Poor Ovarian Reserve
Poor Ovarian Reserve
Poor Ovarian Reserve (POR) refers to a reduced quantity and often quality of eggs in the ovaries, which can affect fertility and response to stimulation. Management focuses on optimizing egg potential and offering appropriate fertility options.
Causes
- Advancing maternal age
- Genetic factors
- Previous ovarian surgery
- Endometriosis
- Chemotherapy or radiation
- Idiopathic (unknown causes)
Diagnosis
- Anti-Müllerian Hormone (AMH) levels
- Antral follicle count (AFC) on ultrasound
- Day 2/3 FSH and estradiol levels
- Clinical fertility history
Treatment Approach
Individualized Ovarian Stimulation
Tailored low- or high-dose stimulation protocols
Use of advanced stimulation strategies
IVF with Specialized Protocols
Mild stimulation or antagonist protocols
Double stimulation (DuoStim) in selected cases
Focus on quality rather than quantity of eggs
Adjunct Therapies
Nutritional and lifestyle optimization
Supplements such as antioxidants (as advised)
Hormonal priming in specific cases
Alternative Options
- Egg donation for very low ovarian reserve
- Fertility preservation planning when possible
Fertility Counseling
- Realistic discussion of success rates
- Emotional support and clear guidance
- Planning timely treatment to maximize chances
Risks & Challenges
- Poor response to stimulation
- Cycle cancellation in some cases
- Emotional stress
With early diagnosis, expert protocol selection, and compassionate counseling, women with poor ovarian reserve can still achieve pregnancy through individualized fertility treatment and advanced reproductive techniques.
