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Second opinion

Bring your numbers to someone who can see the rest

A calculator sees three or four figures. A specialist sees your history, your scans, your partner's results, and how you actually responded to treatment. If you're between cycles, changing clinics, or something in your results doesn't add up, a second opinion is the fastest way to find out whether anything would be done differently.

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‹ Ovarian response

Follicular output rate (FORT)

How many of your antral follicles actually responded to stimulation.

Exact calculationArithmetic on the numbers you enter. If your inputs are right, this figure is right.

inputPre-ovulatory follicles÷inputAntral follicle count=resultFollicular output rate (FORT) (%)
In short

Follicular output rate is the number of pre-ovulatory follicles divided by the antral follicle count, showing how many available follicles actually responded to stimulation. A low FORT points at the protocol rather than at ovarian reserve.

Source — FORT was described by Genro et al. Cut-offs used in the literature vary; the low/intermediate/high tertile split is the most common presentation.

Enter your values

16–22mm on trigger day

At baseline scan

Follicular output rate (FORT)
64%

That falls in the 60%+ band.

Pre-ovulatory follicles9
Antral follicle count14
Did not respond5

Where this sits

Your result of 64 % sits in the highlighted band. Bands are reference points used alongside clinical findings — not a diagnosis.

<40%40–60%60%+
Expected Borderline Below expected Worth discussing
60%+ %

Good follicular response — most of the available cohort responded to stimulation.

FORT was described by Genro et al. Cut-offs used in the literature vary; the low/intermediate/high tertile split is the most common presentation.

Where this sits in the process
Planning
Testing
Cycle
Stimulation
Laboratory
After transfer

Highlighted is the stage this measurement belongs to. It is a map of the process, not a schedule — timings vary by protocol and by clinic.

Questions this usually raises

How is this different from AMH or AFC?

Those measure how many follicles are available. FORT measures how many of them actually responded. Someone can have a reasonable AFC and a poor FORT, which points at the protocol rather than at reserve.

Can FORT be improved?

Sometimes. It is one of the findings that prompts a change of stimulation approach rather than a change in expectations, which makes it a useful thing to ask about after a disappointing cycle.

Is a low FORT the same as poor reserve?

No, and the distinction matters. Reserve is how many follicles you have; FORT is how many of them responded. A normal antral count with a low FORT points at the stimulation protocol, which is adjustable — that is a much more hopeful finding than low reserve.

Or ask someone
  • A free first consultation covers this properly, with your actual results rather than an estimate
  • Both partners assessed together — male factor is involved in roughly half of cases

Related calculators

Second opinion

Bring your follicular output rate (fort) result to someone who can see the rest

A calculator sees three or four figures. A specialist sees your history, your scans, your partner's results, and how you actually responded to treatment. If you're between cycles, changing clinics, or something in your results doesn't add up, a second opinion is the fastest way to find out whether anything would be done differently.

Free first consultation. No obligation to start treatment, and it doesn't affect your care at your current clinic.

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FORT is a research-derived index used alongside clinical judgement, not a standalone measure. Nothing here is a diagnosis or a substitute for assessment by a clinician.

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