Ovarian reserve hormonal and ultrasound parameters in female subfertility

Abstract

Abstract newlineThere is a scarcity in literature in providing strong evidence of a single ovarian reserve test for predicting newlinediminished ovarian reserve in sub fertile women which creates the research gap. Combination of few newlineovarian reserve parameters have been used for assessing and individualizing gonadotrophin dosage and newlineprediction of response to ovarian stimulation. It is also extremely important to avoid ovarian newlinehyperstimulation with exogenous gonadotrophins - a life threatening complication of ovarian stimulation newlineduring assisted reproductive techniques. There is a need to strike a correct balance in predicting response newlineto exogenous gonadotrophins so that hypo response resulting in cycle cancellation, reduced pregnancy newlinerates, can be avoided. Pretreatment workup, measuring the right combination of ovarian reserve newlineparameters have been tried over and again in literature. The set of ovarian markers which will correctly newlinepredict ovarian function for Indian population is still being debated. newlineThe need of the study can be summarized as: and#61623; Identification of couples with ovulatory factor of infertility newlineand#61623; Predicts the reproductive potential of the woman with ovarian reserve tests and#61623; Identifies couple at risk newlineof diminished ovarian response, thereby helps to counsel them: As there is poor response to gonadotropin newlinestimulation and less chances of achieving pregnancy with ART. and#61623; Predicts hyper-responders and thus help newlinein safe stimulation regimes to prevent OHSS without compromising pregnancy rate and#61623; Identifying predictive newlinemodel by incorporating more than one ovarian reserve tests for detecting diminished ovarian reserve and newlinefurther planning of stimulation protocol in the study population. and#61623; To reduce unnecessary burden of newlinemultiple tests conducted thus reduce the financial stress on infertile women and#61623; To counsel the sub fertile newlinewomen adequately for reduction of their psychological stress. and#61623;