EVALUATION OF OVARIAN RESERVE IN LATE REPRODUCTIVE AGE

Abstract

Although follicle stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E2), antimullerian hormone (AMH), and ovarian volume are commonly used to assess ovarian reserve and ovarian response to stimulation, no test directly indicates this. It was aimed to observe how ovarian reserve tests help us in diagnosis and treatment for women of late reproductive age. 190 patients were included in this prospective cohort study. FSH, LH, E2 and AMH blood samples were taken on the third day of menstruation to biochemically evaluate the ovarian reserve in 190 patients who were planned for hysterectomy and bilateral salpingoopherectomy at late reproductive age, and antral follicle count (AFC) and ovarian volume were recorded by transvaginal ultrasonography for ultrasonographic evaluation. Ovarian weight was weighed postoperatively. When the data of 190 women aged 39-44.9 years are analyzed, AMH and ovarian volume, ovarian volume and AFS show significant positive correlations. FSH, LH and E2 levels do not show a significant relationship with AFS. AMH, ovarian volume and ovarian weight, and AFC can show us the ovarian reserve with the highest reliability in women of late reproductive age.

Keywords

• Antimüllerian hormone
• antral follicle
• infertility
• ovarian reserves

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