Ovarian reserve is generally referred as the pool of eggs present in your ovaries. The decreased ovarian reserve is a condition when there is a physiological decrease in the number of eggs present in your ovaries. Decrease ovarian reserve can also decrease the chances of Pregnancy. Decreased in ovarian reserve is mainly caused due to the aging of the ovaries.
As the age increases, there is a decline in the eggs produced in the ovaries. In few cases, the patients can have a diminished ovarian reserve but intact ovarian function.
Egg Development with Age
Women begin their life with millions of eggs in the ovaries. In most of the cases, most of the eggs decay before they are ever needed for reproduction. There is a rapid multiplication of germ cells in the uterus starting at the six to eight week. By the time the fetus is at 16-20 weeks, there is a peak in quantity of eggs for about 6-7 million eggs in the ovaries.
The number of eggs declines to 1-2 million at the time of birth. The quantity decreases 250,000 -500,000 till they reach puberty. And at the age of 37 years, a woman will only have 25,000 eggs. During the Menopause period, the eggs decrease to 1000 or less which results in infertility.
Causes of Reduced Ovarian Reserve
The low ovarian reserve is a condition where there is a premature decrease in the number of eggs. The reduced ovarian reserve can also be caused due to chromosomal anomalies like Turner syndrome. Turner syndrome is a condition when the woman has two X chromosome. The other genetic condition that can lead to low ovarian reserve includes generic abnormalities like fragile X syndrome.
In few cases decreased ovarian reserve is a condition that results due to the destruction of ovarian tissues. Ovarian tissues are destroyed through surgical removal of a part or complete ovary. While removing ovarian cyst there is a risk of damaging the ovarian tissues that can result in less quantity of egg production.
Low Ovarian Reserve and IVF Success
The low ovarian reserve is a serious problem only when a woman faces problem in getting pregnant. Generally, women experience low ovarian reserve in their 30’s and 40’s after they have had children earlier in life.
In vitro fertilization (IVF) success rate generally depends on the number of mature eggs produced. A poor quality or less quantity of egg production can decrease the chances of successful IVF treatment.
Low Ovarian Reserve Treatment
There are different treatments that can be used to treat low ovarian reserve. The most common methods of treatment include:
Several stimulation protocols are used to improve the quantity of eggs produced. Hormonal dosage is generally given to patients to increase the number of eggs produced.
To improve the egg quantity certain ovarian stimulation drugs are used that can help in increasing quantity of mature eggs for IVF success. Your gynecologist might increase your dosage based on your condition.
Anti-estrogen, DHEA and coenzyme Q10 can also help in ovarian stimulation and increase the chances of pregnancy.
If you are suffering from low ovarian reserve then, you can consult the best gynaecologist in Hyderabad. Dr. Vandana Hegde is the best gynaecologist who can treat fertility issues like decreased ovarian reserve. Gynaecologist in Gachibowli can also be consulted for decreased ovarian reserve treatment. Gynaecologist in Kondapur branch is experienced and efficient in dealing with Infertility related cases.