ReproSURE™ (Ovarian Reserve Profile)

CPT: 82397; 82670; 83001
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Test Details

Synonyms

  • AMH
  • Anti Mullerian Hormone
  • assisted reproductive technology
  • E2
  • eggs
  • Estradiol
  • fertility
  • FSH
  • infertility
  • oocytes
  • ovarian reserve assessment
  • reproductive

Use

ReproSURE™ is a blood test comprised of Anti-Müllerian Hormone (AMH), Follicle Stimulating Hormone (FSH), and Estradiol designed to provide information about ovarian reserve. Ovarian reserve is a term used to describe a woman's reproductive potential, including the number of oocyttes (eggs) she possesses.

1. ReproSURE is a blood test comprised of AMH, FSH and Estradiol hormones designed to provide information about ovarian reserve.

2. While no laboratory test can predict pregnancy, these ovarian reserve tests assess oocyte quantity and help predict ovarian response to stimulation in order to individualize fertility options including assisted reproductive technology (ART) treatment.

3. Correct timing of blood collection is important. Serum specimen for ReproSURE testing should be collected on day 3 of your menstrual cycle. Day 2 or 4 collection may also be acceptable. FSH and estradiol levels rise and fluctuate after cycle day 3. If FSH and estradiol levels are higher than expected, you may wish to verify the cycle day of the blood collection.

4. These tests are not the sole criteria used to determine appropriateness of ART or any other treatment.

5. These tests do not evaluate egg quality. Egg quality peaks in a woman's twenties and then declines with age.

6. Antral follicle count (AFC) is another measure of egg supply that can be obtained by ultrasound observation.

Limitations

Blood sample should be collected on day 3 of menstrual cycle as target ranges for ovarian assessment are based on day 3 concentrations.

Methodology

Anti-Müllerian Hormone: Electrochemiluminescence; FSH: Electrochemiluminescence; Estradiol: LC-MS/MS

Specimen Requirements

Specimen

Serum

Volume

5 mL

Minimum Volume

2.3 mL (Note: This volume does not allow for repeat testing.)

Container

Gel-barrier tube or red-top tube

Collection

Allow a minimum clotting time of 30 to 60 minutes with serum separation within 2 hours of collection.

Storage Instructions

Refrigerate

Stability Requirements

Temperature

Period

Refrigerated

7 days

Frozen

60 days

Freeze/thaw cycles

Stable x6

Causes for Rejection

Gross hemolysis; lipemia; icteric specimen

Clinical Information

References

Tal R, Seifer DB. Ovarian reserve testing: a user's guide. Am J Obstet Gynecol. 2017 Feb;1-12.2823546510.1016/j.ajog.2017.02.027
Practice Committee of the American Society for Reproductive Medicine (ASRM). Testing and interpreting measures of ovarian reserve: a committee opinion. Fertil Steril. 2015 Mar;103(3):e9-e17.2558550510.1016/j.fertnstert.2014.12.093
Zegers-Hochschild F, Adamson GD, Dyer S, et al. The International Glossary on Infertility and Fertility Care, 2017. Fertil Steril. July 2017:1-15.2876051710.1016/j.fertnstert.2017.06.005
Leader B, Hegde A, Baca Q, et al. High frequency of discordance between antimullerian hormone and follicle stimulating hormone levels in serum from estradiol confirmed days 2 to 4 of the menstrual cycle from 5,354 women in U.S. fertility centers. Fertil Steril. 2012 Oct;98(4):1037-1042.2277102810.1016/j.fertnstert.2012.06.006

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
504295 ReproSURE 504585 Overview Pending
504295 ReproSURE 500184 Anti-Mullerian Hormone (AMH) ng/mL 38476-8
504295 ReproSURE 500098 Follicle Stimulating Hormone mIU/mL 15067-2
504295 ReproSURE 502608 Estradiol, Serum, MS pg/mL 35384-7
504295 ReproSURE 504586 Comments Pending
504295 ReproSURE 504319 Ovarian Reserve Profile N/A
Reflex Table for Comments
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 910395 ReproSure Patient Education 910396 Note N/A
Reflex Table for Comments
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 910395 ReproSure Patient Education 910397 PDF Image N/A

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