March 8, 2026 · Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · DOI: 10.1002/jum.70211

The Oocyte/Antral Follicle Count Index: Does Maximizing Oocyte Yield Translate into Better Assisted Reproductive Technology Outcomes?

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The authors investigate whether aspirating more oocytes than the antral follicle count (AFC) improves outcomes in assisted reproductive technology (ART) cycles, specifically looking at clinical pregnancy rates (CPR) and live birth rates (LBR). Their findings indicate that while a higher oocyte/AFC index (OAFCI) does not significantly affect CPR or LBR, it is associated with an increased number of cryopreserved embryos and vitrified oocytes, suggesting potential benefits for future cumulative pregnancy rates.

Shir Danieli-Gruber, Onit Sapir, Dan Netanely, Avital Wertheimer, Avi Ben-Haroush, Eran Altman, Tzippy Shochat, Yoel Shufaro

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