THE OVARIAN RESERVE

The evaluation of the ovarian reserve today represents a fundamental breakthrough in the diagnosis and treatment of female infertility. It allows to accurately verify the patient's fertility status as well as to provide reliable predictions of how the patient will respond to the drug-induced stimulation of ovulation. With its headquarters in Florence, Centro Italiano Fertilità e Sessualità has a state-of-the-art laboratory for complete and reliable investigations.

 

Assessment Parameters

The term "ovarian reserve" refers to the follicular and ovocyte characteristics at a certain time in a woman's life. The follicle is the ovary structure that contains the ovocyte. They can be found in the ovaries in varying numbers, depending on the age of the woman. At child-bearing ages, every single month a single follicle will complete the maturation process that will lead to the formation of the small egg that will be released during ovulation. Each woman has a certain follicular capacity that, as the years go by, is reduced, causing the progressive loss of fertility potential. For infertile couples, the test is recommended when women are over the age of 38 for the scheduling of intervention times, pharmacological treatments and assisted fertilization techniques.

Currently the ovarian reserve is examined according to the following parameters:

  • dosage of basal levels of FSH (to be performed between the 2nd and the 5th day of the menstrual cycle);
  • dosage of anti-Müllerian hormone levels (AMH);
  • count of the anthrax follicles and calculation of the volume of the ovaries in the early days of the menstrual cycle.

 

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