Comments on Counting Your Eggs: Can a New Test Predict Your Future Fertility?

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First off, the level of FSH tends to rise, not drop off, with age. FSH plays a role in recruiting a follicle to develop early in the menstrual cycle, and if there are diminished egg reserves and thus there is no response, the body thinks it needs to secrete more FSH to get it done--hence the third day spike if your fertility is declining. (Usually a result over 10 on cycle day 3 is considered bad news.)

Second, and more important, fertility tests like the ones described in the article can only reliably give you bad news. That is to say, if your numbers are bad, you're unlikely to conceive. But if your numbers are good, that means nothing! Just ask all these women over 35 with "unexplained infertility" who have perfect bloodwork and no pregnancy. Age, age and age is the predominant rule of thumb--and it doesn't matter that you are fit and look young. I think Dr. Licciardi should have been a lot less polite in pointing it out. Basically, if you are in your 30s, you need to realize that each year you wait makes parenthood less likely, and never, ever let anyone falsely assure you with "good" blood tests. You might get lucky, but statistically odds will be against you. And maybe you didn't know this, but studies have found that fertility treatment is comparable to chemotherapy with regard to rates of depression and mental anguish, and can send the most confident optimist right down into the world of psychiatry and antidepressants. So if you know you want children, spare yourself the pain and get busy now... Whatever you think is holding you back now will be much easier to fix than trying to create a baby out of nothing left.

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