Antral Follicular Count (AFC) is a transvaginal ultrasound (TVS) that counts the small resting follicles in both ovaries — giving you a direct, visual read of your ovarian reserve. It diagnoses PCOS, guides IVF/IUI planning, and pairs with an AMH blood test for a complete fertility picture. At Mascot Healthcare, Akoka — a short ride from Yaba and Shomolu.
These are the situations where an antral follicular count gives you the clearest next step.
If you're planning pregnancy in the next few years — or considering egg freezing — AFC gives a real-time visual count of your remaining egg supply for this cycle.
Fertility assessmentA high follicle count arranged around the edge of the ovary ("string of pearls") is one of the defining features doctors look for when diagnosing polycystic ovary syndrome.
PCOS diagnosticFertility clinics use AFC alongside AMH and age to choose the right ovarian stimulation dose — protecting you from under- or over-stimulation.
IVF preparationIf you've been trying for 6+ months, AFC combined with a full pelvic scan gives the most complete picture of your uterus and ovaries in one visit.
TTC investigationA low count in your late 30s or early 40s can flag premature ovarian insufficiency (POI) early, while there's still time to act on the result.
POI screeningAfter a cyst removal or ovarian surgery, AFC tracks how much healthy follicle-bearing tissue remains on each ovary.
Post-surgery monitoringA trained sonographer counts and measures the following during your transvaginal scan.
The number of small antral follicles (roughly 2–10mm) visible across both ovaries — a direct, visual snapshot of the egg pool available this cycle.
Each ovary is measured in three dimensions. Volume rises with a high follicle count and falls as reserve declines with age.
Polycystic ovarian morphology — many small follicles arranged peripherally — is scored alongside your cycle history and hormone levels for diagnosis.
A low count predicts a poorer response to stimulation drugs (fewer eggs retrieved); a very high count flags OHSS risk. Both need a tailored protocol from your fertility team.
| Category | Total AFC (both ovaries) | Ovarian volume | What it suggests |
|---|---|---|---|
| Low reserve | Under 5–6 | Under 3 cm³ | Reduced egg supply — timing matters more for fertility planning |
| Normal range | 6–15 | 3–10 cm³ | Reserve appropriate for reproductive age |
| High / PCOS pattern | Over 20 (often 12+ per ovary) | Over 10 cm³ | Polycystic morphology — needs correlation with symptoms & hormones |
The most accurate baseline count is taken early in your cycle, before any follicle starts to dominate. Other days are still useful and will be noted on your report.
Unlike a transabdominal scan, a transvaginal scan is clearer with an empty bladder — use the toilet just before your scan.
Eat and drink normally. No special preparation beyond an empty bladder.
Come to 52 Sholanke Street, Akoka, Mon–Sat, 9AM–5PM. Scans are by appointment so a sonographer is ready when you arrive.
A follicle count on its own is only half the story. At Mascot Healthcare, your result is read together with your age, cycle history, and fertility goals — not handed over as a number without context.
Mascot Healthcare sits on Sholanke Street, Akoka — an easy trip whether you're coming from home, campus, or work.
Our clinic is right here — a short walk or keke from anywhere in Akoka, including UNILAG staff quarters and the Akoka roundabout area.
AFC scan in Akoka →5–10 minutes via Herbert Macaulay Way — convenient for students, tech workers, and young professionals fitting a scan into a busy day.
AFC scan in Yaba →10–15 minutes via Bajulaiye Road — a short trip that saves the longer journey to bigger hospitals across town.
AFC scan in Shomolu →Patients travel from the Mainland and Island alike for same-day AFC and fertility assessment, with results and doctor interpretation before you leave.
Get directions on WhatsApp →Cycle day 2–5 preferred. Same-day results and doctor's interpretation. Book at Mascot Healthcare, Akoka.