Tests for Ovarian Reserve
Journal Title: Indian Journal of Obstetrics and Gynecology - Year 2018, Vol 6, Issue 4
Abstract
Ovarian reserve tests are used for determination of the functional potential of ovary. They reûect the number and quality of oocytes in it. These tests are frequently used by the Gynecologist dealing with Infertility & IVFspecialists to predict the chances of success for ovarian stimulation and retrieval of follicles by knowing the reserves of ovary. Ovarian reserve is affected by many factors like biological age, chemotherapeutic drugs, radiation exposure, certain surgeries etc. It is well known that as the age of women increases fertility declines. So it becomes important for the IVF consultants to know the chances of success and the optimum dosages of ovarian stimulation protocols to be used; also the side effects can be predicted in some. These tests are useful in fertility assessment, as it provides a guide to ovarian reserve and identifies women that may need to consider either egg freezing or trying for a pregnancy sooner rather than later if their long-term future fertility is poor. Ovarian reserve can be measured by dynamic and static tests. Commonly used ovarian reserve tests are serum FSH, serum AMH and the Antral Follicle Count (AFC); these are static tests. Dynamic ovarian reserve tests are not commonly performed in clinical setting. Of these static tests AMH has certain advantages, due to its less inter and intra cycle variability. Many more uses of these tests have come up in recent years. These tests have some limitations so should be used with the knowledge of their limitations in clinical settings.
Authors and Affiliations
Pratibha Singh
Keywords
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- EP ID EP549971
- DOI 10.21088/ijog.2321.1636.6418.14
- Views 92
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Tests for Ovarian Reserve
Ovarian reserve tests are used for determination of the functional potential of ovary. They reûect the number and quality of oocytes in it. These tests are frequently used by the Gynecologist dealing with Infertility &...