DATE: August 7, 2018
Are There Tests for Age & Decreased Fertility?
There is a recent article which was published in the Journal of the American Medical Association which will change very dramatically how we use these tests. The authors measured pregnancy rates in women from 30 to 44 years of age and could see no differences based on AMH (anti-mullerian hormone), FSH (follicle stimulating hormone) in women with low, intermediate or high levels of these tests.
This confirms our observation in women who come to us having these tests done. We have recommended the AMH test to women over 40 but will not do this in the future. We will continue to recommend it to women over age 43 because very low levels have been proven to be correlated with poor results with IVF.
Factors Associated with Tubal Reversal Success
Factors that seem to be associated with a better chance of tubal reversal resulting in pregnancy are a family history of pregnancy after 40 years of age, pregnancy while taking oral contraceptives or hormone injections (Depo Provera), number of times pregnant, molima (symptoms each month that happen prior to menses) and normal vaginal lubrication when having sex.