What is Diminished Ovarian Reserve?
Diminished Ovarian Reserve (DOR) refers to a condition where the ovaries lose their normal reproductive potential, compromising fertility. This can occur due to a decline in the number and quality of
oocytes (eggs). Women with DOR may have difficulty conceiving naturally and might require assistance from fertility treatments.
Causes of Diminished Ovarian Reserve
Several factors can contribute to DOR, including: Advanced maternal age
Genetic abnormalities
Autoimmune disorders
Past ovarian surgery or damage
Chemotherapy or radiation therapy
Endometriosis
Environmental factors and lifestyle choices
Symptoms of Diminished Ovarian Reserve
Often, DOR does not present obvious symptoms until a woman attempts to conceive. Some potential signs include:Diagnosis of Diminished Ovarian Reserve
Diagnosing DOR typically involves a combination of assessments, including: Hormonal blood tests, such as measuring levels of
AMH and
FSH Antral follicle count (AFC) via transvaginal ultrasound
Ovarian volume assessment
Treatment Options
Treatment for DOR focuses on improving fertility chances and may include:Prognosis and Fertility Outcomes
The prognosis for women with DOR varies depending on age, the extent of ovarian reserve reduction, and other individual factors. While DOR can make it more challenging to conceive, assisted reproductive technologies (ART) have significantly improved outcomes for many women.Prevention and Early Detection
While some causes of DOR are unavoidable, early detection and proactive management can improve fertility outcomes. Regular gynecological check-ups, awareness of family history, and timely fertility evaluations are essential steps in managing DOR effectively.Conclusion
Diminished Ovarian Reserve is a complex condition with multifaceted causes and treatment options. Early diagnosis and individualized treatment plans are crucial for optimizing fertility outcomes. Women experiencing symptoms or having risk factors should consult with a gynecologist to explore their fertility potential and available interventions.
