Managing poor ovarian response in the patient with diminished ovarian reserve

被引:40
作者
Cedars, Marcelle I. [1 ]
机构
[1] Univ Calif San Francisco, Sch Med, Dept Obstet Gynecol & Reprod Sci, Mission Hall,Box 0132,550 16th St,7th Floor, San Francisco, CA 94143 USA
关键词
Poor ovarian response; diminished ovarian reserve; ovarian stimulation;
D O I
10.1016/j.fertnstert.2022.02.026
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
This month's Views and Reviews provides insights into one of the most difficult clinical care populations: individuals with low ovarian reserve and limited response to stimulation. After a discussion of available definitions of "poor ovarian response" and how new definitions are improving the characterization of the individual patient and our ability to offer prognosis, we review alternative strategies for management. The first chapter presents options for pretreatment, including hormonal manipulation and nutriceuticals. The second chapter discusses the potential benefit of more gentle stimulation in this population. Subsequent chapters address adjuvants during stimulation, alterations of final oocyte maturation and processes in the laboratory, and finally when and how to stop treatment. ((C) 2022 by American Society for Reproductive Medicine.)
引用
收藏
页码:655 / 656
页数:2
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