the cyst was on and one 13mm follicle on the right side the one that is supposed to be ok?? Total of only 5 atral follicles!! What i find strange is that i have had many scans and although i have not asked they have been told once or twice "quite a lot of follocles" had been seen????

The consultant said not to worry since i responded well and the low count is strange but that during ICSI i got 14-16 follicles so not to worry??? Well i am worrying now, so my question is, can counts vary, can it be affected by stress since january had been extremely stressful, if i really do have a very low count then would i really have responded pretty well in ICSi cycle??? My FSH is apprently fine so why few follicles???? If anyone can shed any light on this then i would really appreciate it :( since i am now worrying that i am running out of time :(

Thanks in advance girls xx
 
Sorry chocci - I've never had an antral follicle count so I don't know the significance of it. Although I'm now wondering if it's something I should have had done seeing as we've had two failed cycles now.

Hopefully someone else will be a bit more helpful. Can you phone the clinic and ask the significance of it again??

:hug:
 
Thanks for responding hun, i think as part of investigations they generally do an AFC??? i thought so anyway but i could be wrong?? Anyway just to help you understand what it is just in case you want to know :) its when they count all the little follicles that start to grow in your ovaries at begining of cycle before one becomes dominant. its supposed to be an indicator of how well you will respond to stims and how many eggs you have left basically, thats why i am pusselled since i did respond pretty well to stims but apprently had a bad count :(

Hope someone else has some ideas soon its driving me made wondering :(
x
 
Sounds similar to the AMH blood test I had done prior to my first cycle. The blood test was to measure the hormone level produced by my ovaries - or something or other. Fingers crossed someone else has had the AFC done and can shed some light on it for you...

:hug:
 
Sounds similar to the AMH blood test I had done prior to my first cycle. The blood test was to measure the hormone level produced by my ovaries - or something or other. Fingers crossed someone else has had the AFC done and can shed some light on it for you...

:hug:

Yes thats it i think AMH and AFC are similiar, think some prefer AFC and others the AMH :)
 

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