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    What is Poor Ovarian Reserve (POR)?

    An ovarian reserve is the capability of a woman to produce good quality eggs in desired numbers. A good ovarian reserve is the prerequisite of getting pregnant and there are different parameters that are used to assess ovarian reserve in a woman that are her age, morphological features, and previous medical history. Ultrasound and certain blood tests are important in determining a woman’s ovarian reserve. Age turns out to be the most crucial aspect in deciding about the egg reserve of a woman as the reserve keeps on depleting with age. With a tendency to consume eggs at different paces, every woman may have different egg count at a same age. Ovarian reserve is defined with the help of two aspects, advanced maternal age (>40 years) and decreased number of eggs or oocytes with conventional IVF stimulation. In addition, lesser number of follicles seen on an ultrasound scan or a poor value of AMH (Anti Mullerian Hormone) also indicate a poor ovarian reserve.

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    What is Frozen Embryo Transfer (FET)?

    Frozen Embryo Transfer (FET) is done after embryos are prepared and transferred after few menstrual cycles. In a Fresh IVF cycle, embryos are prepared and transferred into uterus during the same cycle. There are various benefits of FET over a fresh cycle embryo transfer; firstly the success rate in case of women over the age of 35 years was quite high as compared to the ones who had a fresh cycle embryo transfer. Secondly, the patients that had elevated levels of progesterone hormone before egg retrieval. This has inspired the fertility experts to think if other patients can benefit from the freeze- all approach.

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    Anovulation and Fertility: what you need to know

    Anovulation is one of the most common reasons for infertility in women along with PCOS (polycystic ovary syndrome). Anovulation is a condition when a woman doesn't produce a follicle; she therefore cannot mature an egg and cannot release it. This is different from PCOS, as women with PCOS can produce follicles that do not mature and get accumulated in the ovaries. Anovulation can be there for women who menstruate regularly as well while women with PCOS who have irregular cycles have high possibilities that they do not ovulate. There are however, ways to check for anovulation through day 21 progesterone test, thyroid and prolactin hormone test and ovarian hormone (AMH) test to tell what can be the causing factor behind anovulation. It can be treated if properly taken care of with the prescribed treatment from a gynecologist.

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    Understanding Fibroids and Abnormal uterine bleeding

    Fibroids that are compact uterine tumors that grows in as many as 80% women during reproductive years. Seen in different sizes, these muscular tissue growth found inside and outside of the uterus can be both large and small. Women with fibroids may have fewer to severe symptoms like heavy menstrual bleeding, severe pelvic pain and frequent urination. At times, a woman with fibroids might not show any symptoms at all. These can come to light during a regular pelvic exam or procedures like biopsy, ultrasound or MRI. It can be monitored over a period of time by the physician to ensure that the fibroid/s doesn’t continue to grow. For the large fibroids, specific treatment methods are recommended for a patient. There are various treatment approaches for fibroids depending on their sizes and location. Laparoscopic myomectomy is a minimally invasive technique that is used to surgically remove a fibroid by making few incisions in the abdomen. Anti-hormonal medication is used to shrink fibroids or completely treating them. Uterine Fibroid Embolization (UFE) treats fibroids with a short recovery time.

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