Reproductive outcome in patients with diminished ovarian reserve.

Publication/Presentation Date

10-1-2001

Abstract

OBJECTIVE: To compare reproductive outcome between women with normal ovarian reserve and women with abnormal ovarian reserve.

DESIGN: Retrospective.

SETTING: Tertiary care center.

PATIENT(S): Nine thousand eight hundred and two patients who had basal follicle-stimulating hormone (FSH) concentrations measured as part of an infertility evaluation.

INTERVENTION(S): Monitoring of early pregnancy.

MAIN OUTCOME MEASURE(S): Pregnancy loss rates, live birth rates.

RESULT(S): Of 1,034 patients with diminished ovarian reserve (DOR) (FSH > or =14.2 IU/L), 28 (2.7%) conceived. Twenty of these pregnancies (20/28; 71.4%) were lost in the first trimester. Pregnancy loss rates in women with DOR were 57.1% in womenold, 63.5% in women 35-40 years old, and 90.0% in women >40 years old. These rates of pregnancy loss were significantly higher compared to age-matched patients with normal ovarian reserve.

CONCLUSIONS(S): Women with DOR have exceedingly high rates of pregnancy loss, regardless of age. Women with diminished ovarian reserve should be counseled that, in addition to a low probability of conception, live birth rates are poor.

Volume

76

Issue

4

First Page

666

Last Page

669

ISSN

0015-0282

Disciplines

Medicine and Health Sciences

PubMedID

11591396

Department(s)

Department of Obstetrics and Gynecology

Document Type

Article

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