Ovarian reserve testing for fertility prediction is a common practice in gynecological routine. Even in scientific events, some may have listened to the postulate that tests should be part of a periodic female evaluation, as a counseling tool for reproductive planning. I do not know any reference of the value of ovarian reserve testing for women who have not tried to conceive. As a matter of fact, in my point of view, the value of ovarian reserve testing (if there is any) is exclusive for infertile women. What is your opinion?
No single test is reliable to predict ovarian reserve, however, checking antral follicle count (AFC) by ultra sound on day 3 of the menses cycle and testing levels of Anti-mullerian Hormone (AMH) is considered reliable. Both are non-invasive tests and are available almost everywhere.
The oocyte loss is a continuous process. Regardless of conception, every month every woman will loose a certain number of follicles and even during the menstrual cycle.
I think there is no need to check ovarian reserve in young (
For a useful and comprehensive review addressing your question see:
Podfigurna A et al. Testing ovarian reserve in pre-menopausal women: why, whom and how? Maturitas. 2018 Mar;109:112-117. doi: 10.1016/j.maturitas.2017.11.014.
I think it could be useful for all women above the age of 35 years who are not ready to start a family yet. This is even more so for women who had ovarian cystectomy or family history of early menopause. In these scenarios a woman might opt to freeze her eggs for the future. This is more important in cases where future ovum donation might not be acceptable for personal or religious reasons
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