26 જૂન In Uncategorized By admin No comments 40+ women & infertility Why does fertility decline with age? Less oocyte count poor quality oocyte(anenploid oocytes). Reduced uterine lining vascular perfusion. Ovulatory dysfunction. Endometrosis, Fibroids. Which test available to predict ovanan responce? Basal FSH, E2 (Day1, Day2, Day3) Basal antral follicle count measured by sonography 8 AMH (Anti-Mullerian Hormone) Which practical options of treatment protocols? IVF with own/donor egg is the commonly practiced option. The choice will depend on Ovarian reserve or ovarian response assessment. Patient’s affordability economically. AMH >=1 ng, Afc >=6 IVF with own egg Amh (<=1 ng), Afc <= 6 IVF with donor egg or donor embryo In +40 age, IVF cycle More gonadotropin (Hormone) injection required More chance of cycle cancellation Possibility of getting low oocyte 50 low embryo compare to young patient Less endometrium receptivity 50 less chance of success compare to young patient.
No Comments