By Dr. Dipesh Sorathiya, IVF Speciality
One of the many reasons that a couple is not being able to fertilise naturally or not responding to fertilisation treatments is because of the poor ovarian reserve. This is one of the main reasons why, most IVF or in Vitro Fertilisation clinics today, have made ovarian response/reserve testing a must before starting the IVF cycle and its ancillary treatments and processes.
What does Poor Ovarian Reserve testing do?
What this testing ensures is, checking whether the couple is stricken with the problem of poor ovarian reserve and if so, then to what degree. The test also helps in detecting the specific treatments that the biological mother will need to change and improve her poor ovarian responder status. Visiting and consulting with an IFV specialist, will help you clear all doubts in this regard and also learn about the treatments that will help the couple become pregnant.
What exactly is Ovarian Reserve?
Before we get to learn about the different treatment options for poor ovarian responders, it is first important to learn about what exactly is an ovarian reserve. The ovarian reserve is a popular but theoretical concept generated by IVF specialists and embryologists. The concept of this test is to check the capacity or the easiness with which a person’s ovaries can be manipulated with drugs used for fertilisations and be fertilised with IVF. The aim of the process is to create a reserve of several good quality and absolutely healthy eggs in a uterine environment. Any woman with low chances of being fertilised in the first IVF cycle or with low chances of response to the whole process is referred to as poor or low ovarian responders.
What affects Ovarian Reserve?
There are a number of myths that refer to a variety of causes that affect the status of ovarian reserve in a woman. The truth is, there is only one single cause that affects the reserve competency of the ovary in women. This constantly variable factor is the age of a woman. When a girl comes into the world, she is born with all the eggs that will ever have the chance to ovulate. While most women are born with eggs that are all normal and balanced, there will always be some of these eggs that will abnormal or non-responding to any kind of fertilisation treatment.
It so happens, the best and most fertile eggs mature and ovulate faster, leaving behind the genetically weaker ones, behind. Hence the older you plan to reproduce, the lesser are your chances to get fertilised, even with treatment. The healthiest age to try for reproduction or even IVF, if required is within 35 years of age or at the maximum of 40 years.
Treatment options you should opt for:
In case you are tested to be a low or poor ovarian responder, it is important that you continue your treatment with the best and most well known IVF specialists. These specialists will extend you with the guidance of treatments that will help you in improving your condition and also your chances of being fertilised. Some of these treatments include-
- Fertility Diet- that includes lots of fruits and vegetables that help detoxify your body, avoids red meats, food high in animal fats and all types of dairy products, and consumption of Royal jelly, Conj juice, Maca, and sea vegetables.
- Intake of vitamins like- Vitamin C, Vitamin E, CoQ10 and L-Arginine.
- Self Fertility Massage.
- Fertility Detox.
- Herbal Remedies like Vitex, etc.
All these remedies should be expert prescribed before you start implementing any of them. Follow the guidelines extended to you by experts, in order to maintain high success rate from the treatments.