Ovarian Reserve Assessment

Abstract

One of the most challenges in reproductive endocrinology is the evaluation and treatment of reproductively older women who desire fertility. The pregnancy rates in natural and assisted reproduction cycles in these women are dramatically reduced, whereas the rate of spontaneous miscarriages are markedly increased. Ovarian reserve assessment can identify those women with markedly reduced ovarian reserve before starting expensive and invasive treatments. They should be counseled regarding the poor outcome of ovarian
stimulation and the options of oocyte donation or adoption. Although these alternatives are frequently disappointing, they represent realistic options for many couples. This article reviews the different methods used for ovarian reserve assessment.