Vivere Longevity — Women’s Precision Protocol

Fertility & PCOS
Ovarian Optimisation

Your ovarian reserve follows its own biological clock. Understanding the gap between your reproductive age and your chronological age changes your decisions — now and for the decades ahead.

Ovarian Age & Long-Term Trajectory

Ovarian age diverges from chronological age — sometimes by a decade.

Ovarian reserve follows its own biological clock. The gap between your reproductive age and your chronological age determines your fertility window, your future hormonal timeline, and your long-term cardiometabolic trajectory. Standard fertility panels measure output. The Vivere protocol measures the system driving it.

The Vivere Fertility & PCOS Protocol assesses ovarian reserve, cycle quality, and the metabolic drivers behind both — delivering a complete picture of your reproductive biology and its downstream implications for long-term hormonal and cardiometabolic health.

Ovarian Reserve PCOS Metabolic Health Fertility Planning Biological Ovarian Age Insulin Resistance Long-Term Hormonal Health
Molecular Basis

Hallmarks of Aging Linked to Ovarian Reserve and PCOS

Ovarian aging and PCOS-driven metabolic dysfunction affect multiple aging pathways — from epigenetic changes and cellular senescence to nutrient sensing and intercellular signalling.

H1
Genomic Instability
H2
Telomere Attrition
H3
Epigenetic Alterations
H4
Loss of Proteostasis
H5
Disabled Macroautophagy
H6
Mitochondrial Dysfunction
H7
Cellular Senescence
H8
Stem Cell Exhaustion
H9
Altered Intercellular Communication
H10
Chronic Inflammation
H11
Dysbiosis
H12
Deregulated Nutrient Sensing

López-Otín et al., Cell 2023. Highlighted hallmarks reflect primary mechanistic targets of this protocol.

Precision Investigations

Your Fertility & PCOS Biomarker Panel

Seven investigation sets providing a complete assessment of ovarian reserve, PCOS metabolic drivers, and long-term reproductive biology — each selected for clinical actionability.

Your Vivere Journey

From Ovarian Assessment to Fertility & Metabolic Strategy

A structured six-step programme mapping your ovarian reserve, PCOS metabolic profile, and long-term fertility trajectory — with a personalised intervention plan built on your results.

Ovarian Age

Your ovarian reserve may be years ahead of or behind your chronological age. Knowing the gap changes your decisions.

PCOS & Longevity

PCOS is not only a reproductive diagnosis. Its insulin resistance component drives cardiovascular and metabolic risk decades beyond the fertile years.

1

Longevity Consultation

Physician-led review of your cycle history, fertility goals, and metabolic and hormonal background.

2

Ovarian & Metabolic Bloods

Fasting panel covering ovarian reserve, PCOS markers, metabolic risk, and thyroid function.

3

Antral Follicle Count (AFC)

Transvaginal ultrasound counting resting follicles — your most direct reserve measurement.

4

DEXA Body Composition

Visceral fat and muscle mass assessment relevant to PCOS metabolic trajectory.

5

Epigenetic Ovarian Age Clock

DNA methylation test quantifying biological versus chronological ovarian age.

6

Protocol Review & Programme

Your physician presents a targeted plan for ovarian support, metabolic optimisation, and fertility strategy.

Every result is reviewed in a physician-led consultation. Your protocol is built on your data, not a template.

Book a Consultation

Begin Your Fertility &
Ovarian Assessment

Vivere Longevity · 290 Orchard Road, #17-11 Paragon Medical, Singapore · By appointment

Book a Consultation