Ovarian Reserve: Understanding Your Ovaries and Egg Count From Birth to Menopause
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- Опубліковано 28 вер 2024
- Double board certified OBGYN and REI, Dr. Natalie Crawford, explains the development and depletion of eggs in the ovaries. She discusses the role of hormones and the brain-ovary-adrenal gland axis during puberty. Dr. Crawford also covers how hormonal contraception, pregnancy, and breastfeeding impact egg loss, as well as the changes seen in the menstrual cycle as women approach menopause, including shorter cycles and irregular periods. Lastly, she explains ovarian reserve testing and what the results mean about your fertility.
Questions Answered:
How many eggs are you born with?
How fast does your egg count decrease?
What can cause your egg count to decrease?
What is puberty?
What role does the brain play?
When do you start ovulating?
What is ovulation?
What is the corpus luteum?
What happens to your eggs on birth control?
How does your menstrual cycle change when you get closer to menopause?
How will your labs change?
How do you test your ovarian reserve?
How does AMH testing work?
What is normal for your age?
Does egg freezing or IVF hurt your egg count?
#ovarianreserve #puberty #ovaries #menopause
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Fertility doctor, Natalie Crawford, MD is a double board certified OBGYN and REI, and co-founder of Fora Fertility, a boutique fertility practice in Austin, Texas.
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Sharing fertility facts to educate women about trying to conceive, getting pregnant, ovulation, fertility treatments, IUI, IVF, becoming a doctor, life as a woman in medicine, and more.
So cool! I’m pregnant with a girl right now and to think she has all her eggs already and I’m carrying my future grandchildren is just mind blowing 🤯
so i have pcos and my AMH is around 4.00 and I just turned 35. does that mean my egg quality isnt the best with that amount?
AMH is a hormone that can be measured in a blood test to tell you how many eggs remain in your ‘vault’ (to quote Dr Crawford) It does not tell you the quality of the eggs. It does give you an idea of whether your AMH is low or high for your age compared to the average woman tested. Mine was average so I can assume the best predictor of my future fertility (based on that measurement only) is my age. However now Dr Crawford has mentioned that it is only a snapshot into the eggs you have at that moment, I’m a bit concerned that I don’t know how fast my eggs are running out! So much to think about! I have a feeling I have about ten years left so fingers crossed! Good luck to you with your goals and or learning ❤
Appreciate the upgraded sound and video quality 🤗🤗
I just had my testing done about 3 months after stopping birth control and TTC, I was very surprised and concerned that my AMH was 8,2 µg/L which seems very high. I am 32 and have no symtoms of PCOS really and seem to ovulate regularly (tracking with OPK and BBT). Is this then only positive, that I have an high egg count, or is it a sign of bad egg quality..?
Wonderful information as always.
How does the ovarian reserve change over time in women with PCO/PCOS? (Is the slope of the line different?) Is pcos “cured” as women age and approach menopause? Does pcos have any relation to the age of menopause?
It was good to get that reminder that egg freezing doesn’t impact future egg levels.
When women see an INCREASE in their AMH over the course of a few months ( after lifestyle change, supplements, etc).. has their antral follicle count increased or have more antral follicles become "stimulated " ( and were there all along?)
My first question disappeared. I guess UA-cam AI didn't like it. Too bad because that was my better question.
Hi... My question is... Why do I still have my menstrual cycle every month (28 days to 33 days) but have a very low reserve? If I don't ovulate like the doctor said I shouldn't have my menstrual cycle (which is regular), right?
I'm 42 years old 😊..
Thank you 😘
I appreciate this video! Im 40, TTC for a year. Age related infertility is all they have said. Perfect AMH and follicle count. But no one explained that my AMH could fluctuate. Thank you!
Interesting! Nature doesn't seem that efficient if we lose tons of eggs even before puberty! lol. Since it's a finite resource, you'd think nature would treat it as such? Instead it's like "you're losing these things all the time and you'll never make more". Funny, and also kind of sad 😭😂
Hi, can you do a video on thin uterus and hormonal imbalance. My obgyn told me there in no cure or treatment for me to do. Even thought my period now is only max 2 days
I'm also wondering that since we only need one egg, why should we stop trying for a baby if we have low AMH? As long as there is one mature egg/month there should be a chance at pregnancy, I would assume.
Good question!
well especially if you want more than one, you might want to bank embryos while you're younger. also as amh decreases, ovarian function also decreases, leading to hormonal imbalances which can also complicate pregnancy attempts.
@@justathumb Yes. But that is if you have access to lab clinics, fertility docs and freezing. I meant if you don't have access to those things.
@@GirlVersusWild Thanks. 😊
This was really helpful! I have a low AMH, over 40, and going through IVF for about 6 months with no luck so far. I hear mixed information regarding DHEA... if you could share some information regarding DHEA and low ovarian reserve, advanced age, pros/cons I would really appreciate it! thank you so much for always sharing information in a postive, compassionate way, it means a lot!
There is another channel here on YT, the egg whisperer show, that says DHEA is not good. She had an interview with another doc a couple of weeks ago about it. Maybe check her out.
@@nian60 thanks!
@@KMT183 Y w. 😊
Is there a certain day to test the AMh?
You can take the test any day
Day 1 or 2 of cycle
Any day.
2,3,4 of cycle is most accurate, and when you repeat on same early day you can track over time.
Is AMH measured differently in other countries? I've just turned 43 and my amh was done last month and it was 7.5 that now seems very high, i had 5 follicles. Im in the UK.
@@meenaboneena some countries use different units. She is probably using US unit, ng/ml
This makes me a bit sad, my first period was at 8, so I entered puberty at 6? Is early menarche linked to fertility issues?
My first period was at 15, so did I enter puberty at 13? Personally I saw my first signs of puberty at 11… so I think there must be a fair amount of person to person variation on length of the puberty process etc! I’d also recommend researching correlations between age at onset of puberty and fertility, on a reputable website like WebMD.
5:55 This is the point in the video where Dr Crawford mentions that age at onset of puberty doesn’t affect egg count :)
Can DHEA supplementation be useful with very low AMH (0.3) at age 40? Thank you
There is another channel here on YT, the egg whisperer show, that says DHEA is not good. She had an interview with another doc a couple of weeks ago about it. Maybe check her out.
I have question So when i go for artificial insemination will i be biological mother of my child ? And will sperm go my egg or someone else egg to fertilize to make baby
That depends on whether you are using an egg donor or your own eggs.
Based on my knowledge of the topic, the terminology you have used implies you would be the biological mother and the donated sperm would come from the other person. I would advise making sure you understand this before going through with the procedure, by speaking with your doctor. Don’t be afraid to sound silly when your future is involved.