Diminished Ovarian Reserve

Diagnosis

Effective treatment of DOR starts with timely diagnosis. Timely diagnosis is crucial because once the ovarian reserveovarian reserve begins declining, it continues to decline with time. The sooner diminished ovarian reserve can be diagnosed, the sooner effective treatment can begin, and the sooner the treatment starts, the better the pregnancy chances are.

CHR Explains

"Don't 'wait and see' or postpone treatment for DOR. Ovarian reserve can deteriorate quickly."

Center For Human Reproduction: Dr. Norbert Gleicher, best fertility specialist in the US Dr. Norbert Gleicher

As the center of last resort for women with DOR, CHR meets many women who have postponed treatment for DOR while "waiting for the FSH levels to come down" or while undergoing endless tests at other fertility centers. Unfortunately, without treatment, the chances of pregnancy after 40 can only get worse with time.

The same time-sensitivity applies to women with POA, whose ovarian reserve can deteriorate quickly. Not a day passes when we don't hear patients say, "Doctor, I wish I'd known about your center years ago, when I was doing such and such..."

CHR can diagnose DOR relatively easily with a few blood tests that measure follicle stimulating hormone (FSH)(FSH) and anti-Müllerian hormone (AMH)anti-Müllerian hormone (AMH) levels. High FSH levels and low AMH levels indicate diminished ovarian reserve and the need for aggressive fertility treatment. Of course, especially for younger women who may have POA, it is crucial that their FSH and AMH levels are measured against age-specific baseline values, rather than a universal cut-off values. Following diagnosis, we recommend that patients proceed to treatment as quickly as possible to maximize their pregnancy chances.

Read more about Diminished Ovarian Reserve

What is DOR?

The ability of a woman's ovaries to produce high-quality eggs is known as ovarian reserve (OR)...

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Treatment

Many women diagnosed with DOR are told by their reproductive endocrinologists that using donor eggs...

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infertility physician

Norbert Gleicher, MD, FACOG, FACS

Norbert Gleicher, MD, leads CHR’s clinical and research efforts as Medical Director and Chief Scientist. A world-renowned reproductive endocrinologist, Dr. Gleicher has published hundreds of peer-reviewed papers and lectured globally while keeping an active clinical career focused on ovarian aging, immunological issues and other difficult cases of infertility.

Follow Dr. Norbert Gleicher on Google+ Center for Human Reproduction: Follow us on Google+. IVF center with best fertility options for each infertility patient. or LinkedIn Center for Human Reproduction: Follow us on Google+. IVF center with best fertility options for each infertility patient.

Last Updated: October 8, 2018

Additional Resources

Why CHR is such a different fertility center Fertility center with a unique institutional structure When looking at what differentiates fertility centers, all starts with ownership and ...

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CHR’s Almost 48-Year-Old Patient in DuJour Magazine: CHR In... DuJour, a New York City-based magazine, featured Norbert Gleicher, MD, CHR’s Medical Director and Chief Scientist, in its Winter 2018

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