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What Is Low Egg Reserve?

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Every girl child is born with a certain egg reserve. The young girl, who lays one egg every month with the entry into puberty, continues to ovulate until menopause. For this reason, the reproductive period between adolescence and menopause is called the age. This congenital egg reserve may decrease depending on many factors such as the medication used by the woman in life, unhealthy diet and living conditions. For example, the number of eggs in the mother’s womb, which is on average 6 million and 2 million after birth, gradually decreases after puberty, and about 400 are spent with one ovulation per month when entering puberty. By continuing like this, all eggs are finished at the entrance to menopause. Especially with advancing age, since the number of eggs decreases, the rate of conception decreases. In cases where the egg capacity is weak, an extra treatment and supplement is absolutely needed to achieve pregnancy. In this context, if IVF application is planned for the couple who apply to the doctor because pregnancy cannot be achieved naturally and the woman’s egg capacity is weak, the number of eggs is tried to be increased with medication.

Treatment options for those with low egg capacity

Those with low egg capacity usually experience recurrent miscarriage pregnancies and unsuccessful IVF treatments. Following these, the medications used to stimulate the ovaries can be changed. However, very successful results cannot be achieved this way. Patients who have been subjected to long protocols in previous unsuccessful IVF trials are given short protocols this time and the dose of medications can be increased. Although the number of eggs can be increased in this way, the number of healthy embryos obtained in IVF treatment does not increase at the same rate. In addition, aromatase inhibitor, acupuncture treatments and non-medication treatment method called spontaneous cycle can be performed to increase egg capacity.

What are the symptoms of low egg capacity?

Under normal health conditions, every woman menstruates at intervals of 21-35 days. Between menstrual bleeding should be at least 21 days. If the woman’s two menstrual bleeding decreases in the day between her two periods, this is a sign of low egg reserve. However, when the woman who cannot conceive naturally becomes pregnant with assisted reproductive treatment methods, the termination of pregnancy with miscarriage may be suspected of weakness of egg reserve. When the ovarian capacity decreases due to advancing age or an abnormal formation, unhealthy eggs occur. In this case, the sperm fertilized with the unhealthy egg causes unhealthy embryo formation and therefore unsuccessful pregnancies.

In this context, it is a natural consequence that the unhealthy embryo cannot attach to the mother’s womb and falls. In such cases, even if the pregnancy continues without miscarriage and birth occurs, babies with chromosomal disorders such as Down Syndrome may be born. In this context, if the woman’s own natural egg capacity is low, the number of eggs to be obtained by stimulating the ovaries with IVF treatment or another treatment will be less than expected. Since the number of eggs cannot be increased as much as necessary, the probability of obtaining pregnancy will also decrease. Regardless of which treatment is used, if the woman’s egg capacity is low, the rate of unsuccessful results from the treatments is weak and these failures are repeated.

What are the factors that cause low egg capacity?

The highest chance of a woman conceiving in health conditions is considered to be 25 years. While the rate of conceiving naturally is high around 25-35, it is very difficult to conceive naturally after 35 and even 40.

When personal differences are set aside and general evaluation is made, it is difficult to achieve pregnancy in women over the age of 45 and the probability of continuation of the pregnancy is low. The main factor that plays a role in all these cases is the reduced egg capacity. Women in their family who have a history of early menopause or inability to conceive due to low egg reserve should pay special attention to this issue. Because it is known that genetic factors also play a role in egg capacity. In addition, endometriosis (chocolate cyst), which occurs when intrauterine tissue is formed in an area outside the uterus, chemotherapy, radiotherapy and ovarian surgeries applied in cancer treatment can weaken the egg capacity of the woman.

For detailed information, you can contact CENTRUM IVF Center.

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