- Pathogen testing
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 Clinic.
If you have had any of these tests done within the last 12 months, they do not need to be repeated.
You must have both ovaries, and there must be no ovarian cysts larger than 12 mm.
- Antral follicle count
You will have an ovarian ultrasound during your initial visit at Bay IVF to count the number of antral follicles, seen as small dark circles within each ovary. 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. Too few or too many antral follicles indicates that normal quality eggs may be infrequent or even absent within the ovaries.
There must be between 10 and 24 antral follicles in both ovaries combined for Soft-IVF. Women with a very low or very high AFC are not good candidates for Soft-IVF ovarian stimulation. The majority of women will have 12 to 24 antral follicles.
- 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:
Most women will have normal Ovarian Reserve Assay results. An abnormal result does not necessarily mean that you cannot get pregnant with your own eggs. If the test results are abnormal, we usually recommend repeating the test up to three times.
- Anti-Müllerian hormone (AMH) level
AMH level also reflects the quality of eggs; the result should ideally be 2 to 3. Lower or substantially higher levels signify less than optimal egg quality.
The AMH level must be 1.5 to 4.0 for Soft-IVF. Women with a very low or very high AMH levels are not good candidates for Soft-IVF ovarian stimulation.
- Measurement of the uterus
It is important to place embryo(s) at the top of the endometrial cavity. To measure the length of the endometrial cavity, a thin embryo transfer catheter is passed through the cervical canal to the top of the uterus.
We perform a sonohysterogram (saline ultrasound) to assess the endometrial cavity of your uterus. A thin, soft catheter is passed through the cervix into the uterus, and a small amount of sterile saline solution is instilled. A transvaginal ultrasound is used to visualize the contours of the endometrial cavity.
The presence of polyps, fibroids, or scaring inside the uterus can significantly reduce the probability of implantation. If any polyps, fibroids, or scaring are found, their removal would require a simple outpatient procedure by your OB/GYN or a specialist.
This ultrasound image shows a normal endometrial cavity. Polyps and fibroids (myomas) would show as lighter shade "filling defects" within the dark saline-filled endometrial cavity.
Please use the following links for additional information about Soft-IVF.