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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.

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

‹ Ovarian response

Ovarian sensitivity index

Eggs retrieved relative to the total gonadotropin dose used.

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

inputEggs retrieved÷IUTotal gonadotropin dose=resultOvarian sensitivity index (OSI) (per 1000 IU)
In short

The ovarian sensitivity index is oocytes retrieved per 1000 IU of gonadotropin, separating a good response from an expensive one. Below about 1.7 indicates low sensitivity regardless of how many eggs were collected.

Source — OSI is calculated as oocytes retrieved divided by total FSH dose, multiplied by 1000. Cut-offs vary between publications.

Enter your values

Total collected

Sum across the cycle

4.89per 1000 IU

That falls in the 1.7–5 band.

Eggs retrieved11
Total dose2250 IU
Eggs per 1000 IU4.89

Where this sits

Your result of 4.89 per 1000 IU sits in the highlighted band. Bands are reference points used alongside clinical findings — not a diagnosis.

<1.71.7–55+
Expected Borderline Below expected Worth discussing
1.7–5 per 1000 IU

Within the range most cycles fall into.

OSI is calculated as oocytes retrieved divided by total FSH dose, multiplied by 1000. Cut-offs vary between publications.

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

Why not just count the eggs?

Because ten eggs on 1,500 IU and ten on 4,500 IU are very different cycles. OSI captures the cost of the response, which is what informs the next protocol.

Does high sensitivity mean risk?

It can. A high OSI sometimes prompts a lower starting dose next cycle specifically to reduce the chance of ovarian hyperstimulation.

Does a low OSI mean the dose was wrong?

Not necessarily — it may mean your ovaries are less sensitive, which is information rather than error. What it does prompt is a conversation about whether a higher dose would help or simply cost more without changing the yield.

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 ovarian sensitivity index 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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OSI informs protocol planning and is interpreted by a clinician alongside your monitoring data. Nothing here is a diagnosis or a substitute for assessment by a clinician.

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