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Assessment of ovarian reserve

Assessment of ovarian reserve
Assessment of ovarian reserve
This examination allows you to determine the ability of a woman's body to form eggs (including in response to hormonal stimulation).

In a girl’s the ovaries lays a certain number of future eggs, their amount cannot be changed. Because the age and under the influence of various factors, their number progressively decreases, sometimes it leads to the problems with pregnancy onset.

Ovarian reserve is called the total number of follicles in the ovaries, which determine the ability of the ovaries to mature eggs and pregnancy.

Who needs to determine the ovarian reserve?

All women planning a pregnancy if they have at least one of the following factors:

  • Age: 30 years and older;
  • Postponed surgery on the ovaries and fallopian tubes (removal of the ovary or part thereof, removal of the fallopian tubes or surgical sterilization);
  • Early mother’s, grandmother’s or sister’s menopause;
  • Infertility;
  • Planning for IVF, artificial insemination;
  • Before treatment of oncological diseases after the permission of the oncologist;
  • Smoking more than 15 cigarettes per day;
  • Work with occupational hazards (pesticides, plastics, etc.).

How to evaluate ovarian reserve?

  1. The leading role in assessing the women’s reproductive potential and the possible response to hormonal stimulation belongs to ultrasound.
  2. At the beginning of the menstrual cycle (2-4 days after the start of menstruation), a transvaginal ultrasound is performed to determine the volume of the ovaries and count the number of antral follicles in both ovaries.
  3. A decrease in ovarian reserve can be said if the ovaries are less than 3 cm3, and the total number of antral follicles in both ovaries is less than 5.

Is only an ultrasound enough to accurately assess the ovarian reserve?

No. We take an integrated approach to diagnosis.

 

For a more thorough determination of a woman’s potential to become a mother, one should take into account the values ​​of the concentration of follicle-stimulating (FSH) and luteinizing hormones (LH), estradiol in the blood 2-4 days after the onset of menstruation and anti-Muller hormone (AMH), which can be determined regardless of the phase of your cycle.

 

All these studies can be performed in our medical center on the day of the ultrasound scan.

 

What to do if ovarian reserve is reduced, but I do not plan a baby yet?

You can freeze your eggs and use them as soon as you want to have a baby. Unfortunately, medicine is not yet able to stop ovarian aging.

 

In a girl’s the ovaries lays a certain number of future eggs, their amount cannot be changed. Because the age and under the influence of various factors, their number progressively decreases, sometimes it leads to the problems with pregnancy onset.

Ovarian reserve is called the total number of follicles in the ovaries, which determine the ability of the ovaries to mature eggs and pregnancy.

Who needs to determine the ovarian reserve?

All women planning a pregnancy if they have at least one of the following factors:

  • Age: 30 years and older;
  • Postponed surgery on the ovaries and fallopian tubes (removal of the ovary or part thereof, removal of the fallopian tubes or surgical sterilization);
  • Early mother’s, grandmother’s or sister’s menopause;
  • Infertility;
  • Planning for IVF, artificial insemination;
  • Before treatment of oncological diseases after the permission of the oncologist;
  • Smoking more than 15 cigarettes per day;
  • Work with occupational hazards (pesticides, plastics, etc.).

How to evaluate ovarian reserve?

  1. The leading role in assessing the women’s reproductive potential and the possible response to hormonal stimulation belongs to ultrasound.
  2. At the beginning of the menstrual cycle (2-4 days after the start of menstruation), a transvaginal ultrasound is performed to determine the volume of the ovaries and count the number of antral follicles in both ovaries.
  3. A decrease in ovarian reserve can be said if the ovaries are less than 3 cm3, and the total number of antral follicles in both ovaries is less than 5.

What to do if ovarian reserve is reduced, but I do not plan a baby yet?

You can freeze your eggs and use them as soon as you want to have a baby. Unfortunately, medicine is not yet able to stop ovarian aging.

 

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Медицинский центр БИНА - УЗИ органов малого таза ТА+ТV  c мочевым пузырем

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Специалисты

Yuri Zanko

Infertility treatment, IVF, miscarriage, menopause problems, treatment of severe menstrual bleeding

Olga Lysenko

IVF, IVF preparation, infertility treatment

Tatiana Rozhdestvenskaja

Infertility tretment, IVF, ultrasound of the pelvic organs, ultrasound of the mammary gland.

Svetlana Shubenok

Лазерная гинекология, ведение беременности

Michail Shur

Pregnancy and childbirth

Tatsiana Badiukova

Ultrasound diagnostic doctor. Ultrasound: heart, scrotum, prostate, breast, abdominal cavity, pelvis, thyroid gland

Tatsiana Liksina

Ultrasound of the pelvic organs, ultrasound of the mammary gland, prenatal diagnosis at various stages of pregnancy

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