Egg reserve is the number of eggs a woman has from birth. While the eggs are located in the tissues of the two ovaries, it is the general average for a woman to have an average of 4-5 million eggs. Less reserves can cause problems such as early menopause and infertility. Congenital ovarian reserve begins to be used with puberty. Ovarian reserve also decreases over time.
What is Decreased Ovarian Reserve?
Low Ovarian Reserve (decreased ovarian reserve) means decreased egg production by the ovaries. This condition may be genetic or may occur due to a disease. Every woman’s ovarian reserve decreases. A decrease in reserve due to aging is considered normal. However, the process proceeds differently for each woman. Ovarian reserve is expected to decrease after the age of 40, but in some cases, a decrease can be observed at an early age. 1 in 100 women will experience menopause before the age of 40.
How to Identify Decreased Ovarian Reserve?
Decreased ovarian reserve has no direct symptoms. This problem has a share of 30% among the causes of female infertility. The easiest way to understand this problem is to perform tests called Anti-Müllerian Hormone (AMH) and Follicle Stimulating Hormone (FSH). A low level of AMH in the blood indicates decreased ovarian reserve and early menopause. FSH test is done during menstruation and it is known that high FSH value indicates decreased ovarian reserve. A normal FSH value does not always mean that there is no problem with decreased ovarian reserve. Therefore, AMH and FSH tests should be done together. In addition, the Clomiphene Citrate Challenge Test (CCCT) and the blood inhibin B test are among the methods used to check the vaginal ultrasound ovarian reserve.
Decreased Ovarian Reserve Treatment
Although there is no treatment that will stop or slow down the decrease in ovarian reserve, there are treatment methods that will make it easier for people who want to have a child to become pregnant. Low Ovarian Reserve (DOR) to increase the success rate in IVF, in vitro fertilization treatment.
