How Quickly Does Ovarian Reserve Diminish?
“Ovarian Reserve” is a term referred by many infertility specialists to describe the size, quality and developmental potential of the eggs remaining in the ovary. As a woman ages ovarian reserve diminishes along with the chance of a chromosomal abnormal egg which increases the potential for miscarriage. As a result, older women are less likely […]
Why Age Matters When it Comes to Fertility
One myth among many women of advanced reproductive age (40 and above) is that because they look and feel as they did when they were in their early 30s and are still having regular menstrual cycles they are as fertile as they may have once been. Here is why age matters when it comes to […]
How many eggs do I have? The number of oocytes (eggs) a woman has reaches a maximum of approximately 8 million when she was a 20 week fetus. By the time that woman reaches puberty approximately 500 oocytes remain. Oocytes are lost every day in a process known as atresia. In some women this process […]
Endometriosis May Cause Infertility
Endometriosis is a chronic disease whose etiology is not completely understood. Endometriosis is prevalent affecting 25% to 50% of infertile women and approximately 30% to 50% of women who have endometriosis are infertile. Endometriosis may cause infertility by: distorting pelvic anatomy causing endocrine and ovulatory abnormalities inhibiting implantation impairing egg and embryo quality altering peritoneal […]
Many women are not ready to conceive but are very curious about their fertility status. In today’s society, women often delay childbearing until later in their reproductive years. The reasons for this shift are complex, but are often related to social, educational, and economic factors. This trend toward delayed childbearing has resulted in an increased number of women […]
Ovarian Reserve Markers
Ovarian reserve is a term that is used to determine the capacity of the ovary to provide eggs that are capable of fertilization resulting in a successful pregnancy. Several noninvasive ovarian reserve markers have been proposed to assess ovarian reserve including serum levels of follicle stimulating hormone (FSH), serum anti-mullerian hormone (AMH), luteinizing hormone, estradiol, […]
Women Who Smoke
Women who smoke experience a one year’s delay to conception. This delay can be greater with more cigarettes smoked daily and for a longer duration of time. Women who smoke have twice the risk of a reduction in ovarian reserve, the egg pool that is called upon monthly. These delays and effects are secondary to […]
Do I Still Have Healthy Eggs?
Do I still have healthy eggs is a question that many infertile women ask, particularly those who are over 35 years of age. Most women today are aware that fertility declines after age 30 and significantly declines after age 35. While this is true, most women remain very fertile till age 39. Certainly after age […]
Endometriosis is a significant cause of infertility. Until recently surgery was thought best for treating this terrible disease. However, recent studies have shown that surgical removal of endometriosis from the ovaries called endometriomas can reduce ovarian reserve and impair the number of eggs retrieved after ovarian stimulation. A recent study published in Fertility and Sterility […]
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 […]