TY - JOUR T1 - The Concepts and Consequences of Early Ovarian Ageing: A Caveat to Women’s Health T2 - Journal of Reproduction & Infertility JT - Journal of Reproduction & Infertility SP - 03 EP - 8 VL - 14 IS - 1 PY - 2013 SN - 2251-676X L1 - https://www.jri.ir/documents/fullpaper/en/511.pdf L2 - https://www.jri.ir/article/511 UR - https://www.jri.ir/en/currentissue.aspx?id=54 PB - Avicenna Research Institute AU - Subrat, Panda AU - A. Santa, Singh AU - Vandana, Jha AB - Apparent rise in the incidence of infertility in females and the trend shifting towards delayed child bearing brought up the concept of ovarian ageing. Women in their early thirties show poor ovarian reserve which is an entity named as early ovarian ageing. Early ovarian ageing is mostly genetically determined, but acquired modifiable factors like smoking, or ovarian surgery have some roles. Infertility and subfertility are the only clinical recognizable sequelae in the early ovarian ageing. The worrisome fact is that the outcome of assisted reproductive techniques is also not that much encouraging. Even if ovarian priming with DHEA has raised hope in the assisted reproductive techniques for these patients, but more randomized trials are needed to support this. Screening of these women with antimullerian hormone, antral follicle count and genetic analysis may be useful for recommendation at appropriate biological time regarding conception or fertility preservation. CY - Tehran, Iran KW - Assisted Reproductive Techniques KW - Early ovarian ageing KW - Infertility KW - Oocyte LA - English