Since the anti-Mullerian hormone starts to decline in the mid-20s, it is only possible to take the test starting at age 25. If you are 25-27 years old, we recommend you repeat the test after two years. If you are 44 or above, there is no at-home/online test available due to missing reference values for the percentile calculation. In this case, you can only do the ovarian reserve test directly at the ivary HQ in Vienna.
Yes, you can take the test while on the pill, because our algorithm takes your contraception method into consideration. This is also applicable for the NuvaRing and the hormonal coil (IUS). Unfortunately, we are unable to offer the test to women who use contraceptives like the three-monthly contraceptive injection or the contraception rod, due to missing data on the reduction of the anti-Mullerian hormone caused by these contraceptives.
Please note: If you just stopped taking the pill or any other hormonal contraception (e.g. vaginal ring, hormonal coil (IUS), three-monthly contraceptive injection, contraception rod) you should wait at least four months before taking the test. Otherwise, you may face the risk of a distorted result.
If you take the test at our headquarters in Vienna, you will receive the result during a follow-up appointment approximately 10-14 days later. If you order the test online, you will receive a test kit by mail. Then, 2-3 days after returning your blood sample, you will receive a link by e-mail to access your test results online. If you have any further questions or if your result requires further consultation, you can make an appointment with us by phone or online.
An estimate of your remaining fertile lifetime until menopause, in the form of infographics and detailed text
Recommendations regarding lifestyle, further examinations and your personal family planning depending on your desire to have children
Timeline with likelihood of pregnancy until mid-40s
A risk analysis regarding the presence of the polycystic ovarian syndrome (PCOS)
Yes! Call us to make an appointment, or make your appointment online. Please note that we take the same time for you via phone or via Skype as in a personal conversation and thus we charge accordingly.
Studies show that besides a certain margin of tolerance, it is possible to forecast menopause with the anti-Mullerian hormone with 80% certainty. We cannot calculate an exact percentage regarding the certainty of your personal result, since your future lifestyle (smoking, nutrition) and future pregnancies will influence the duration of your fertility. Regarding your remaining fertile lifetime until menopause, we expect, however, that depending on your age the test has an 80 to 90% certainty. If you repeat the test two years later, the certainty would be between 90 and 100%.
Every month, your body uses a considerable amount of egg cells even if you use hormonal contraceptives. On average, at the age of 36 (including substantial individual differences), only about 25,000 of the initial several million oocytes remain and your fertility slowly declines. The number of remaining oocytes in your ovaries thus relates directly to your remaining period of fertility and to the start of menopause.
The reason is that the size of the ovarian reserve, the start of the menarche, and the pace with which the oocytes are exhausted varies considerably from woman to woman. Thus, it is possible that menopause can start at the age of 40 or not until one’s mid-60s. Most of these differences have a genetic component; however, your personal lifestyle (smoking, nutrition, physical activity), diseases, surgery on the ovaries, and number of pregnancies influence how long you remain fertile as well.
Yes. However, if you are younger than 35 and have been trying to become pregnant without any success for more than one year, or if you are 35 and have been trying for more than six months, we would recommend you make an appointment for a personal consultation. During the consultation, we can also do the ivary Ovarian reserve Test.
Ovulation tests help to determine the timing of ovulation and thus define the most fertile time during a particular cycle. The ivary Ovarian Reserve Test, however, is intended as support for your longer-term family planning and gives you a more complete picture of your fertility. The test tells you how many years remain in which you still have a good chance to become pregnant and how your personal likelihood of pregnancy declines over time. Hence, the test is especially useful for women who do not want children right now or who are uncertain as to when is the best time to start a family.
If you order the test online, no visit to the doctor is required; with a small, automatic lancet you take a blood sample from your finger on your own. It is important that you massage your finger before taking the blood sample (to guarantee a high blood circulation) and that you hold your finger loosely over the tube when collecting the blood. Do not squeeze the blood out of your finger, as tissue fluid could then falsify the sample. Taking the blood sample is more or less painless, so there is no reason to be afraid!
After buying the test online, we will send you a video that explains in great detail how you should use the test kit.
The shorter the time the blood sample is on the way, the more precise the blood value can be. If you take the return envelope to the post office on Friday, it will arrive only on Monday afternoon at our labs that carry the blood analysis. If the envelope is dispatched on Monday or Tuesday it will arrive with great certainty at the labs before the end of the week.
From November 2015, gynecologists throughout Austria are able to offer the test in their practice. Please contact your gynecologist for this possibility as well as for price information regarding the test and the consultation. If you are located elsewhere, please contact ivary for more information.
During a pregnancy the anti-Mullerian hormone is changing and and the ivary Ovarian Reserve Test is therefore not predictive during this time. After giving birth, you should wait four months until the hormones normalize before taking the test.