Skip to main content

Antral Follicle Count Scan

Antral Follicle Count (AFC) Scan in Blackheath – £150

Assess the number of small follicles visible within your ovaries with a private antral follicle count ultrasound at The Blackheath Clinic.

Our £150 AFC scan includes:

  • Pelvic fertility ultrasound
  • Antral follicle count
  • Assessment of both ovaries
  • Assessment of the uterus and endometrial lining
  • Immediate explanation of the findings
  • Written clinical ultrasound report
  • Doctor oversight

Appointments take place at our CQC-regulated medical clinic in Blackheath Village. No GP referral is required.

  • Antral Follicle Count (AFC) Scan

    £150
Hero
Hepatitis B Vaccine

What Is an AFC Scan?

AFC stands for antral follicle count.

Antral follicles are small, fluid-filled follicles that develop within the ovaries. They can be seen and counted during a pelvic ultrasound.

The total number of visible antral follicles across both ovaries provides an ultrasound-based estimate of ovarian reserve.

An AFC scan may be performed as an individual test or combined with an AMH blood test as part of a more comprehensive ovarian reserve assessment.

Hero

How Does an AFC Scan Assess Ovarian Reserve?

Ovarian reserve refers to the approximate number of eggs remaining within the ovaries.

An AFC scan does not count every egg. Instead, it counts the small follicles visible at the time of the ultrasound.

The number of antral follicles may provide useful information about ovarian reserve and how the ovaries could respond to stimulation during fertility treatment.

However, the follicle count must be interpreted alongside factors such as:
  • Age
  • Menstrual-cycle timing
  • Hormonal contraception
  • Fertility medication
  • Previous ovarian surgery
  • Medical history
  • AMH results
  • Previous fertility treatment

There is no single AFC result that can independently confirm whether someone is fertile.

The Blackheath Clinic
Hero

Who Might Consider an Antral Follicle Count?

An AFC scan may be helpful if you:
  • Have been advised to obtain an antral follicle count
  • Are preparing for IVF or fertility treatment
  • Are considering egg freezing
  • Want an ultrasound assessment of your ovarian reserve
  • Already have a recent AMH result
  • Have received a low or high AMH result
  • Are currently trying to conceive
  • Are planning a future pregnancy
  • Have irregular menstrual cycles
  • Have previously undergone ovarian surgery
  • Want information about the appearance of your ovaries and uterus
  • Have been asked to obtain a baseline fertility scan

You can book directly without a referral from your GP or fertility clinic.

The Blackheath Clinic
Hero

Is an AFC Scan an Egg-Count Test?

The term “egg-count test” is sometimes used informally to describe an AFC scan. However, it is not possible to count the exact total number of eggs remaining within the ovaries.
The scan counts the small antral follicles that are visible during the examination. This provides an estimate of ovarian reserve rather than an exact egg count.
An AFC scan cannot assess the quality of the eggs within those follicles.

Is the AFC Scan Transvaginal?

An antral follicle count is normally performed using a transvaginal ultrasound because this provides the clearest view of the ovaries and small follicles.
A slim ultrasound probe is gently inserted into the vagina. This allows the sonographer to obtain detailed images of the ovaries, uterus and endometrial lining.
The examination will be explained beforehand and will only proceed with your consent. Most patients tolerate it well, although some may experience mild discomfort.
You can ask for the examination to stop at any time. A chaperone can be provided, and you may bring a partner, friend or relative for support.
If you do not wish to have a transvaginal scan, please tell us. A transabdominal scan may sometimes be possible, although it may not provide enough detail for an accurate follicle count.

Our Patient Review

Jane Apple C. profile picture
Jane Apple C.
3 months ago
I cannot thank Dr Mac Sweeney enough for the care and support he gave my husband when he became seriously ill while we were away from home in London.
I was understandably very worried and was able to book an appointment within just a couple of hours. From the moment we met him, Dr Mac Sweeney was kind, reassuring, professional and genuinely caring. He took the time to listen, explained everything clearly, and made us feel that my husband was in very safe hands.
What impressed me most was that his care did not stop when we left the consultation. He followed up on several occasions to check on my husband's progress, prescribed more medicine and even went out of his way to provide a letter for our insurance company, which was incredibly helpful.
In a world where good service can sometimes feel hard to find, Dr Mac Sweeney demonstrated a level of compassion and personal attention that was truly exceptional. The fee was also very reasonable, especially given the time, care and support we received.
I would wholeheartedly recommend Dr Mac Sweeney to anyone needing medical assistance and will always be grateful for the kindness he showed to both of us. If I lived in London I would most certainly subscribe to his membership scheme so he could deal with all my family's medical needs.
Claudia W. profile picture
Claudia W.
3 months ago
Excellent professional service, thank you for the scan report and the pictures (and the photo frame!)
Paul G. profile picture
Paul G.
3 months ago
I recently visited The Blackheath Clinic and had a great experience.

The clinic has a friendly and relaxed atmosphere, with a fresh, calming scent that immediately creates a welcoming environment. Everything was explained clearly and professionally, making the whole experience completely stress-free.

I particularly appreciated the expert advice and felt comfortable throughout. I would highly recommend The Blackheath Clinic to anyone looking for a professional, patient-focused service.
S S. profile picture
S S.
4 months ago
We had a wonderful experience with Lydia at the Blackheath Clinic for a 3D/4D scan of our baby. She knew exactly what to do to help get our baby in a good position for us to see his face and we were blown away by the photos she gave us. A really moving experience in a beautiful, calm clinic
gareth S. profile picture
gareth S.
5 months ago
This is healthcare as it should be delivered. If life has left you weary and nostalgic for days gone by, book your next GP appointment at Blackheath Clinic.
As I entered the tastefully curated space, I encountered one of the rarest of things: a polite, smiling and genuinely welcoming receptionist. In fact, she was so warm and courteous that I briefly wondered whether I had wandered into an upmarket spa by mistake.
Then I met Dr Sweeney. He was charming, courteous, friendly and thoroughly professional, with the kind of bedside manner that reminds you what general practice can be at its best: attentive, humane and quietly confident. He came across as someone who takes real pride in his work and genuinely cares for his patients.
The whole experience felt like stepping back into a time when patients were warmly received and doctors truly doctored. As I was leaving, Dr Sweeney mentioned that he was off on a home visit. A GP doing a home visit in 2026? I was so astonished I nearly needed examining all over again.
Join this practice quickly before word gets out and the list fills up. This is care delivered by people who genuinely care, and that feels all too rare these days
Stacey E. profile picture
Stacey E.
7 months ago
I had such a wonderful experience with Dr Micha Plugaru. From the moment I walked in, she made me feel completely at ease. She is incredibly professional, kind, and genuinely caring, which made the whole experience so comfortable and reassuring.

I had lip filler and RRS Long Lasting skin boosters, and she took the time to explain everything clearly, answer all my questions, and ensure I felt confident about the treatments. Her attention to detail and gentle approach really stood out, and I couldn’t be happier with the results.

Dr Micha Plugaru truly combines expertise with a warm, personal touch. I would highly recommend her to anyone considering aesthetic treatments — you’re in the safest and most caring hands.
The Blackheath Clinic

What Else Can the Ultrasound Assess?

In addition to counting antral follicles, the scan can assess:

  • The size and appearance of both ovaries
  • Ovarian volume
  • Developing or dominant follicles
  • Ovarian cysts
  • Polycystic ovarian morphology
  • The size, shape and position of the uterus
  • The appearance and thickness of the endometrial lining
  • Fibroids
  • Some uterine polyps
  • Other visible pelvic findings

If an unexpected finding is identified, it will be explained and appropriate follow-up recommended.

Hero

What Can’t an AFC Scan Tell You?

An antral follicle count provides useful information, but it is not a complete fertility assessment.

The scan cannot:
  • Measure egg quality
  • Count the exact number of eggs remaining
  • Confirm whether you can conceive naturally
  • Guarantee a future pregnancy
  • Predict precisely when menopause will occur
  • Confirm whether the fallopian tubes are open
  • Assess sperm quality
  • Identify every possible cause of difficulty conceiving
  • Replace specialist fertility assessment where this is required

Patients wanting a broader ovarian reserve assessment may benefit from combining AFC ultrasound with AMH blood testing and medical review.

The Blackheath Clinic
Hero
Early pregnancy scans machine - ultrasound scan London SE3

When Should I Have an AFC Scan?

An antral follicle count is commonly performed during the early part of the menstrual cycle, usually between days 2 and 5.
This provides a baseline view of the ovaries before a dominant follicle has developed.
However, the most appropriate timing can depend on:
  • Whether your periods are regular
  • Your usual cycle length
  • Hormonal contraception
  • Fertility medication
  • The reason for the assessment
  • Instructions from your fertility clinic
Our team can advise you about timing when you book.

Why Might Someone Book an AFC Scan Separately?

A standalone AFC scan may be appropriate if:
  • You already have a recent AMH result
  • Your fertility clinic has specifically requested an AFC
  • You require a baseline pelvic fertility ultrasound
  • You need an updated follicle count before treatment
  • You want structural assessment of your ovaries and uterus
  • You do not currently require blood testing

If you are unsure whether to choose AFC alone or a combined ovarian reserve assessment, our team can help you select the appropriate service.

The Blackheath Clinic
Hero

Why Choose The Blackheath Clinic?

Your examination is performed by a qualified sonographer experienced in pelvic and fertility ultrasound.

The scan takes place within a doctor-led clinic, with appropriate medical oversight and access to further clinical review when required.

Your scan is performed within a professional, regulated clinical environment.

Your ultrasound findings will normally be explained during the appointment.

You can book directly without a referral from your NHS GP or fertility clinic.

Same-week appointments are usually available, including early-morning, evening and Saturday appointments.

AFC Scans in South East London

The Blackheath Clinic is located at:

18 Tranquil Vale Blackheath London SE3 0AX

The clinic is located in Blackheath Village, close to Blackheath railway station.

Hero

Common Questions

Frequently Asked Questions

How much does an AFC scan cost?

An antral follicle count scan at The Blackheath Clinic costs £150.

The price includes the pelvic fertility ultrasound, follicle count, explanation of the findings and written clinical report.

What does AFC stand for?

AFC stands for antral follicle count. It is the number of small antral follicles visible within both ovaries during an ultrasound scan.

Is AFC the same as ovarian reserve?

No. Ovarian reserve is the broader concept being assessed. AFC is one method used to estimate ovarian reserve. AMH blood testing is another.

Does the £150 scan include an AMH blood test?

No. The £150 AFC service is an ultrasound-based assessment.

Our £295 ovarian reserve assessment combines AFC ultrasound with AMH blood testing, GP consultation and personalised review.

Can AFC tell me whether I am fertile?

No. AFC provides information about ovarian reserve but cannot determine whether you will conceive naturally.

Does a low AFC mean I cannot become pregnant?

No. A low follicle count does not mean natural conception is impossible. The result must be considered alongside age, medical history and other fertility factors.

Does a high AFC mean I have PCOS?

Not necessarily. A higher follicle count can be seen with polycystic ovarian morphology or PCOS, but the scan alone cannot always establish a diagnosis.

When should an AFC scan be performed?

AFC is commonly assessed between days 2 and 5 of the menstrual cycle. Our team can advise you about timing when you book.

Do I need a full bladder?

A full bladder is not normally required for a transvaginal ultrasound. If a transabdominal scan is planned, you may be asked to attend with a full bladder.

Is the scan painful?

Most patients tolerate a transvaginal ultrasound well. Mild discomfort is possible, but the examination should not be significantly painful. You can ask for it to stop at any time.

Can I have an abdominal scan instead?

A transabdominal scan may sometimes be possible, but it may not provide enough detail for an accurate AFC. Please discuss this with us before your appointment.

Do I need a GP referral?

No. You can book directly without a GP or fertility-clinic referral.

Can I bring someone with me?

Yes. You may bring a partner, friend or relative for support. A clinical chaperone can also be provided.

Book Today

Book Your AFC Scan in Blackheath

Book a private antral follicle count scan at The Blackheath Clinic.

The complete £150 price includes:

Pelvic fertility ultrasound Antral follicle count Assessment of both ovaries Assessment of the uterus and endometrial lining Immediate explanation of the findings Written clinical ultrasound report Doctor oversight

No GP referral is required, and same-week appointments are usually available.

Blackheath Village, London SE3 · Contact us today to arrange your appointment.