What is the ovarian reserve and how does it affect fertility?
The ovarian reserve indicates the number of ovules available to a woman at a given time in her life and, therefore, is something that will mark the state of her fertility.
If the ovarian reserve is good, it will be more likely to achieve pregnancy. In the case that low ovarian reserve is detected, it may be necessary to resort to in vitro fertilization (IVF) to be a mother.
Below you have an index with all the points that we will discuss in this article.
Index
What is the ovarian reserve and how does it affect fertility?- 1. What is the ovarian reserve?
- 2. Causes of decreased ovarian reserve
- 3. Normal values ??of ovarian reserve
- 3.1. FSH (follicle stimulating hormone)
- 3.2. AMH (antimullerian hormone)
- 3.3. E2 (estradiol)
- 3.4. Antral follicle count (RFA)
- 4. Probability of pregnancy
- 5. Questions from users
- 5.1. How does the ovarian reserve affect IVF treatment?
- 5.2. Is there a home method to measure ovarian reserve and fertility?
- 5.3. Is there any treatment for low ovarian reserve that allows pregnancy?
- 5.4. Is it normal to have a low ovarian reserve at 40?
- 5.5 Is there a relationship between ovarian reserve and oocyte quality?
- 6. Recommended reading
What is the ovarian reserve?
The woman is born with a finite ovarian envelope of around one million oocytes. At puberty, this amount is reduced to approximately 400,000 or 500,000 ovules. In each of the menstrual cycles that start month after month from this moment, only about 400-500 oocytes will reach ovulation. The rest will degenerate on the road.
The ovarian reserve is the amount of ovules available to the woman at a specific time and will be decisive when it comes to achieving pregnancy, both naturally and through assisted reproduction techniques.
The most fertile period for women ranges from 16 to 30 years. At that time, it has a good quantity and quality of oocytes. From 35-37 years, there is a significant decline in the ovarian reserve.
From 40 years of age, the ovarian reserve is seen to be compromised until its complete exhaustion, approximately between 45 and 55 years. The new stage of the reproductive life of women begins: the menopause.
In some cases, the decline in oocyte quality and quantity occurs earlier than expected. It is what we know as precocious menopause. Therefore, in the case of wanting to be a mother, it is important to check that you have a good ovarian reserve if you plan to postpone motherhood beyond 35 years.
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Normal values ??of ovarian reserve
There are several tests that help us determine the status of the ovarian reserve. The most used are the following:
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