Poor Ovarian Reserve

POOR OVARIAN RESERVE

Ability of the ovaries to generate viable eggs from the earliest follicles in the ovaries is called ovarian reserve.

Poor ovarian reserve is a condition of low fertility characterized by

1) Low numbers of remaining oocytes in the ovaries

2) Possibly impaired preantral oocyte development or recruitment.

Known causes of diminished ovarian reserve include smoking, endometriosis, previous ovarian surgery, exposure to toxic chemicals, chemotherapy or radiation. In many cases, the cause is unknown and most likely reflects a combination of environmental and genetic causes.

TESTS TO DETECT OVARIAN RESERVE.

There are many tests but commonly used are tansvaginal sonaography done in early days of menustrual cycle day 2-5 to detect no. small follicles measuring 2-5 mm and serum level of AMH.

No treatment can stop the process of diminished ovarian reserve, but women who are infertile due to low egg count or quality can sometimes use IVF to achieve a pregnancy.