Doctor insights on:
How To Improve Low Ovarian Reserve
I'm 36y/0, amh=0.4. What is your opinion on coenzymeq10, royal jelly, wheat grass/germ in improving low ovarian reserve? Any other supplement suggest
No good Data: There is no good data for any of the things you have listed. Unfortunately the science indicates that this is merely advanced ovarian aging with loss of eggs and likely loss of the best eggs first. Our ability to reverse this seems very limited. The standard thought is advanced (ivf) treatment offering best chance for pregnancy. Based on testing you likely have endometriosis and exploring this. ...Read more
No: Dhea is metabolized to cortisone, estrogen and testosterone -- and you can't control which one is goes to. Also, there is no medical indication to take it in the first place, and most of the dhea supplements have little dhea in them. Don't get your medical advice from tv or the internet! ...Read more
Ovarian reserve: Ovarian reserve is medical-speak for 'how young or how old do your ovaries feel, ' regardless of your actual age. 'low' or 'diminished' refers to ovaries that are getting tired, where fertility may be reduced. There are different ways to test ovarian reserve that don't always agree; also testing rarely guarantees you 'will' or 'won't' get pregnant. ...Read moreSee 1 more doctor answer
Good question: They can all happen in the same woman.Pcos is a hormonal/metabolic syndrome that can sometimes cause infertility but the issue is usually low Progesterone levels and poor egg quality due to Insulin resistance. Low ovarian reserve indicates a condition in which the number of eggs left are limited. This usually occurs before premature ovarian failure which is early menopause. ...Read moreSee 1 more doctor answer
What is the importance of seeing fertility specialist when the ovarian reserve is low.Is there treatment for this situation?
Get right treatment: A fertility specialist (reproductive endocrinologist) can assess your individual situation - how low is your ovarian reserve (egg supply), your age, any tube or sperm problems? - then come up with a treatment plan that's right for you. Some women with low ovarian reserve need tablets or shots to release more eggs, some need in vitro fertilization (ivf) with their own eggs, and some need donor egg. ...Read moreSee 1 more doctor answer
Diminished ovarian reserve with low egg supply. Would u rec Clomid (clomiphene) with IUI or injectable with iui. I am 35 years old?
Yes, IVF is better: At age 39 with DOR, you may try few cycles Clomid (clomiphene) IUI, but IVF is a better option. The reason is with DOR, you don't have many embryos to work with. On the other hand, if you do IVF, you may bank embryos and do FET later. At age 39, I strongly recommend to do Pre-implantation genetic screening (PGS) of your embryos prior to transfer. It will increase your change of pregnancy and reduce miscarriage ...Read moreSee 1 more doctor answer
Ovarina reserve : Ovarian reserve refers to the potential of a woman's ovaries to release mature eggs at her age. This directly relates to the chance to become pregnant. Those women will lower ovarian reserve have less of a chance to conceive either naturally or by ivf. ...Read more
Multiple tests: There is no perfect test: ultrasound for ovarian volumes and antral follicle counts (afc) is very helpful, also antimullerian hormone (amh) blood test, day 2/3 Estradiol and follicle stimulating hormone (fsh) levels, and the Clomid (clomiphene) challenge test, where we check the fsh level on day 10 after 5 days of Clomid (clomiphene) at 100 mg/day. The Clomid (clomiphene) challenge test is best validated, with ultrasound coming in #2. ...Read more
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