Poor ovarian reserve

[2][3] However, other studies show no association with elevated FSH levels and genetic quality of embryos after adjusting for age.

Also, the review concluded the use of any ORT (Ovarian Reserve Testing) for outcome prediction cannot be supported.

[14] Elevated serum follicle stimulating hormone (FSH) level measured on day three of the menstrual cycle.

One study showed an elevated basal day-three FSH is correlated with diminished ovarian reserve in women aged over 35 years and is associated with poor pregnancy rates after treatment of ovulation induction (6% versus 42%).

[16] The rates for spontaneous pregnancy in older women with elevated FSH levels have not been studied very well and the spontaneous pregnancy success rate, while low, may be underestimated due to non reporting bias, as most infertility clinics will not accept women over the age of forty with FSH levels in the premenopausal range or higher.

[citation needed] Transvaginal ultrasonography can be used to determine antral follicle count (AFC).

[17] This method of determining ovarian reserve is recommended by Dr. Sherman J. Silber, author and medical director of the Infertility Center of St.

Age and AFC and Age of Loss of Natural Fertility (See Broekmans, et al. [2004]) (Both Ovaries) AFC and FSH Stimulation Recommendations for Cycles Using Assisted Reproduction Technology[22] Variable success rate with treatment, very few controlled studies, mostly case reports.