What is ovarian reserve test?

What is ovarian reserve test?

Dr. Shahram Sawad
Dr. Shahram Sawad Karaj
کد عضویت: System code: 87050
** Ovarian reserve test ** is a fertility test in which the number of eggs of each person is measured compared to normal women of the same age... The purpose of this test is to predict the response to fertility treatments in infertile women... It is measured with the help of blood samples and vaginal ultrasound... Women's sexual organs start producing eggs from the embryonic period... Eggs are immature sex cells that eventually become eggs... This process starts from the twelfth week of pregnancy. It begins and continues through the 20th week... The number of eggs reaches its maximum.... Each girl releases approximately 500,000 eggs after puberty.. Ovaries per menstrual cycle.... Who should have an ovarian reserve test? Doctors recommend this test in the following cases: - Having diseases that may affect the number of eggs, such as cancer - Choosing one of the assisted reproductive methods such as IVF How is the ovarian reserve test done? The purpose of this test is to predict the success rate of assisted reproductive treatments.... This test is not able to determine the health and exact number of eggs.... In the ovarian reserve test, the amount of follicle-stimulating hormone (FSH), estradiol and anti-Müllerian hormone (AMH) is measured in the blood.... Transvaginal ##follicle ultrasound also checks the number of follicles.. The best time to perform an ovarian reserve test - Blood test: the best time to measure anti-Müllerian hormone (AMH), follicle-stimulating hormone (FSH) and estradiol is on the third day of menstruation... - Ultrasound: the best time to measure the number of antral follicles is on the third day of menstruation... Various factors affect ovarian reserve... The most common causes of **decrease in ovarian reserve**: - Aging (after 35 years old) - cigarettes Fragile X syndrome carriers - Turner syndrome - Diseases that cause damage to the ovaries, such as endometriosis surgery or pelvic infection - Inflammation of the ovaries - Oophorectomy (removal of one or both ovaries) Pelvic radiotherapy - Chemotherapy drugs - Unspecified causes Is the ovarian reserve test dangerous? No, this test is not dangerous and only requires blood sampling and vaginal ultrasound.... Ovarian reserve test limitations This test is only used to predict the response to treatment and has no other use. In fact, with this test, you can measure the number of eggs, but you cannot comment on their health. For example, the ovarian reserve may be normal, but IVF may fail due to the low quality of the eggs. Factors affecting fertility. Ovary The reportable values ​​of each of the investigated factors based on international standards are as follows: ### Description of anti-Müllerian hormone (AMH) - AMH less than 5ng/mL: indicates a decrease in the ovarian reserve to less than 3 follicles per IVF cycle.. - AMH less than 1ng/mL: indicates a minimum ovarian reserve....that is, the probability of ovulation is very low....- 1ng/mL AMH to 5ng/mL: indicates a good response to ovulation stimulation drugs... It is strong to ovulation stimulating drugs.. Ovaries.... ### Interpretation of Antral Follicle Count (AFC) - More than 7: Good - 7 to 10: suitable - Less than 5: The probability of response to assisted reproductive methods is low - More than 10: the possibility of excessive stimulation of the ovaries due to ovulation stimulation drugs. - FSH higher than 20IU and estradiol less than 50: indicates menopause.... - 10IU FSH to 20IU and estradiol more than 50: indicates menopause or poor response to ovulation stimulation drugs. 100 mg in deciliters: the possibility of excessive stimulation of the ovaries due to the use of clomiphene..
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