Determination of ovarian reserve

Over the course of a woman's life, about 300 eggs ovulate and can potentially participate in conception. Thanks to this "gold reserve" in the reproductive period, it is possible to become pregnant and give birth to a child, and in the absence of viable germ cells, fertilization in a natural way is impossible.

The results of the analysis for the ovarian reserve can provide answers to exciting questions:

• is pregnancy possible without the use of assisted reproductive technologies;
• is there time left to postpone pregnancy for personal reasons or is it advisable to start preparing for motherhood right now;
• how many years there will still be the possibility of conception in a natural way;
• what is the estimated time of the onset of menopause.

In Ukraine, modern diagnostic techniques have affordable prices; an analysis for a quantitative supply of eggs is recommended for every woman over 35 who wants to have children.

Many factors can decrease ovarian reserve. Therefore, diagnostics are recommended in such situations:

• infertility in the absence of other gynecological or extragenital pathologies;
• the need to select the optimal method of reproductive technologies;
• preparation for the IVF protocol;
• checking the ovarian reserve after undergoing chemoradiation therapy, surgery on the pelvic organs;
• assessment of the reproductive potential of a patient with a burdened heredity.

The affordable cost of the analysis for ovarian reserve and the absence of absolute contraindications to its conduct explains the great popularity of the study. Doctors of the MC Dobrobut clinic in Kyiv recommend a comprehensive program "Determination of the ovarian reserve" for women 18-53 years old. Consultation on the results of diagnostics is provided by a leading obstetrician-gynecologist or an expert in the field of reproductive medicine. The program is valid for 2 months from the date of purchase.

To accurately calculate the number of full-fledged follicles and determine the functional ability of the ovaries, the following methods are used:

• Ultrasound of the pelvic organs using a transvaginal sensor to determine the size and internal structure of the ovaries, counting the number of follicles (normally 10-30 pieces);
• analyzes of venous blood for sex hormones - pituitary follicle-stimulating hormone, estradiol, anti-Müllerian hormone.

The program "Determination of ovarian reserve" in our clinic is carried out by a combination of these two methods, which allows you to get the most accurate results.

Diagnostic prices in Kyiv depend on the volume of tests performed, the urgency of their implementation, the need for additional instrumental diagnostics. The cost of the procedure is influenced by the qualifications of the doctor and the level of equipment in the chosen medical center. You do not need to save on your health and choose unverified clinics since they cannot guarantee the reliability of the results.

1. Moiseeva, Aleksandra V., et al. Genetic determination of the ovarian reserve: a literature review. Journal of Ovarian Research 14.1 (2021): 1-9.
2. Пирогова, В. І., and М. Ференц. Фертильність і оваріальний резерв (Клінічна лекція). Здоров‘я жінки 8 (2018): 10-13.
3. Дубчак, А. Є., et al. Особливості оваріального резерву у жінок з безплідністю після органозберігальних операцій на органах малого таза. (2017).
4. Tal, Reshef, and David B. Seifer. Ovarian reserve testing: a user’s guide. American journal of obstetrics and gynecology217.2 (2017): 129-140.