With the development of society, an increasing number of women are paying attention to their fertility, hoping to conceive and have a healthy baby at the right time. Therefore, understanding methods of assessing female fertility and scientifically preserving fertility is crucial. By acquiring this knowledge, women can better understand their fertility and be better prepared for the arrival of a healthy baby.

Methods of assessing female fertility::

  • Age

Age is a crucial indicator for evaluating female fertility. The optimal reproductive age for women is between 25 and 30. After the age of 35, female fertility experiences a steep decline, with increased probabilities of chromosomal abnormalities in eggs, higher rates of natural miscarriage, and irreversible effects. Additionally, the risks of pregnancy-induced hypertension and related complications increase, and premature births become more likely

  • Ovarian Reserve

 

卵巢Ovarian reserve refers to the quantity and quality of eggs available in the ovaries. Methods for assessing ovarian reserve include a hormonal profile test (checking six sex hormones) and AMH (Anti-Müllerian Hormone) testing. FSH (Follicle-Stimulating Hormone) testing should be done on days 2-5 of the menstrual cycle, but it can be influenced by other factors. AMH, produced by granulosa cells in early-stage follicle development, is a more accurate indicator of ovarian function, reflecting the quantity of small and pre-antral follicles and predicting ovarian reserve.

  • Tubal Function

Fallopian tubes are the channels for egg and sperm fertilization. Damage or blockage of the fallopian tubes can affect fertility. Methods for assessing tubal function include HSG (Hysterosalpingography) and laparoscopic examination. HSG can show whether the fallopian tubes are open, while laparoscopy can reveal internal tube abnormalities. If tubal issues are detected, prompt treatment such as surgery or medication may be required.

  • Menstrual Conditions

The regularity and stability of the menstrual cycle reflect reproductive health. Evaluating menstrual conditions involves considering the length of the menstrual cycle, menstrual flow, and the presence of dysmenorrhea. Irregular cycles or symptoms such as dysmenorrhea may be related to hormonal imbalances, uterine fibroids, endometriosis, and other conditions, requiring appropriate treatment.

  • Endometrial Receptivity

Endometrial receptivity refers to the uterus’s ability to accept embryos. If the endometrium is too thin or has abnormal lesions, it can affect embryo implantation and development, thereby impacting fertility. Ultrasound (B-mode) can be used to assess endometrial thickness and the presence of factors such as uterine fibroids, endometriosis, and endometrial polyps that may affect pregnancy. With advancements in ultrasound technology, especially the application of 1D ultrasound, a comprehensive evaluation of endometrial thickness, morphology, volume, and blood flow can be more accurately performed to assess female fertility.