Women at childbearing age may opt for testing her ovarian reserve
including estradiol and FSH levels test.
5 Various biochemical and biophysical markers are evaluated to monitor ovarian reserve
(OR) that helps to ascertain patients' state of ovarian toxicity.
Although there is little research to support their use, tests for anti-Mllerian hormone are routinely offered in many fertility clinics on the assumption that women with a lower ovarian reserve
would be less likely to respond to treatment.
These investigations allow the occult variant to remain hidden, unless an analysis of ovarian reserve
is carried out (5).
sup],, Compared to other endocrine markers of ovarian reserve
such as serum concentrations of follicle-stimulating hormone (FSH), inhibin B, and estradiol, the serum AMH concentration seems to be a more accurate predictor as it offers several advantages;[sup] it is the only marker that was thought to be stable throughout the phases of the menstrual cycle and it is relatively unaffected following hormonal therapy;[sup],, however, FSH, inhibin B, and estradiol are more dependent on cycle stage.
Oktay employs serial assessments of ovarian reserve
by monitoring several hormones, including follicle-stimulating hormone, luteinizing hormone, and antimullerian hormone (AMH).
A higher number of follicles visualized correlates with a greater ovarian reserve
At least two of the following three criteria had to be fulfilled to establish the definition of poor ovarian reserve
: (1) advanced maternal age (>40 years) or any other risk factor for poor ovarian response; (2) a previous poor ovarian response ([less than or equal to]3 oocytes with a conventional stimulation protocol); (3) an abnormal ovarian reserve
Keywords * Melatonin * Ovarian reserve
* Assisted reproductive techniques * Embryo * Oocytes
11] The most important aspect of diminished ovarian reserve
is the associated decline in reproductive potential fertility, it cannot be restored if the diagnosis is made after complete follicular depletion.
1 In cases of infertility, evaluation of ovarian reserve
(OR) is essential to optimize protocol for assisted reproductive technique (ART) and prediction of response to counsel the couple.
The chance of a successful pregnancy is based on two factors - firstly age and secondly ovarian reserve