Abnormal Antral Follicle Count C5421598
An unusual number of ovarian follicles detected on imaging, which can affect fertility. It is commonly assessed in women undergoing fertility evaluation and treatment.
Key facts at a glance
- ICD-10
- N94.9
- ICD-11
- GA00.0
- Body system
- reproductive
- Severity
- mild
- Chronic
- true
Signs and symptoms
Common signs and symptoms that may indicate this condition.
Warning signs - seek immediate care
Heavy Vaginal Bleeding
Exceptionally heavy or prolonged menstrual bleeding that soaks through pads or tamps hourly or requires double protection.
Immediately if bleeding is soaking through pads hourly, lasts more than 7 days, or includes large clots.
Pelvic Pain
Persistent or severe pain in the lower abdomen or pelvis that may be constant or occur during menstrual cycles.
Immediately if pelvic pain is sudden, severe, or accompanied by fever, vomiting, or fainting.
Irregular Menstrual Cycles
(reproductive)Menstrual periods that are unpredictable in timing, flow, or duration, occurring more than 35 days apart or varying significantly from month to month.
Frequency: 70-80% of patients
Difficulty Conceiving
(reproductive)Inability to become pregnant after 12 months of regular unprotected intercourse (or 6 months if over 35 years old).
Frequency: 60-70% of patients
Absent Periods
(reproductive)Complete absence of menstrual bleeding for 3 or more consecutive months in women of reproductive age.
Frequency: 30-40% of patients
Hot Flashes
(constitutional)Sudden episodes of intense warmth spreading across the face, neck, and upper body, often accompanied by sweating and flushing.
Frequency: 25-35% of patients
Excessive Hair Growth
(dermatologic)Abnormal growth of dark, coarse hair on the face, chest, abdomen, back, or thighs in a male-pattern distribution.
Frequency: 20-30% of patients
Acne and Skin Changes
(dermatologic)Persistent or severe acne, particularly on the face, chest, and upper back, often with oily skin.
Frequency: 25-35% of patients
Mood Changes
(psychiatric)Emotional instability including increased irritability, anxiety, sadness, or difficulty coping with stress.
Frequency: 20-30% of patients
Persistent Fatigue
(constitutional)Overwhelming tiredness and lack of energy that does not improve with rest and interferes with daily activities.
Frequency: 20-25% of patients
Diagnosis and tests
How this condition is diagnosed and what test results mean.
Initial screening tests
Standard diagnostic workup
Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]
Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]
Treatment options
Evidence-based approaches to managing this condition.
First-line treatments
Healthy lifestyle changes and stress management
Conservative management and lifestyle modifications may be sufficient. Monitor symptoms.
Ovarian reserve evaluation
Continued monitoring of antral follicle count alongside hormone panels to assess reproductive potential and guide fertility planning.
Assisted reproductive technology
IVF or other ART procedures that can be planned based on antral follicle count to optimize egg retrieval and fertilization outcomes.
Additional treatment options
Weight optimization
Achieving healthy BMI through balanced nutrition and regular exercise, as extremes in weight can affect ovarian function and antral follicle development.
lifestyleNutritional supplementation
Supplementation with DHEA, CoQ10, or other evidence-based nutrients that may support ovarian function and follicle development.
dietaryAcupuncture
Traditional Chinese medicine approach that may improve ovarian blood flow and support hormonal balance as adjunct to fertility treatment.
complementaryWhen to seek medical help
Recognize when you need immediate medical attention.
Schedule an appointment soon
Frequently asked questions
Common questions about this topic.
What is Abnormal Antral Follicle Count C5421598?
Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]
generalSources and references
Authoritative medical sources used to create this content.
Practice Committee of the American Society for Reproductive Medicine. Testing and interpreting measures of ovarian reserve: a committee opinion. Fertil Steril. 2020;114(1):1-15.
Broekmans FJ, Kwee J, Hendriks DJ, Mol BW, Lambalk CB. A systematic review of tests predicting ovarian reserve and reproductive outcome. Hum Reprod Update. 2006;12(6):685-718.
Hendriks DJ, Mol BW, Bancsi LF, Te Velde ER, Broekmans FJ. Antral follicle count in poor responders: is there a role for sonographic assessment? Ultrasound Obstet Gynecol. 2006;28(4):484-490.
WHO Technical Report Series. WHO Global Health Standards for Fertility Care. World Health Organization; 2022.
Strauss JF, Barbieri RL, editors. Yen and Jaffe's Reproductive Endocrinology: Physiology, Pathophysiology, and Clinical Management. 8th ed. Elsevier; 2018.
Jamil Z, Fatima SS, Ahmed K, Malik R. Antra l follicle count: definition, clinical applications and limitations. J Pak Med Assoc. 2016;66(10):1335-1340.
Practice Committee of the American Society for Reproductive Medicine. Role of antimüllerian hormone in women: a committee opinion. Fertil Steril. 2022;117(3):525-534.
ESHRE Working Group on Ovarian Reserve Testing. ESHRE consensus on ovarian reserve testing. Hum Reprod. 2021;36(9):2362-2378.
Maheshwari A, Gibreel A, Bhattacharya S, Johnson NP. Dose of FSH for ovarian stimulation in assisted reproduction cycles: a systematic review. Hum Reprod Update. 2007;13(5):433-443.
American College of Obstetricians and Gynecologists. Female Age-Related Fertility Decline. ACOG Committee Opinion No. 589. Obstet Gynecol. 2014;123(3):719-721.
Medication Comparisons
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Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy