POOR OVARIAN RESERVE / LOW AMHOvarian reserve defines the quantity and quality of the ovarian primordial follicular pool. Poor ovarian reserve (POR) indicates a reduction in the quantity of ovarian follicular pool in women of reproductive age group and is an important cause of infertility in many couples.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.Women are born with around 2,000,000 eggs, which is all the eggs they’ll ever have. Eggs are continuously lost, so by the onset of puberty most women have around 400,000 eggs left. By a woman’s late 30s this number will have further declined to around 27,000. At the onset of menopause most women only have around 1,000 eggs left in their ovaries.CausesThe single most consistent variable affecting ovarian reserve is the woman’s age. This is because a woman is born with all the eggs she will ever have. In most women a majority of the eggs are genetically normal or balanced. However, there will be some that are genetically abnormal or unbalanced. It appears that the best eggs are ovulated first. The older a woman is, the fewer genetically balanced eggs she has left to respond to fertility drugs. Unfortunately, there are some young women who respond poorly to attempts at ovarian stimulation. Perhaps these so called “poor responders” are born with more genetically unbalanced eggs such as in a Turner’s mosaic syndrome patient or they may have fewer eggs or poor quality eggs because of past surgical treatment, pelvic infections, cancer treatment, cigarette smoking, ovarian scarring associated with endometriosis, or unexplained infertility, etc. It is this group of patients that has presented the biggest challenge to IVF practitioners. DiagnosisDiminished ovarian reserve(DOR) presents no symptoms in most women. Some women may see a shortened menstrual cycle, such as from 28 days to 25 days. But for the most part, women find out they have DOR after diagnostic testing. These include transvaginal ultrasound and hormone evaluations for follicle stimulating hormone (FSH), estradiol (a form of estrogen) and the anti-Müllerian hormone (AMH)TreatmentNo treatments can slow ovarian aging and truly prevent diminished ovarian reserve. However, women with poor ovarian reserve who still want to conceive have options through assisted reproductive technologies like IVF/ICSI/ DONOR IVF etcFor further details contact EVACARE TEAM 9619354039/ 8767586092Mail us at evacare1508@gmail.com#ivf#ivfbabies#ivfjourney#ivfsuccess#ivfclinic#womenhealth#womenhealthcare#womenhealthfacts#pregnancy#pregnancyfacts#infertilityawareness#infertilityjourney#fertilityclinic#fertilityspecialist#mulund#mumbai#india