Ovarian Function

Ovarian function can be defined as the quantity and quality of eggs remaining in the ovaries at any given time.

Unlike other fertility issues, such as blocked fallopian tubes or a slightly reduced sperm count, where treatments such as in vitro fertilisation (IVF) or intracytoplasmic sperm injection can overcome the problem, a healthy woman has a finite number of eggs and their decline over time is irreversible. Women with fewer remaining eggs have reduced ovarian reserve.

An accurate assessment of ovarian function is therefore essential, because both egg quantity and quality affect the chances of natural conception and IVF success.

This assessment can help a couple decide whether and when to proceed with fertility treatment.

It also helps determine the appropriate medication dose to achieve the best possible response while reducing the risk of ovarian hyperstimulation.

The most accurate indicators of ovarian reserve are:
– A blood test for anti-Müllerian hormone (AMH), performed at any point in the cycle
– Antral follicle count by transvaginal ultrasound, performed at any point in the cycle

Reduced Ovarian Reserve

Our team specialises in achieving the best possible outcomes for women with reduced ovarian reserve or a poor response in previous fertility-treatment cycles. our team.

A diagnosis of reduced ovarian reserve is often unexpected and can add to the stress and anxiety of an already difficult period.
Couples may also encounter conflicting advice and information, or reluctance elsewhere to offer fertility treatment.

Some clinics may decline treatment for patients with high FSH, low AMH or other indicators of reduced ovarian reserve in order to protect their reported success rates.

Many women are consequently led to believe that they are not eligible for IVF or have no chance of success, and may feel pushed towards options that do not allow them to have a genetically related child.

We believe that indicators of reduced ovarian reserve should be used to provide accurate counselling—not to deny fertility treatment.

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