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B4. Functional diagnostics of the ovarian capacity, cycle diagnostic: Difference between revisions
B4. Functional diagnostics of the ovarian capacity, cycle diagnostic (view source)
Revision as of 16:19, 30 May 2024
, 30 Mayno edit summary
(Created page with "These investigations are mostly relevant for the evaluation of infertility. == Medical history and labs == The regularity of the menstrual cycle is important in assessing the ovarian cycle. A cycle is considered normal when it comes every 24 – 38 days. Elevated serum progesterone over a certain value (> 3 ng/mL or > 10 nmol/L) mid-luteal phase (day 21) is indicative of ovulation. If this increase does not occur, the patient has anovulation and should be investigated...") |
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== Ovarian reserve assessment == | == Ovarian reserve assessment == | ||
Decreased ovarian reserve refers to decreased oocyte quality, quantity, or reproductive potential. These techniques can estimate the number of eggs in the ovaries (ovarian reserve) and is useful in the management of infertility. They can guide the choice and amount of medication to be given. | <section begin="clinical biochemistry" />Decreased ovarian reserve refers to decreased oocyte quality, quantity, or reproductive potential. These techniques can estimate the number of eggs in the ovaries (ovarian reserve) and is useful in the management of infertility. They can guide the choice and amount of medication to be given. | ||
The two most commonly used tests nowadays are anti-Müllerian hormone (AMH) measurement and antral follicle count (AFC). | The two most commonly used tests nowadays are anti-Müllerian hormone (AMH) measurement and antral follicle count (AFC). | ||
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The ovarian reserve declines by approximately 5% per year. | The ovarian reserve declines by approximately 5% per year. | ||
<section end="clinical biochemistry" /> | |||
== Anatomic and endometrial evaluation == | == Anatomic and endometrial evaluation == | ||
Evaluation of the endometrial thickness and phase by ultrasound is used. | Evaluation of the endometrial thickness and phase by ultrasound is used. | ||