What is the most accurate treatment method for low ovarian reserve?
“The right approach to the patient with low ovarian reserve is to ensure that they have a child as soon as possible. Definitely, having a few embryos which can be frozen and stored makes us more beneficial to the patient. In fact, those patients may sometimes get pregnant without treatment and in that case they wait for a very long time for pregnancy. However, even though they could get pregnant naturally, if they did not store a frozen embryo, they may have lost their bad reserves when they think of having the second child. For this reason, the most appropriate approach to the patients with low ovarian reserve is the method of In vitro fertilization.”
HOW IS IT DIFFERENT THAN THE STANDARD TREATMENT?
What are the specific treatment methods for a person with low ovarian reserve?
“Patients with low ovarian reserve are treated with slightly different methods than IVF. Although the most important features of them seem to be the lack of eggs regarding the quantity, it is also considered that the quality of the eggs may not be good, some of the embryos may have disorders in the development or there may be some genetic problems in the infrastructure. Some information is shared with the patient at the beginning. These are;
- It might be necessary for them to do IVF more than once.
- It is possible to collect the embryos which was formed as a result of IVF treatment and frozen so that it can be transferred after a month or two months.
- Genetic scanning can be done to the formed embryo.
Additionally, we should also inform the patients that they may be needed to be treated with a lower dose of medication or pills, called mini IVF, instead of using high-dose medication as in normal treatments.
“VERY LOW-DOSE MEDICINE IS USED”
Is the treatment of the patients with low ovarian reserve is different than the others?
“ High-dose medication is used in the standard treatment because the aim is to obtain a large number of eggs. As a result, we have a lot options and we have a chance to choose the right and the healthiest embryo. Yet, we do not have this opportunity with the patients with low ovarian reserve. High-dose medication damages the quality of the existing eggs. The problems regarding low fertility rate of the taken egg or low development rate can be seen. Sometimes an embryo to transfer cannot be formed. For this reason, recently, a very low-dose medicine and sometimes natural treatment are used for the patients with low ovarian reserve so that we can obtain better developed and healthier embryos by using their own eggs. In this way, collecting, storing, pooling the embryos in that month and checking the embryos over and over again to look for their genetics are the things which differs from the standard treatment.
What do you recommend to the patients with low ovarian reserve?
“ First of all, the patients with the diagnosis of low ovarian reserve should maintain their calmness. They should apply to a center and an expert who are professionals in this issue. The eggs of even single patients can legally be collected, frozen and stored to be used in the future at the centers. We also offer the opportunity of forming, freezing and keeping embryos of the patients who are married, not willing to have a child currently but interested in it in the future.”