“Decreased Ovarian Reserve”: Is there a “best test”?

IVF egg retrieval and best test for ovarian reserve

The American Society of Reproductive Medicine (ASRM), the professional committee for experts in reproductive endocrinology and infertility medicine, put out a committee opinion this month on testing and interpreting measures of ovarian reserve. A woman’s eggs, or oocytes, are the greatest when she is a fetus and decline in number as she ages. Ovarian reserve […]

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Anti-Mullerian Hormone as a Marker of Ovarian Reserve

Anti-mullerian hormone (AMH), also known as mullerian inhibiting substance, is a regulatory protein found in the ovary.  It is synthesized in the granulosa cells of antral follicles (see drawing below).  AMH is thought to play a role in coordinating follicular development within the ovary; there is a “give and take” between follicle stimulating hormone (FSH) […]

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Diet and Lifestyle Issues While Attempting to Conceive

Caffeine and Fertility

Although a healthy lifestyle, including exercise and proper diet, is important for general health, it is not necessary to abstain completely from caffeine and alcohol while trying to conceive. On the other hand, extremes of weight and cigarette smoking have been shown to be detrimental to people trying to conceive. Here are common diet and […]

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Fertility Preservation for Women with Breast Cancer

Fertility Preservation for Women with Breast Cancer

Breast cancer is the second most common cancer in women after skin cancer and the second most common cause of cancer death after lung cancer. Women under age 40 account for 6% of new breast cancer cases in the United States. Fertility preservation for women with breast cancer needs more discussion. Thankfully adjuvant chemotherapy can be […]

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The Reproductive Life Cycle

There are five reproductive stages in a woman’s reproductive life cycle.  These include premenarche (before the first menstrual period) stage; the reproductive, premenopausal stage; the early menopausal transition stage; the late menopausal transition stage; and finally, menopause.  There is no single test to determine reproductive potential, but the menstrual cycle pattern and hormone levels can […]

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