Antral Follicle Count Calculator

Enter the antral follicle count for each ovary to get the total AFC and reserve band.

How it is calculated

The tool adds the two counts you read from the ultrasound report: total AFC = left ovary + right ovary. It then places the total in a band using fixed cut-offs: under 7 is Low, 7 to 20 inclusive is Normal, and above 20 is High (possible PCOS). Both counts must be whole numbers of zero or more; a decimal or negative entry gives no result. The bands are one simple scheme built into the tool. Laboratories and clinics use different thresholds depending on age and method, so a category here is a rough orientation, not a diagnosis, and it says nothing about AMH, age or cycle regularity. The result is not medical advice.

Worked example

An ultrasound report lists 6 antral follicles in the left ovary and 8 in the right ovary. Total: 6 + 8 = 14 follicles. Check the bands: 14 is not below 7 and not above 20, so the category is Normal (7–20). The tool also repeats the split as 6 left + 8 right. If the counts had been 3 and 3, the total of 6 would fall under 7 and the category would read Low (<7). Your clinician interprets the count together with age and hormone tests.

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Common mistakes

  • Entering the total in one box and zero in the other. It still sums correctly but you lose the left and right split; enter each ovary separately.
  • Typing the follicle size in millimetres instead of the count, or a range such as 5-8. Only whole numbers are accepted.
  • Treating the band as a diagnosis. The 7 and 20 cut-offs here are the tool's own, and a report or clinic may define low and high differently.
  • Comparing counts from different cycle days or different scans as one figure; one count reflects one scan.
  • Reading "High" as confirmation of PCOS. A high count is one sign among several and needs a clinician's assessment.

About this calculator

An antral follicle count (AFC) is an ultrasound count of the small resting follicles (2–10mm) visible in each ovary at the start of a menstrual cycle, and it's one of the main markers doctors use to estimate a woman's remaining ovarian reserve. This calculator simply adds the left and right ovary counts to get total AFC and places it into a reserve category.

The categories used here are: a total AFC under 7 is shown as low, 7–20 as normal, and above 20 as high (which can flag polycystic ovarian morphology) — though exact cutoffs vary by lab and age. AFC is measured by transvaginal ultrasound, usually on cycle day 2–5.

Reproductive endocrinologists and fertility specialists use AFC alongside AMH (anti-Müllerian hormone) blood levels to predict how a patient will respond to ovarian stimulation in an IVF cycle — a higher count generally means more eggs retrieved. This tool is for reference only, not medical advice.

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