Posted by: DD | March 2, 2007

no. 393 – Reserve Your Ovaries Today While the Selection is Good

I prefer to end my week either on a high note or  hell, why not just high.

However, since I’m now a responsible adult with a child, I’ll be selecting the high note.

There are several tests out there to help physicians determine a woman’s Ovarian Reserve (cache’ of eggs).

We have the AFC:

Antral Follicle Count – Presumably, the number of antral follicles visible on ultrasound is indicative of the relative number of microscopic (and sound asleep) primordial follicles remaining in the ovary. Each primordial follicle contains an immature egg that can potentially develop in the future. In other words, when there are only a few antral follicles visible, there are less eggs remaining as compared to when there are more antral follicles visible. As women age, they have less eggs (primordial follicles) remaining, therefore they have less antral follicles visible on ultrasound. (1)

We have the CD3 FSH:

Day 3 Follicle Stimulating Hormone – By measuring a baseline FSH on day 3 of the cycle (we do it on either day 2, 3, or 4), we can often get an indication that the women is closer to menopause and has relatively less "ovarian reserve". Another way of saying this is that if the baseline FSH is elevated the ovarian reserve (how many eggs are left) is reduced and sometimes also the egg quality is reduced.  (2)

The popular CCCT:

Clomiphine Citrate Challenge Test – It is performed by measuring the day 3 FSH and estradiol levels, the patient takes 100 mg of Clomid on cycle days 5-9, and her FSH is measured again on day 10. The test is abnormal if either the day 3 or day 10 FSH values are elevated or if the day 3 estradiol is greater than 80 pg/ml. (3)

However, my personal favorite would have to be the GraPHC:

Gray Pubic Hair Count – A test that can be performed any time during the patient’s cycle as it is usually unaffected by hormone levels. Accurate counts can best be done with the assistance of a handheld reflective device, usually a mirror. There’s no proven scientific data that shows a distinct and measurable correlation between GraPHC and ovarian reserve, but it can be a visual cue indicating such factors as age and stress. Therefore one could presume that the higher the GraPHC, the higher either the stress or age, or even a combination of the two, is of the patient. (4)

(1) (2)






    The last verboten subject in the blogosphere…bravo bravo bravo

    ‘Scuse me while I go pluck something. Ahem

  2. Geez, whilst I pass GraPHC, or I did by last glimpse, I probably fail the others. Pray tell, which is more accurate? Of course, I prefer the science of the TKO version.

    Good going.

  3. Hmm. I’m a little embarassed to admit this, but until this moment it never occurred to me that pubic hair would turn gray.

  4. I think I’m going to pee in my pants right now.

    This was hysterical.

  5. Damn. I’ve flunked two of these damn tests in one week!

  6. I’m going into the bathroom to give myself a full GraPHC test right now (I bought the kit. Actually, I bought 4. Just to be sure).

  7. 75% of me wants to go have a look at my own GraPHC, while the other half says let the carpet match the drapes. My ovaries are ornamental anyway. 🙂

  8. GraPHC test NOT possible at the moment…I can’t see down there! (And not sure that’s something I’d really want to see, any gray moving in…. sigh.)

  9. All the more reason to go shaven.

  10. You are TOO funny!

    Thanks for the laugh, I needed it.

  11. Funny, funny, funny. I’ve noticed a few grays, but have been afraid to count.

  12. I love that. Thanks.

  13. i have failed the graPHC test….my results are over the top….i have frightened my re and all the techs!!! thank you for outing this humiliating test!!!

    and thanks for the snorts of laughter

  14. HA! So funny!

  15. And now you know why I was so concerned about being exposed during my c-section. Appalling.

  16. Holy crap! Pubic hair turns grey???? Something to look forward to then eh?

    Great post!!

  17. Is it true if you pluck one you get two?

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