Ovarian Reserve Test | Ovarian Reserve Fertility Test | Quest®

Ovarian Reserve Assessment Test Panel

This ovarian reserve test measures hormones that can help estimate your egg supply (sometimes referred to as ovarian reserve), as well as hormone levels that impact ovulatory function. Knowing your AMH, FSH, estradiol, LH, and inhibin B levels can help you and your healthcare provider understand more about your reproductive health and what that means for your personal pregnancy journey. Read more

Test details

Sample type:

Blood

Preparation:

If you are having menstrual cycles, it is best to have your sample collected on cycle days 2, 3 or 4 (cycle day 1 is the first day of your period). If you are not having menstrual cycles, the test can be performed at your convenience. Additionally, please note that hormonal birth control will affect your results. Fasting is not required for this test.

Test type: In Person

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$219.00

+ $6.00 Physician Service Fee

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About the Test

This test measures 5 hormones that impact a female’s ovulatory egg supply and reproductive health: anti-müllerian hormone (AMH), follicle-stimulating hormone (FSH), estradiol, luteinizing hormone (LH), and inhibin B. Ovarian reserve testing can help you and your healthcare provider understand more about your reproductive health. It can also be helpful for women who want to know if their ovarian reserve is declining faster than normal, which is important information for planning the timing of future pregnancy attempts. Although these hormones are linked to your egg count, they do not predict fertility.

With Quest, you can buy an ovarian reserve blood test online and get testing at a nearby location – no doctor’s visit required.

This test may be right for you if any of the following are true:

You are planning for a family and want information to help evaluate your fertility
You want to know if your ovarian reserve is declining faster than normal
You want to better understand your current hormone levels

Because hormone medication such as birth control can affect the levels of the markers measured on this panel, this test may NOT be right for you if you are taking hormonal contraceptives or hormone replacement therapy.

Hormone imbalances can only be diagnosed by a healthcare provider based on your symptoms and history. By getting tested, you and your healthcare provider can better understand the cause of your symptoms and identify next steps.

This test panel measures hormone levels in your blood that are commonly evaluated by healthcare providers to assess ovulatory egg supply, ovulatory function, and reproductive health.

Anti-müllerian hormone (AMH) is a hormone produced by the cells in an ovary's follicles. Follicles are tiny fluid-filled sacs inside the ovary that contain and release eggs. AMH provides insight into a woman's ovarian reserve—or the number of eggs she has remaining. The level of AMH in a woman's body can provide valuable information about her reproductive health.

Your results will indicate whether your levels fall within the normal range for women your age or if they are lower than expected. Our AMH test gives you a snapshot of your AMH level at the time of testing. Hormone therapy or hormonal birth control can lower a woman's AMH levels, causing the estimated egg supply to measure lower than it actually is. High levels of AMH can indicate how well someone may respond to fertility treatments in preparation for in vitro fertilization (IVF). Low levels could indicate an issue with ovarian reserve, which could mean that you have fewer eggs available for fertilization or that you may be at an increased risk for certain medical conditions. High levels could also suggest polycystic ovary syndrome (PCOS), though only a healthcare provider can make a clinical diagnosis.

FSH is a hormone produced by the pituitary gland that stimulates the ovaries to produce eggs, and it also controls the menstrual cycle. With aging, estrogen levels decrease and FSH levels increase. This test measures the level of FSH in your blood. High levels can indicate that you have begun the menopause transition.

Estradiol is the primary and most potent form of the hormone estrogen. Estrogen is first produced at puberty. Estradiol levels fluctuate throughout the menstrual cycle during your reproductive years but begin to decline during the menopause transition. A low level of estradiol may indicate the start of the menopause transition or can indicate a problem where your hypothalamus causes menstrual cycles to stop, commonly due to excessive exercise, stress, or undereating (hypothalamic amenorrhea).

Luteinizing hormone is another sex hormone produced by the pituitary gland that helps to control the menstrual cycle and triggers ovulation. Levels outside of typical range may cause irregular periods. As estrogen levels decrease with aging, LH levels increase. High levels of LH may indicate the beginning of menopause or can indicate a problem where your hypothalamus causes menstrual cycles to stop, commonly due to excessive exercise, stress, or undereating (hypothalamic amenorrhea).

Inhibin B is a hormone produced by the cells in an ovary's follicles. Follicles are tiny fluid-filled sacs inside the ovary that contain and release eggs. Along with AMH, inhibin B provides insight into a woman's ovarian reserve—or the number of eggs she has remaining. A low level of inhibin B can indicate a decline in ovarian reserve.

Low levels of AMH may indicate that egg supply is starting to decline, which may sometimes lead to difficulty in getting pregnant.

Although higher AMH levels can indicate a higher egg supply, AMH levels may be higher in some women with polycystic ovary syndrome (PCOS). Symptoms of PCOS include:

Menstrual disorders, including early menopause or irregular or missed periods
Acne
Excess body and facial hair
Decreased breast size
Weight gain
Metabolic syndrome, including insulin resistance

Additionally, the following signs and symptoms may indicate a variety of reproductive hormone problems in women:

Irregular menstrual cycles
Weight gain or bloating
Insulin resistance
Insomnia or sleep disturbance
Fatigue
Infertility
Acne, dry skin, or other skin issues
Hot flashes/flushes or night sweats
Mood changes, like anxiousness or irritability
Depression
Headaches
Muscle weakness and/or joint pain
Hirsutism (growing face or body hair in unusually large amounts)
Androgenic alopecia (thinning hair or hair loss)
Enlarged polycystic ovaries
Breast tenderness or pain

This test is for females only. You must be 18 years of age or older to purchase a test on questhealth.com. Purchases not permitted in: AK, AZ, HI.

After you provide your specimen, it generally takes a few business days to process and release your test results. However, processing times may vary. Your test results will be available in a clear and easy-to-read report. If your results differ from expected ranges, you may receive an alert call from an independent healthcare coordinator. Independent physicians are available to discuss questions or concerns you may have regarding your results.

How it works

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After you make a purchase, Quest Mobile will contact you to schedule an in-home sample collection appointment.

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FAQs

How does my AMH level relate to fertility?

Although AMH levels correspond to your estimated egg count, they do not indicate whether you are fertile or infertile. It is just one piece of your overall reproductive health. Regardless of your AMH level, other factors could affect your ability to get pregnant (such as age, medical conditions, irregular ovulation, blocked fallopian tubes, uterine abnormalities, your partner’s sperm count, your partner’s sperm motility, and others).

As we age, the number of viable eggs slowly decreases, producing fewer egg-releasing follicles and as a result, less AMH. Low levels of AMH may indicate a low number of viable eggs, decreasing the potential for an egg becoming fertilized.

What can I do if I have low levels of AMH for my age and still want to have a baby?

Low levels of AMH could mean that your ovaries are preparing fewer follicles to release eggs. Several factors may contribute to fewer follicles, including age, chemotherapy, genetics, the environment, and smoking.

Even if your AMH is low for your age, you may be able to conceive. AMH levels indicate your ovaries are producing some of the follicles necessary for eggs to be released—and it only takes one egg to become pregnant.

Additionally, this test can help a doctor determine how likely fertility treatment will work. Together, you and your doctor can discuss your reproductive health and pregnancy planning.

What are other uses for this test?

AMH tests are used by doctors and fertility specialists to determine a woman's egg supply when she’s experiencing infertility or waiting to conceive and wants to know her egg supply level.

Doctors also use this test to assess menstrual disorders (like PCOS), help determine a woman’s menopausal status, or assess ovarian function in women after cancer therapy.

What are the symptoms for elevated/abnormal AMH levels?

Although higher AMH levels can indicate a higher egg supply, AMH levels may be higher in some women with polycystic ovary syndrome (PCOS). Symptoms of PCOS include:

Menstrual disorders, including early menopause or irregular or missed periods
Acne
Excess body and facial hair
Decreased breast size
Weight gain

Low levels of AMH may indicate that your egg supply is starting to decline. When considering fertility options (including conception or harvesting eggs for future use) it’s important to discuss all options with a doctor.

Can I use my FSA or HSA funds to purchase tests on questhealth.com?

You may be able to use your FSA or HSA funds to purchase lab tests at questhealth.com. Please review your FSA/HSA plan or check with a tax professional to confirm specific requirements for individual eligibility.

Our references

Can Inhibin B Reflect Ovarian Reserve of Healthy Reproductive Age Women Effectively? - PMC (nih.gov)

Tests purchased on questhealth.com are only for individuals who intend to pay directly for testing and do not want to submit a claim for reimbursement under their health insurance.

Ovarian Reserve Assessment Test Panel