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Fertility with early reduction of ovarian reserve: the last straw that breaks the Camel’s back

机译:生育力和卵巢储备的早期减少:打破骆驼背的最后一根稻草

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摘要

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.
机译:生育力下降和卵巢反应差给生殖医学领域的专家们带来了难题。除医源性因素外,关于卵巢储备减少的危险因素的知识知之甚少。当今女性不育的主要原因之一是卵巢储备(DOR)减少。 DOR的特征是女性卵巢中的卵子数量少和/或剩余卵子的质量较差,这甚至会导致现有卵子的发育受损,即使采用辅助生殖技术也是如此。如果对她们进行个性化的个性化治疗,那么很多卵巢储备量低的妇女可能会用自己的卵受孕。应该为此类患者提供适当的建议,以采取积极措施来实现生育。开始治疗越早,怀孕的机会就越大。

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