A message from and written by Dr. John Couvaras
What if you aren’t ready for a Donor Egg?
As a woman passes age 35, we call her Advanced Maternal Age, since pregnancy rates show a dramatic first decline, and adverse pregnancy outcomes increase. The current state of the art of evaluating potential egg quality and number-translation, potential likelihood of successful outcome, is to consider maternal age, cycle day three FSH/estradiol, and antimullerian hormone level, and basal antral follicle count. As with any new testing, AMH has yet to be understood in its role in determining ovarian reserve. The common interpretation of AMH has been to assume it is a better indicator of ovarian reserve and as it declines, so does reserve. This dropping AMH is noted with age, especially over 35, and as this value drops below 1, and becomes 0.8 or 0.54 to 0.24 and ultimately <0.16, patients are routinely counseled to consider donor egg.