Artículos de revistas
Ovarian reserve evaluation: state of the art
Fecha
2008Registro en:
JOURNAL OF ASSISTED REPRODUCTION AND GENETICS, v.25, n.7, p.311-322, 2008
1058-0468
10.1007/s10815-008-9241-2
Autor
CARVALHO, Bruno Ramalho de
SILVA, Ana Carolina Japur de Sa Rosa e
SILVA, Julio Cesar Rosa e
REIS, Rosana Maria dos
FERRIANI, Rui Alberto
SA, Marcos Felipe Silva de
Institución
Resumen
Purpose Revise role of hormonal basal and dynamic tests, as well as ultrasonographic measures as ovarian reserve markers, in order to provide better counseling to subfertile couples. Methods Review of publications on the topic, with an emphasis on recent well designed articles. Results Currently available ovarian reserve tests do not provide sufficient evidence to be solely considered ideal, even for premature ovarian senescence patients who do not present subfertility complaints. However, these markers occupy important place in initial approach to treatment of subfertile couples, predicting unsatisfactory results that could be improved by differentiated induction schemes and reducing excessive psychological and financial burdens, and adverse effects. Conclusions In order to remedy the limitations due to the scarcity of strong evidence about this topic, future studies should try to clarify predictive value of markers in groups of specific diseases-related subfertility and pay special attention to propaedeutic multivariate models including anti-Mullerian hormone and antral follicle count.