Worked examples
A result cannot be read from one number alone. Age, how long you have been trying, cycle pattern and the other values together decide what to do next. Six fictional cases below show how that reading works.
Every person and every value here is fictional. No real patient data is used. Always confirm the interpretation of your own results with the clinic that ran them.
Situation:Cycles steady at 29–31 days. Four months of trying. Every test within range.
Results
How to read it:Under a year in, with steady cycles she can predict ovulation herself. The relevant figure here is not a treatment success rate but the natural cumulative curve — with well-timed intercourse, about 81% conceive within six cycles.
What comes next:Focus on the two days before ovulation through the day itself, for six cycles. If nothing by then, get assessed.
Situation:Eight months trying, regular cycles. Vitamin D 18 µg/dL, rubella HI 1:16, mild anaemia.
Results
How to read it:None of this blocks conception, but all of it belongs to the "sort it out beforehand" category. Rubella especially: once pregnant, nothing can be done. The vaccine is live, so it requires two months of contraception afterwards — which has to be planned into the timeline.
What comes next:Vaccinate and use contraception for two months. Replete vitamin D meanwhile and retest in 1–2 months.
Situation:AMH 0.85 ng/mL, antral follicle count 5. Eighteen months without conceiving.
Results
How to read it:Three factors stack here: age-related egg quality, reduced reserve, and an 18-month duration. But what is low is quantity, not quality — quality still tracks her age. A low count does not mean she cannot conceive. What matters most now is how the remaining time is used.
What comes next:This is past the point for watchful waiting. Widen the treatment options early.
Situation:AMH 8.2 ng/mL, 26 antral follicles on one side, BMI 26.6. Cycles vary between 35 and 50 days.
Results
How to read it:A high AMH means plenty of eggs, which is not a disadvantage in itself, but it does trigger assessment for PCOS. Diagnosis requires cycle irregularity, ultrasound findings and hormone levels together — AMH alone decides nothing. The problem here is not quantity; it is that ovulation cannot be timed.
What comes next:Complete the assessment with hormones and ultrasound. Induced ovulation gets there faster than going it alone.
Situation:A 32mm endometrioma on the right ovary and a 15mm fibroid. Severe period pain for several years.
Results
How to read it:The years of severe pain are the key detail. Endometriosis worsens until menopause, damaging tubes and ovaries throughout. And 30 months of trying is itself an independent marker of reduced fertility. Surgery can lower ovarian reserve, so the sequencing is a real decision.
What comes next:Weigh age, cyst size and reserve together with a specialist before deciding whether surgery comes first.
Situation:Cycles ranging from 38 to 60 days. AMH 6.5 ng/mL, 24 antral follicles on one side.
Results
How to read it:Egg quantity is comfortable. The problem is that ovulation cannot be timed — with cycles this variable, an app cannot predict it in principle. Five months without conceiving may not mean reduced fertility at all; it may simply mean the window has been missed.
What comes next:Track follicles by ultrasound at a clinic. On the quantity side there is room, so this is not a situation to panic about.