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Hum. Reprod. Advance Access published online on August 26, 2006
Human Reproduction, doi:10.1093/humrep/del188
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© The Author 2006. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Debate--Continued

Assessment of ovarian reserve--should we perform tests of ovarian reserve routinely?

Abha Maheshwari 1 *, Paul Fowler 1, and Siladitya Bhattacharya 1

1 Department of Obstetrics and Gynecology, Aberdeen University, Assisted Conception Unit, Aberdeen Maternity Hospital, Aberdeen, UK

* To whom correspondence should be addressed.
Abha Maheshwari, E-mail: abha.maheshwari{at}abdn.ac.uk


  Abstract

Women undergoing IVF are routinely subjected to one or more tests of ovarian reserve. The results of these tests are also being extrapolated to women attending infertility clinics and those planning to delay childbearing. This debate examines the predictive power of currently available tests of ovarian reserve and questions the value of subjecting women to ovarian reserve tests. We propose that in the absence of an agreement on (i) a definition of poor ovarian reserve, (ii) the population to be tested and (iii) which interventions are effective in women with poor ovarian reserve, routine ovarian reserve testing is unhelpful.

Keywords: assisted reproduction/FSH/infertility/oocyte quality/ovarian reserve.
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