This testing is required by the State of California. You and your partner (if applicable) must be tested for Hepatitis B-Surface Antigen, Hepatitis C-Antibody, HIV I&II, HTLV I&II, and RPR.
The blood for these tests should be drawn as soon as possible and no later than the menstrual period at the beginning of your treatment. You can go to a laboratory of your choice, or we can draw your blood at our center.
If you have had any of these tests done within the last 12 months, they do not need to be repeated.
Ovarian Reserve Assay (ORA)
ORA assesses the likelihood that normal quality eggs can be produced. It consists of the measurement of Follicle Stimulating Hormone (FSH), estradiol (estrogen, E2), and Anti-Mullerian Hormone (AMH) blood levels.
This test involves a single blood draw. To schedule the test, please call Bay IVF at 650-322-0500 on the first day of your menstrual period. ORA must be completed before your treatment begins.
FSH stimulates the ovaries to produce eggs. If the ovaries cannot produce normal quality eggs, the FSH level is increased. Estradiol production by the ovaries influences FSH secretion and is also related to the egg quality. FSH should ideally be less than 7.0 and estradiol less than 30.
Interpretation of ORA results depends on the number of antral follicles, seen as small dark circles within each ovary, during your initial ultrasound examination at Bay IVF. There is a moderate variation in the number of antral follicles from cycle to cycle, and any prior antral follicles assessment you may have had does not necessarily apply.
The number of antral follicles within unstimulated ovaries is related to the quality of the eggs.
Ideally, there should be approximately 20 antral follicles in both ovaries combined. Patients who persistently (there is slight daily variation in the number of antral follicles) have a total of three or fewer antral follicles may require IVF with donor eggs. The majority of women will have 12 to 24 antral follicles.