Fertility Management of Patients with Reduced Ovarian Reserve

Reduced ovarian reserve is a condition characterized by a reduced competence of the ovary to produce oocyte due to advanced age or congenital, medical surgical and idiopathic causes. Age is considered to be the principal factor in determining the reduction of ovarian reserve, especially in woman over 40 years of age, but it’s well known that a premature reduction of ovarian reserve can also occur in young patients. Management of patients with diminished ovarian reserve is challenging for fertility experts and frequently the only option to conceive is represented by assisted reproduction technologies. Here we review the aetiology, presentation and diagnosis of reduced ovarian reserve both in advanced and in young age and we discuss recent advances in the management of infertility of these women. *Corresponding author: Alessia Uccelli, Center of Infertility and Assisted Reproduction, Division of Gynecology and Obstetrics, University of Pisa, Via Roma, n° 56 56100 Pisa, Italy, E-mail: [email protected] Received February 21, 2013; Accepted April 22, 2013; Published Mayt 03, 2013 Citation: Artini PG, Ruggiero M, Uccelli A, Obino ME, Cela V (2013) Fertility Management of Patients with Reduced Ovarian Reserve. Reprod Sys Sexual Disorders S5: 006. doi:10.4172/2161-038X.S5-006 Copyright: © 2013 Artini PG, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.