Poor ovarian reserve (POR) indicates a reduction in quantity and quality of oocytes in women of reproductive age group. POR is an important limiting factor for the success of any treatment modality for infertility. It It may be age related as seen in advanced years of reproductive life or may occur in young women due to diverse etiological factors. Evaluating ovarian reserve and individualizing the therapeutic strategies are very important for optimizing the success rate. Majority or women with POR need to undergo in vitro fertilization to achieve pregnancy. However, pregnancy rate remains low despite a plethora of interventions and is associated with high pregnancy loss. Early detection and active management are essential to minimize the need for egg donation in these women.
The following are the clinical indicators of POR.
Any woman who is in good physical health and falls into one or more of the four patient categories that will be studied will be evaluated for admission to this study.
If you feel that you are a potential candidate and wish to be treated, please fill out the application form that is included in downloads, sign the consent form and return it to your consulting doctor. A recent day 2, 3,or 4 FSH,LH, and Estradiol levels, as well as an AntiMullerian Hormone level is required. If you have not had these tests performed, request a prescription from your physician, and have the tests done at a convenient nearby diagnostic laboratory. Once the reports are ready, please plan your initial evaluation and consultation. The preliminary consultation will include a vaginal sonogram to evaluate your current ovarian reserve and to see if your ovaries are in a favorable location for the ovarian injection procedure. The sonogram will also show if ovarian cysts or other pathological conditions exist which may negatively impact the performance of the procedure.