Poor ovarian reserve (POR) in women is one of the major factors that plays a very vital role for the success and treatment of infertility. This is an indication of the quality and quantity of a woman's age and of the oocytes. The relation of the age of the patient's which can be due to diversity of the etiological factors. For the success rate, the evaluations of the therapeutic strategies and ovarian reserves play a vital role.
How IVF can make a difference
Those who are diagnosed with POR can go ahead and use the IVF method if they are trying for a baby, while there may be a risk factor in association to the success of the pregnancy, however with proper guidance, treatment, regular monitoring and precautionary measures, this can be minimized. This can also be helpful so that the need of an egg donor can be avoided. With this condition, a woman can have high chances of pregnancy loss and it does not matter which age group she may belong to.
Indications of POR
One of the major indications of POR is the fact that the menstrual cycles are short due to the ovulation and follicle development. Even the increasing age could be one of the associations as to why the oocyte may decline. As per a work group that is associated with the European Society of Human Reproductions and Embryology else known as ESHRE, out of the three main features at least two of them would be needed in order for an unsuccessful attempt of IVF, the three main reasons would be as follows
1) If it is pertaining to POR, then the reason why the IVF would be unsuccessful would be due to the various risks factor which includes the advancement of the maternal age.
2) If there has been a previous history of POR due to which the IVF was not successful
3) If the patient has ORT which is a test conducted for an ovarian reserve that is abnormal.
If the person is considered to be a poor responder, this means that even after the maxim mum stimulation, the person has had two episodes of an unsuccessful IVF due to POR. This could be due to various reasons such as
1) The person is said to be in the advanced stages in regards to an abnormal ORT.
2) It could be due to the ovarian reserve's reduction
3) In regards to the outcome of the ovarian stimulation cycle, the person may act as a surrogate.
Under the above mentioned situations, then the patient is considered to be an expected poor responder. While there is no definition of what you can term as a universal terminology used for a poor responder, however the various factors and considerations of the failed IVF treatment can surely be the main reason's as to why the procedure was not successful. Although there are two main sub groups wherein woman who are POR can be classified, they would be
1) The stimulated cycles previously resulted in the POR as per the observations made which is else known as a definition that is retro-spective.
2) The reason for the POR is due to the various reasons which can be seen in the tests for ovarian reason like an ovarian surgery, age, etc else known as a definition that is prospective.