What is Ovarian Reserve? Why Does It Decrease?

Gynecology, Obstetrics and IVF Specialist Op. Dr. Seval Taşdemir explained to you what the ovarian reserve is and the reasons for the decrease in ovarian reserve.

Every woman has a certain and unchangeable number of eggs (egg reserve) from the moment she is born. Women who had 600,000 eggs when they were first born, this number decreases as they get older. This happens quickly, especially after the age of 40. Around the age of 45-50, the eggs are exhausted and the menopause period begins, and the ovaries cannot continue their functions. When the menstrual bleeding stops, the chance of pregnancy disappears.

What is the age of a woman, the egg corresponds to the age of the woman. If the woman’s age is advanced, her egg also ages with her, thus reducing the possibility of having a child. That’s why every egg is worth gold.

How is ovarian reserve measured?

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

The low level of the hormone as a result of the AMH test indicates that the number and quality of eggs in women are low. This means that fertility in women is reduced. Women with a low AMH result do not need to be pessimistic, but they need to use their time well. In women younger than 38 years of age, the AMH value should be between 2.0 and 6.8 ng/ml. AMH level less than 0.5 is considered very low, less than 1.5 is considered low, between 2.0 and 6.8 is normal, and higher than 6.8 is considered high. The AMH level is high, especially in people with polycystic ovaries, because there are many egg cells.

It is possible to have a baby with golden egg application in IVF.

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

With the Double Stimulation Method, eggs are collected from the expectant mother twice in one menstrual cycle. Eggs collected with a 10-day treatment at the beginning of menstruation are also frozen by vitrification method. After 3-4 days of egg collection, the eggs are collected for the second time by applying drug treatment with the same method. 4-5 eggs obtained in this way are subjected to genetic testing. Because in women over the age of 40, it is very likely that one of every two eggs transferred is genetically defective. Thus, the chance of conception decreases or pregnancy may result in miscarriage.

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