What is Ovarian Reserve? Why Does It Decrease?

Gynecology, Obstetrics and In Vitro Fertilization Specialist Op. Dr. Seval Taşdemir explained for you what the ovarian reserve is and the reasons why the ovarian reserve decreases.

Every woman has a certain and unchangeable number of eggs (egg reserve) from the moment she is born. Women who have 600 thousand eggs when they are first born, this number decreases as they get older. This happens especially quickly after the age of 40. Around the age of 45-50, the eggs are exhausted and menopause begins, and the ovaries cannot continue their functions. When menstrual bleeding stops, the chance of pregnancy disappears.

The age of a woman corresponds to the age at which she has eggs. If a woman gets older, her egg ages along with her and thus the possibility of having a child decreases. Therefore, every egg is worth its weight in gold.

How is ovarian reserve measured?

AMH, called Anti-Müllerian Hormone, is a type of glycoprotein found in both men and women. . The primary use of the AMH test is to evaluate fertility in women.

A low level of the hormone as a result of the AMH test indicates that the number and quality of eggs in women is low. This means that fertility in women decreases. Women with low AMH results do not need to be pessimistic, but they should use the time they have wisely. In women younger than 38 years of age, the AMH value should be between 2.0 and 6.8 ng/ml. AMH level is considered very low if it is lower than 0.5, low if it is lower than 1.5, normal if it is between 2.0 and 6.8, and high if it is higher than 6.8. AMH levels are especially high in people with polycystic ovaries because they have more egg cells.

You can have a baby with the golden egg application in in vitro fertilization

In women with low ovarian reserve. In vitro fertilization treatment can be applied with the “golden egg”. Golden egg is a treatment method applied specifically to older expectant mothers who are in a difficult patient group and whose chance of having a child is much less according to statistics, and to expectant mothers who are young but have an advanced ovarian age.

Mothers with the Double Stimulation Method. from the candidate, Eggs are collected twice in a menstrual cycle. Eggs collected after a 10-day treatment at the beginning of the menstrual period are also frozen by the vitrification method. 3-4 days after the egg collection process, eggs are collected for the second time by applying medication with the same method. 4-5 eggs obtained in this way are subjected to genetic testing. Because in women over the age of 40, there is a high probability that one of every two transferred eggs will be genetically defective. Thus, the chance of getting pregnant decreases or the pregnancy may result in miscarriage.

 

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