Causes for Poor Ovarian Reserve | Dr. Rinkee Tiwari

                                   Causes for Poor Ovarian Reserve | Dr. Rinkee Tiwari 

Reproduction is a fundamental feature of life and is essential for the perpetuation of species. A reproductive endocrinologist is an Ob-Gyn (obstetrics and gynecology) doctor with special training in hormonal function as it pertains to reproductive function and infertility, reproductive medicine, as well as surgical procedures for anatomical disorders that affect fertility.

Without proper endocrine function, our bodies cannot maintain proper hormonal balance. The health of our endocrine system is essential to our ability to function properly. Hormone levels can be influenced by stress, fluid changes in the body, minerals in the blood and infection. Each endocrine gland also communicates with the other in an amazing design. If one of the endocrine glands is not functioning properly, it may cause a broken link in communication with other endocrine glands or actions of the body, which may greatly impair fertility. Because the endocrine glands secrete hormones, and the hormones are messengers for actions within the body, if the gland is not functioning properly, hormonal imbalance occurs and the ability to reproduce may be impaired.

Women with fertility issues should meet initially with an OB/GYN or medical endocrinologist to ensure they’re on the right path to pregnancy. The physician will also review a patient’s current medications to assess if they’re safe for a woman trying to conceive and/or adjust the medications prior to conception.

Before fertility problems can be treated, the source of the problem must be identified. Most OB/GYNs and endocrinologists will likely check for blood sugar and thyroid abnormalities and conduct an ovarian reserve fertility test, a blood test usually done on the third day of a patient’s menstrual cycle. This test measures the level of follicle stimulating hormone (FSH), the main hormone involved in producing mature eggs in the ovaries; estradiol, a female sex hormone that is the predominant estrogen throughout a female's reproductive years. The levels of these hormones can be crucial in predicting the success of reproductive efforts and whether or not a reproductive endocrinologist should be seen.

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