Rasool Sabahat, Shah Duru
Gynaecworld, Kwality House, 1st Floor, Kemps Corner, Mumbai, India.
Scientific Director & Fertility Expert, Gynaecworld, Kwality House, 1st Floor, Kemps Corner, Mumbai, India.
Fertil Res Pract. 2017 Oct 11;3:15. doi: 10.1186/s40738-017-0041-1. eCollection 2017.
Diminished fertility and poor ovarian response pose a conundrum to the experts in the field of reproductive medicine. There is limited knowledge about the risk factors of diminished ovarian reserve other than the iatrogenic ones. One of the leading causes of infertility in women today is diminished ovarian reserve (DOR). DOR is characterized by a low number of eggs in a woman's ovaries and/or with poor quality of the remaining eggs, which boils down to impaired development of the existing eggs, even with assisted reproductive techniques. A good number of such women with low ovarian reserve may conceive with their own eggs, if they are given individualized treatment that is tailored for their profile. Such patients should be counseled appropriately for an aggressive approach towards achieving fertility. The sooner the treatment is started, the better the chances of pregnancy.
生育能力下降和卵巢反应不良给生殖医学领域的专家带来了难题。除医源性因素外,关于卵巢储备功能下降的风险因素的了解有限。当今女性不孕的主要原因之一是卵巢储备功能下降(DOR)。DOR的特征是女性卵巢中的卵子数量少和/或剩余卵子质量差,归根结底是现有卵子发育受损,即使采用辅助生殖技术也是如此。许多卵巢储备功能低的女性,如果接受针对其个人情况的个体化治疗,可能会用自己的卵子受孕。应该对这类患者进行适当的咨询,采取积极的方法来实现生育。治疗开始得越早,怀孕的机会就越好。