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Who needs Antral Follicle Count Ultrasound scan?

Women who are undergoing fertility investigations or considering assisted reproductive techniques (ART), such as in vitro fertilisation (IVF), may benefit from an AFC ultrasound scan. This scan is particularly useful for women who are over 35 years old or have a history of ovarian surgery, endometriosis, or irregular menstrual cycles. The AFC scan provides valuable information about a woman's ovarian reserve, which is the number of potential eggs available for future fertility. This information can help fertility specialists develop personalised treatment plans and predict the likelihood of success with ART.

How is Antral Follicle Count scan performed?

During an AFC ultrasound scan, you'll lie on an examination table with your feet in stirrups, similar to a pelvic exam. A transvaginal ultrasound probe, which is a small, lubricated wand, will be gently inserted into your vagina. The probe will emit high-frequency sound waves that create detailed images of your ovaries on a computer screen. The radiologist will carefully examine each ovary, counting the number of antral follicles (small, fluid-filled sacs that contain immature eggs) visible on the screen. The procedure is generally well-tolerated and takes about 10-15 minutes. You may experience mild discomfort or pressure during the scan, but it should not be painful.

What conditions can be diagnosed with Antral Follicle Count ultrasound?

  • Diminished ovarian reserve
  • Premature ovarian insufficiency (early menopause)
  • Polycystic ovary syndrome (PCOS)
  • Ovarian cysts or tumours
  • Endometriosis
  • Ovarian torsion
  • How do I need to prepare for Antral Follicle Count Ultrasound?

    To prepare for an AFC ultrasound scan, you'll need to schedule the examination during the early follicular phase of your menstrual cycle (usually between days 2-5), when the antral follicles are most visible. This timing ensures that the count is not affected by the growth of a dominant follicle later in the cycle. You may be asked to empty your bladder before the scan to ensure optimal comfort during the transvaginal examination. It's also important to inform your radiologist of any relevant medical history, current medications, or allergies, as this may impact the interpretation of the results. If you have any concerns or questions about the procedure, don't hesitate to discuss them with your radiologist before the scan.

    How should I time Antral Follicle Count Ultrasound Scan?

    If you are undergoing fertility investigations or planning to start ART, schedule your AFC ultrasound scan in consultation with your fertility specialist. The scan should be performed during the early follicular phase of your menstrual cycle, typically between days 2-5, to ensure the most accurate count of antral follicles. Your healthcare provider will guide you on the appropriate timing based on your individual circumstances and the results of any previous fertility tests. The AFC results, along with other fertility assessments like AMH (anti-Müllerian hormone) levels, will help your specialist develop a personalised treatment plan to optimise your chances of conception.

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    We provide a comprehensive range of services, from private GP consultations and specialised men's and women's health care to advanced ultrasound scans and proactive health screenings, all within a reassuring and state-of-the-art environment.

    Spital Clinic - Ultrasound Scans, Specialists in MSK, Cardiovascular and Gynae Ultrasounds.

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    Frequently Asked Questions

    You have a question? We have an answer.

    Is an AFC ultrasound scan painful?

    While a HyCoSy ultrasound scan is generally well-tolerated, some women may experience mild cramping or discomfort during the procedure, similar to menstrual cramps. This is usually due to the injection of the saline solution or contrast agent into the uterus and fallopian tubes. Taking an over-the-counter pain reliever, such as ibuprofen, about an hour before the scan can help minimise any potential discomfort. If you experience severe pain during the scan, inform your radiologist, as this may indicate an underlying condition that requires further investigation.

    How accurate is an AFC ultrasound scan in predicting fertility?

    While an AFC ultrasound scan provides valuable information about a woman's ovarian reserve, it is not a definitive predictor of fertility. The number of antral follicles can vary from cycle to cycle and does not guarantee the quality of the eggs or the likelihood of conception. However, when combined with other fertility assessments like AMH levels and age, the AFC can help fertility specialists estimate a woman's potential response to ovarian stimulation during ART and develop personalised treatment plans to optimise her chances of pregnancy.

    Can an AFC ultrasound scan diagnose infertility?

    An AFC ultrasound scan alone cannot diagnose infertility, as there are many potential factors that can affect a woman's ability to conceive. However, a low AFC (typically fewer than 5-7 follicles per ovary) may indicate diminished ovarian reserve, which can impact fertility. In such cases, your fertility specialist may recommend additional tests or treatments to address the underlying cause of infertility. It's important to remember that a lower AFC does not necessarily mean that pregnancy is impossible, but it may require more intensive fertility treatments like IVF with donor eggs.

    What is the cost of Antral Follicle Count Ultrasound Scan in London?

    At Spital Clinic, a private HyCoSy Scan with our expert sonographers costs £150. We are open 7 days a week and can offer morning, day and evening appointments. If you are using private health insurance, please call the clinic to provide your authorisation number. We offer our Antral Follicle Count Scan in collaboration with the world class Obs & Gynae experts from London Pregnancy Clinic.

    What is an ultrasound scan?

    An ultrasound scan, also known as sonography, is a medical imaging technique that uses high-frequency sound waves to create images of the inside of the body. It is a safe and painless procedure that does not use ionising radiation. Ultrasound scans are commonly used to monitor pregnancy, diagnose conditions, and guide medical procedures. The images are created in real-time, allowing healthcare professionals to view the structure and movement of internal organs and tissues.

    How does an ultrasound scan work?

    During an ultrasound scan, a small device called a transducer is placed on the skin over the area to be examined. The transducer emits high-frequency sound waves that travel through the body and bounce back when they encounter different tissues. The transducer then receives these reflected waves and converts them into electrical signals, which are processed by a computer to create images of the internal structures. The images can be displayed on a monitor or printed for further analysis.

    Is an ultrasound scan safe?

    Yes, ultrasound scans are generally considered safe for both the patient and the unborn baby (in the case of pregnancy scans). Unlike X-rays or CT scans, ultrasound does not use ionising radiation, which can potentially harm living tissues. There are no known side effects or risks associated with ultrasound scans when performed by qualified healthcare professionals. However, it is essential to ensure that the scan is medically necessary and performed by a trained specialist.

    What are the different types of ultrasound scans?

    There are several types of ultrasound scans, each designed for specific purposes:

    Abdominal ultrasound: Used to examine organs in the abdomen, such as the liver, gallbladder, pancreas, and kidneys.
    Pelvic ultrasound: Used to assess the uterus, ovaries, and other pelvic structures in women, or the prostate gland in men.
    Pregnancy ultrasound: Used to monitor fetal development, confirm the due date, and detect potential complications.
    Breast ultrasound: Used to evaluate breast lumps or abnormalities detected during a mammogram or physical exam.
    Vascular ultrasound: Used to assess blood flow in arteries and veins and detect blockages or clots.

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