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The Bologna consensus about the poor ovarian responders:Any two of the following 3 features should be present for diagnosis
1. Advanced maternal age more than 40 or other risk factors for poor ovarian reserve(POR).
2. A previous POR (less than 3 oocytes)in conventional stimulation.
3. An abnormal ovarian reserve test(ORT): AFC less than 5-7 follicles or anti-Mullerian hormone (AMH)0.5 -1.0 ng/ml.
Various methods of stimulations.
1. High- dose Gn
2.Gnrh agonist co treatment.
3. Micro-dose flare GnRh regimen.
4. GnRh antagonist treatment.
5. Natural cycle and Modified Natural cycle.
6. Mild stimulation
( Source: chapter 50. Textbook of assisted rep. Techniques, by David Gardner et al. 5th edition)
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हो सकता है IVF साईकल रोकनी पड़े बीच में, पर try जरूर करना चाहिए, यदि पीरियड रेगुलर है तो।
29 янв 2018
