What is Antral Follicle Count?
Antral Follicle Count (AFC) is a fertility test that measures the number of small follicles in a woman’s ovaries at the start of her menstrual cycle. These follicles house immature eggs, and their count gives a reliable estimate of ovarian reserve—the number of eggs remaining.
At EPIA, AFC is performed using a simple transvaginal ultrasound between Day 2 and Day 5 of the cycle. It is often combined with hormone tests like AMH to give a clearer picture of how a patient might respond to treatments such as IVF or egg freezing. AFC is non-invasive, quick, and a key part of personalised fertility planning.
Who is Antral Follicle Count For?
- Women trying to conceive who want to check their ovarian reserve
- Individuals undergoing IVF, IUI, or egg freezing
- Those with irregular periods or hormonal imbalances
- Patients with suspected diminished ovarian reserve or early menopause
- Anyone seeking a fertility assessment as part of routine planning
The EPIA Difference
Why Choose EPIA for Antral Follicle Count?
- Scan performed by experienced fertility specialists
- Cycle-timed for maximum accuracy and insight
- Used with AMH and hormone testing for a complete profile
- Real-time results and same-day discussion available
- Supports treatment planning for IVF, IUI, or egg freezing
Transformation
What is the Antral Follicle Count Process?
- Step 1: Scheduling and Cycle Mapping - Your consultation includes guidance on when to come in—usually between Day 2 and Day 5 of your menstrual cycle.
- Step 2: Transvaginal Ultrasound - A gentle ultrasound is performed to count the number of antral follicles in each ovary. The scan takes only a few minutes and is well tolerated.
- Step 3: Report and Interpretation - You’ll receive your AFC count immediately. It will be reviewed alongside any hormone tests like AMH or FSH to help guide your next steps.
- Step 4: Fertility Planning - Based on your AFC, your doctor may recommend monitoring, IVF stimulation protocols, or egg preservation strategies, depending on your goals.
Antral Follicle Count
FAQs
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What is the purpose of an Antral Follicle Count?
It estimates the number of eggs remaining in the ovaries and helps predict how well a patient may respond to fertility treatments like IVF.
How is the test done?
A transvaginal ultrasound is performed during the early menstrual cycle—usually Day 2 to Day 5—to count the number of visible follicles.
Is the procedure painful?
No. The scan is quick and causes only mild pressure. It is similar to a routine pelvic ultrasound.
What is considered a normal AFC?
A typical count ranges from 8 to 15 follicles. Fewer follicles may indicate reduced reserve, while higher counts are often seen in PCOS. Your doctor will explain what your number means in your specific context.
Can AFC predict fertility?
It reflects quantity but not egg quality. It’s an important test, but fertility is assessed using multiple indicators.
Can this test be done at any time?
No. It must be scheduled between Day 2 and Day 5 of your menstrual cycle for accurate results.
How are AFC and AMH different?
AFC uses ultrasound to count follicles, while AMH is a hormone measured through a blood test. Together, they provide a more complete picture of ovarian reserve.



