Diminished Ovarian Reserve (DOR) otherwise known as Low Ovarian Reserve is a condition where the ovary exhibits reduced reproductive potential thereby affecting fertility of many women. The main reason for DOR is defined by reduction in quantity of ovarian follicular pool in reproductive women.
These are the common symptoms for DOR or POR( Poor Ovarian Reserve)
1. Reduced Menstrual cycle from 28 days to 24 days
2. Signs of Low estrogen
3. Elevated basal follicle-stimulating hormone
4 .Hot flashes, vaginal dryness etc.,
5. Missed Menstrual periods
Though these are the common symptoms, it has been also observed that DOR or POR occurs irrespective of age in some people for which the cause has not been identified so far. Any illness or genetic abnormalities can also lead to Poor Ovarian reserve.
Generally age is factor in diminished ovarian reserve as when women age it impacts quality and quantity of ovarian follicular pool which leads to reduction in Ovarian reserve otherwise known as poor ovarian reserve. This condition is present nearly in 30% of people coming for fertility treatments.
Diminished Ovarian Reserve (DOR) is an indicator of reduced size of ovarian follicular pool and the eggs would be very of low and suboptimal quality. Though IVF might be the only option , there are also some people who have conceived naturally.
Women with DOR may need to be counseled on their limited reproductive lifespan, treatment cost with low probability. Currently there is no medical intervention available to reduce the follicular atresia and increase the fertility. Though freezing the egg is one of the viable option it doesn’t guarantee pregnancy and childbirth and with increasing incidence of Low Ovarian Reserve, women may be need to counseled well..