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Doctor insights on: How To Improve Ovarian Reserve

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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

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

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What is the meaning of ovarian reserve?

What is the meaning of ovarian reserve?

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

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How do we diagnose a poor ovarian reserve ?

How do we diagnose a poor ovarian reserve ?

Not sure: Not sure what you mean but premature ovarian failure and be diagnosed with hormone levels and sometimes antibodies against the ovaries can give a clue but if you are looking to see how many follicles or eggs are present that is something to discuss with and ob-gyn. ...Read more

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What tests can be done to measure ovarian reserve?

What tests can be done to measure ovarian reserve?

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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Can dhea help for low ovarian reserve?

Can dhea help for low ovarian reserve?

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

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My AMH is 7.12 is that indicates good ovarian reserve for IVF ?

My AMH is 7.12 is that indicates good ovarian reserve for IVF ?

Sort of: AMH is produced by the cells around the early eggs. The number you want is above 1. You clearly have that. However anytime the AMH is above 4 it may indicate the patient has an issue called: Polycystic Ovarian Syndrome (PCOS). Women with PCOS may have a lot of eggs but sometimes have issues releasing those eggs and in IVF sometimes have poor outcomes (no success). Talk to your doctor. ...Read more

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Does lap for endo lower your ovarian reserve?

Does lap for endo lower your ovarian reserve?

Shouldn't: Laparoscopy for endometriosis should have no effect on ovarian reserve, even if ovarian endometriosis is treated during this procedure. ...Read more

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What does it mean to have low ovarian reserve and how does it affect my trying to conceive?

What does it mean to have low ovarian reserve and how does it affect my trying to conceive?

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 more

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Are there new drugs which could improve management of ovarian cancer patients?

Are there new drugs which could improve management of ovarian cancer patients?

Much too broad a ??: Cancer is very complicated and it is evaluated for each patient differently. Speak with an oncologist. ...Read more