Why Young Women Need a Screening for Premature Ovarian Aging (POA)
The Center for Human Reproduction’s Dr. Vitaly A Kushnir explains that premature ovarian aging (POA) affects future pregnancy, and young women should get risk-screened for POA.
The family planning visit offers a perfect opportunity to have a conversation about screening of ovarian reserve. Traditionally, that really hasn’t been the focus of such visits and those visits have usually been focused more on contraception services and trying to prevent pregnancy, but really the question should be asked – “When are you thinking about having your first child?” In this context, I think a review of natural fertility decline with age should be part of this conversation, part of the family planning conversation. If a woman expresses interest in delaying her fertility for a significant amount of time, particularly into the years where fertility is known to decline, or if she has some of those risk factors that I outlined before for developing low ovarian reserve, like a family history or she has undergone surgeries on her ovaries, then I think it makes a lot of sense to screen, at least offer this woman screening, of her ovarian reserve. And this can be accomplished with either a simple blood test or an ultrasound or a combination of the two.