Dr. Thaïs Aliabadi

That's PCOS.

Yes.

It's great as long as you're not missing PCOS.

Because if it's PCOS, then the quality of the embryo is bad.

Then the ovulation is suboptimal.

The environment is suboptimal.

And everything else needs to be fixed.

So AMH, anti-malarian hormone, the easiest way to look at it is every 0.1 of AMH averages to one follicle.

That's an easy way to calculate it in your head.

So if you have an AMH of one, you should have about 10 follicles.

But if you show up at 40 and there's 30 follicles in your ovaries, something's wrong.

That's PCOS.

You have to make sure it's not PCOS.

You have to make sure that you're not missing PCOS because that's why this woman is not

you know, getting pregnant.

And can I tell you, Andrew, how many patients come to a fertility clinic and they're not diagnosed with PCOS, even by their fertility doctor?

I'm not a fertility specialist, but I can tell you if at age 25, 28, every three eggs make one embryo.

At 40, you might need 10 to 15 eggs to make one embryo.

So if your AMH at 40 is 0.5, that means five follicles.

So you might have to do two or three cycles.