With diminished ovarian reserve, we are talking about the number of eggs remaining in the ovaries according to what we expect for a certain age group. We can see diminished ovarian reserve according to certain parameters such as when we have a family history of diminished ovarian reserve; when we have genetic disorders like chromosome X disorder; when we have endometriosis, tubal disease, a certain lifestyle that has lead to low ovarian reserve such as the use of drugs, smoking or cancer therapy in the past that could have caused the ovarian reserve to decrease. We can also have extensive operations for endometriosis or other reasons that could have damaged the ovaries. All of these factors can lead to a diminished ovarian reserve.
Actually it’s but the thing is it would be common because I’m sitting in a clinic where people are having problems and issues and they’re coming to check up, so the definition of a poor egg reserve is an egg reserve which is really low in number, so up to five you’re likely to still be able to do IVF but nobody knows how you’re going to respond and how many eggs you’re going to get – it’s just sort of a guideline but if it’s as low as 0.101 why would you waste your money, your time, your energy doing something like IVF with such a poor percentage chance for you
I also want to say that AMH is just one marker – It’s thyroid, an ultrasound scan to count the number of follicles on the ovaries, other hormones such as prolactin FSH etc.
It is difficult as every woman is different but when we have less than 1.2 ng/ml of AMH, when we have a woman older than 35 years old and when we have an Antral Follicle Count of less than 5, this means that we have a low ovarian reserve.
There is a criteria called POSEIDON criteria, which includes these three topics and it helps put us in a range of how diminished that ovarian reserve is according to these three topics.
