What is low ovarian reserve?

This is an automatically translated article.

The article is professionally consulted by Master, Doctor Nguyen Thi Xuyen - Clinician - Reproductive Support Center - Vinmec Times City International Hospital.
A low AMH index evaluates the number of eggs stored in a woman's body (low ovarian reserve) but does not reflect the quality of the ovaries. Currently, there is no way to increase ovarian reserve, patients need to perform more in-depth tests and evaluations to have a direction to improve the ability to conceive.

1. What is ovarian reserve?

AMH (Anti-Mullerian Hormone) is a hormone secreted directly from the granulosa cells of the ovarian follicles, indicating the number of follicles present in a woman's ovaries. The AMH index is considered an indicator of ovarian reserve with the following characteristics:
Highest at 25 years old and tends to decrease with age; No change in menstrual cycle; As a factor in evaluating ovarian reserve, predicting fertility of a woman now and in the future. In women, the better the ovarian reserve, the better the fertility. The AMH test is an important step in assessing a woman's fertility, especially for those intending to undergo IVF.
The AMH ovarian reserve assessment test brings the following values:
Assess the degree of ovarian aging; Prognosis of female fertility; Prognosis of menopause age; Predicting ovarian damage after cancer treatment, surgery.

2. What is low ovarian reserve?

AMH is an important indicator of ovarian reserve.
Women are assessed to have low ovarian reserve expressed through the following indicators:
Anti-Mullerian Hormone (AMH); Endocrine reproduction on day 2 of the menstrual cycle; Number of secondary follicles on day 2 ultrasound. Specifically:
AMH index from 1.0-1.25 ng/ml: a woman's ovarian reserve ability declines, although there is still a chance of pregnancy, difficulty. If AMH is less than 1 ng/ml, the prognosis is very difficult in most cases. An AMH index below 0.5ng/ml indicates low ovarian reserve, atrophy and decreased function of both ovaries, almost no secondary follicles and no ovulation. In this case, most people have to apply for IVF ovum to get pregnant

3. How to deal with low ovarian reserve

A low AMH index indicates a low ovarian reserve. As for conception or not depends on many other factors such as uterus, fallopian tubes, mother's medical condition... Many studies show that women with low or very low ovarian reserve can still be able to conceive. give birth with your own eggs if the egg quality is qualified.
If the ovarian reserve is low, the doctor will prescribe a special treatment regimen including high-dose drugs to stimulate the ovaries to make the follicles work again, increase the rate of eggs being produced to increase the chances of conception. pregnant.
If assessed as low ovarian reserve, performing in vitro fertilization (IVF) is judged to have a high success rate, and the woman needs to plan for an early pregnancy.
What to eat to increase ovarian reserve? The AMH test is considered a reliable test. The AMH index can be affected, but there is no way to increase the ovarian reserve because of the natural tendency of the ovarian reserve to decrease over time. The woman herself should not try to increase that index by herself, but should rely on appropriate advice and advice from experts.
The use of stimulants such as alcohol, coffee, tobacco will affect the ovarian reserve and reduce the effectiveness of ovarian stimulation. In addition, stress, psychological effects also significantly affect the results of treatment.

At the same time, it should be noted that when the AMH index is low, not all cases have the same ovarian stimulation response, when a woman's ovaries are too weak, the tonic, the treatment may not work. .
To know how your ovarian reserve is, you just need to go to reputable medical facilities and centers to take blood tests on any day to determine the AMH index. If a woman has AMH and has low ovarian reserve, she may experience early menopause and reduce her chances of becoming pregnant with her own eggs. However, this also depends on the age. Therefore, the trip always encourages people with low AMH to start treatment early to increase the success rate.
Reproductive Support Center at Vinmec Times City International Hospital is built and applies a treatment process that coordinates comprehensive examination, combining both male and female medicine and obstetrics and gynecology to examine and treat pregnant women. Infertility, infertility including ovarian failure in women to give the optimal plan for each patient case. In addition to advanced reproductive support methods, a team of good doctors in the country and the world, with prestige and long experience in the field of infertility have a decisive role in the success of IVF Vinmec.
The center is equipped with a system of modern facilities and equipment, ensuring the best conditions for embryo culture such as the ISO 14644-1 international standard clean room system, Labo is one-way design, Positive pressure blowing clean air and mini embryo incubator system.

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