Diminished Ovarian Reserve

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Diminished Ovarian Reserve
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index

• Introduction
• Causes 
• Symptoms 
• Measures
• Diagnosis 
• About Santhathi Fertility

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Introduction

• The term ovarian reserve refers to the number
  and quality of your eggs, also known as oocytes.
  If you have diminished ovarian reserve, this
  means that the number and quality of your eggs is
  lower than expected for your age.
• Ovarian reserve refers to the reproductive
  potential left within a womans two ovaries based
  on number and quality of eggs. Diminished ovarian
  reserve is the loss of normal reproductive
  potential in the ovaries due to a lower count or
  quality of the remaining eggs. Ovarian reserve
  can also be considered a part of the biological
  clock, but this clock can vary from woman to
  woman. Some women continue to be fertile in their
  40s, while others begin to lose their fertility
  in their 20s. In general, women start losing
  ovarian reserve before they become infertile and
  prior to the end of their menstruation, according
  to the American Society for Reproductive Medicine.

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Causes 

• The main causes of diminished ovarian reserve
  are
• Cigarette smoking.
• Genetic abnormalities (Fragile X and other X
  chromosome abnormalities).
• Aggressive treatments (radiation for cancer).
• Ovarian surgery, such as for endometriosis.
• Idiopathic (this means that there is no apparent
  cause).
• prior ovarian surgery
• chemotherapy
• pelvic infection
• autoimmune disorders

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Symptoms 

• There arent many noticeable symptoms of
  diminished ovarian reserve. However, those with
  the condition might experience any of the
  following symptoms
• Difficulty getting pregnant
• Late or absent menstrual periods
• Shorter menstrual cycles than average, with the
  average being 28 days
• Heavy menstrual flow
• Miscarriage

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MEASURES

• Ovarian reserve tests include both biochemical
  tests and ultrasound imaging of the ovaries.
  Biochemical tests of ovarian reserve can be
  divided further into early-follicular-phase
  measurements of FSH, E2, or inhibin B
  measurement of cycle-day-independent
  antimullerian hormone (AMH) and provocative
  tests, such as the clomiphene citrate challenge
  test (CCCT). Biochemical measures of ovarian
  reserve are intended to directly or indirectly
  measure the oocyte or follicular pool.
• Inhibin B and AMH are glycoprotein hormones
  produced by small ovarian follicles and are
  therefore direct measures of the follicular pool.
  Whereas AMH is primarily secreted by primary,
  preantral, and early antral follicles, inhibin B
  is secreted primarily by preantral follicles. As
  the number of ovarian follicles declines with
  age, both AMH and early-follicular-phase inhibin
  B concentrations decline.

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Diagnosis 

• If youre under 35 years of age, you should see a
  doctor if youve been trying to get to conceive
  for a year. If youre over 35, see a doctor after
  six months. If youre over 40 and youre trying
  to conceive, its best to talk to your doctor
  right away.
• Diminished ovarian reserve is diagnosed through a
  few blood tests that measure follicle stimulating
  hormone (FSH) and anti-Mullerian hormone (AMH)
  levels. Both of these hormones play an important
  role in menstruation and reproduction.
• Its natural for FSH levels to increase and AMH
  levels to drop as you age, so its important to
  assess these hormone levels against a baseline of
  your age. Those with diminished ovarian reserve
  will have higher FSH levels and lower AMH levels
  compared to others their age.

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Santhathi Fertility and Maternity Center

• Best fertility hospital in Bangalore Santhathi
  Fertility Clinics and Hospitals is one of the
  best fertility hospitals in Bangalore. We have
  the most expert doctors for male and female
  fertility treatments. We use modern technology
  for the treatment.
• We provide the best services for IVF, IUI and
  infertility. Our gynecologist understands the
  causes for male and female infertility and treat
  them with a modern technology treatment. Our IVF
  doctors/specialists provide advanced infertility
  treatment, IUI, in-vitro fertilization. We are
  dedicated to helping couples who are planning to
  have a baby and feel the joy.

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Contact us

• Address Santhathi Fertility and Maternity
  Center No 55, first floor,
  Upadhyayara Sangha, ORR service road,
  near Nagarbhavi circle, Nagarbhavi,
  Bengaluru, Karnataka 560072
• Mail ID santhathi2018_at_gmail.com
• Mob No 91 94815 38470
• 91 80 2339 3557

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