Poor Ovarian reserve means the number and quality of follicles in both the ovaries which eventually grow to make eggs in a woman.
Now women with decreased ovarian reserve do have regular menses but the response to ovarian stimulation or fecundity is reduced when compared to other women of the same reproductive age.
Why ovarian test is Important ?
Various ovarian reserve tests help in identifying women with decreased ovarian reserve. The number and quality of remaining oocytes(eggs) are assessed by tests for ovarian reserve.
These include both biochemical tests and ultrasonographical imaging. Tests like an anti-Mullerian hormone(AMH), inhibin B, day-3 serum follicle-stimulating hormone (FSH), and serum estradiol.
Use of Ultrasonography for Ovarian Volume :
Ultrasonography is used to measure antral follicle count (AFC) and ovarian volume.
These tests may provide prognostic information in women at increased risk of diminished ovarian reserve, such as women are-
Over age 35 years
Have a family history of early menopause
Have a single ovary or previous ovarian surgery, chemotherapy, or pelvic radiation therapy.