Assessment of Ovarian Reserve in Infertile Patients

Abstract

Reduced ovarian reserve is a condition characterized by a reduced competence of the ovary to produce oocyte due to advanced age or congenital, medical surgical and idiopathic causes. Age is considered to be the principal factor in determining the reduction of ovarian reserve, especially in woman over 40 years of age, but it's well known that a premature reduction of ovarian reserve can also occur in young patients. Management of patients with diminished ovarian reserve is challenging for fertility experts and frequently the only option to conceive is represented by assisted reproduction technologies. Here we reviewed the aetiology, presentation and diagnosis of reduced ovarian reserve in advanced and young aged women and recent advances in the management of infertility in these women.Key Words: Reduced ovarian reserve; Diminished ovarian reserve; Premature ovarian failure ABSTRACT Introduction

Microdose Flare-up Gonadotropin-releasing Hormone (GnRH) Agonist Protocol and GnRH Antagonist Protocol: Effects on In-vitro Fertilization in Patients with Poor-responder Diagnosis According to Bologna Criteria

“…Infertility may occur in women due to ovulatory diseases, tubal diseases and uterine diseases [1]. Poor response (or poor ovarian response) related to decreased ovarian reserve, which refers to the decrease in oocyte production ability of the ovaries due to various reasons, is one of the increasing causes of infertility [2]. Within the scope of in vitro fertilization (IVF), the ovaries are stimulated with a combination of fertility drugs, then one or more oocytes are aspirated from the ovarian follicles and the fertilization process is performed in the laboratory environment (in vitro).…”