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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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    What is Endometriosis?

    It discusses Endometriosis, a common cause of infertility and other complications in a woman’s health. It is a condition that causes the uterine tissues to grow outside of uterus. Women suffering from endometriosis can have severe to no symptoms at all. Symptoms like excessive pain during or in between periods, pain while passing urine and stool, and dyspareunia (painful sex) are strong indicators of the condition. Surgery and biopsy are the methods that can definitively diagnose endometriosis. Impact of this health condition is not clear on fertility despite many infertility cases being presented with endometriosis. Scarring of the uterine tissues can be observed in a severe case of endometriosis while in mild ones it can affect the ability of implantation or embryo development. Treatment options for endometriosis consist of both medicinal and surgical. Medicinal option is mainly based on hormones and may include combination birth control pills or progesterone hormone pills. The surgical correction can come in form of both, minimally invasive surgery like a gynae laparoscopy or an open surgery for endometriosis.

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    Early Menopause - Signs, Precautions and Treatments

    Early menopause is a serious health issue in women and has potential health complications if left untreated. It is obvious for a woman to suspect an early menopause if she experiences lighter menstrual periods with increasing length of the cycle or does not menstruate at all and gets symptoms like hot flashes, night sweats and irritability when she is still under the age of 45 years. Early menopause is not only about infertility but in addition to that it also means many other serious health problems that can cause a woman to have a cardiovascular disease, bone disease like osteoporosis and damage to brain leading to dementia due to the fact that female sex hormones protect these vital organs in various ways. The risk is elevated for those women who have their ovaries removed before the age of 45 years. Early menopause if not addressed in time may affect sexual desire, overall mood and may cause pain while intercourse because of reduced estrogen in the vaginal tissues. Hormone therapy is known to reduce all these complications and improve sexual functioning. Importantly, early menopause therapy along with estrogen therapy is safe and can be continued till the natural age of menopause that is around 51 years.

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