Ovarian reserve test (ORT)

The ORT test is the initial infertility investigation performed by the CRGH when considering IVF/ICSI treatment.  This test takes place on Day 2, 3 or Day 4 of the period and involves a vaginal scan, a blood test, stimulating injection and then a repeat blood test the following day to determine hormone changes.

The ORT test is used:-
  • clinically as a guide for determining the optimal dose of fertility drugs for individual women undergoing IVF treatment
  • to identify excessive responders and therefore reduce the risk of hyperstimulation
  • to identify poor responders and therefore reduce cancellation rate
  • for women with a sub-optimal result it is important for them to know that they are not necessarily infertile, however adjustments may have to be made to their ovarian stimulation regime to compensate for a diminished ovarian reserve
  • as a prognostic factor for the treatment of subfertile couples
We consider that this test is indicated for all infertile women and for those with a family history of early menopause. It is not however intended to be used as a guide when deciding whether or not to delay starting a family for women over the age of 35 years. There is a natural decline of fertility in women and even with a normal ORT/G-Test result we strongly recommend starting a family sooner rather than later.

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The Centre for Reproductive and Genetic Health (CRGH)
The New Wing - Eastman Dental Hospital
256 Gray's Inn Road - London WC1X 8LD
t: 020 7837 2905 w: www.crgh.co.uk