Ovarian Reserve Teste

1339 WordsJan 28, 20185 Pages
Introduction Fertility research has shown continuous work to optimize the diagnostic tools and improve the potential outcome of the normal and assisted pregnancy in the last century. Researchers tried to find a method to predict the fertility potentials of the couples especially with the recent tendency to postpone pregnancy till late thirties and even forties and its subfertility sequel resulted from the continuous decrease in the ova quantity and quality over years [9]. Females at the same age show great discrepancy in their conceiving ability, so measuring the ovarian reserve was thought to be a good predictor for the female fertility [10]. This idea appeared from the close correlation between the unfavorable infertility treatment outcome (cycle cancellation, low life birth rate or miscarriage) and the diminished ovarian reserve [1-8]. The idea behind the ovarian reserve tests (ORTs) is to predict the female fertility through measuring the level of some hormones normally secreted by the body or by the follicles as an indication of their quantity and functional integrity, visualizing the follicles, the ovary or the ovarian vasculature by ultrasound, or it may be by measuring the ovarian response if it is challenged by certain external factors. ORTs can be classified into four main categories; hormonal markers, sonographic parameters, dynamic tests and ovarian biopsy. Figure 1 (copied not modified): Types of ovarian reserve tests [31]. I. Hormonal markers •

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