TY - JOUR T1 - Prediction and Diagnosis of Poor Ovarian Response: The dilemma T2 - Journal of Reproduction & Infertility JT - Journal of Reproduction & Infertility SP - 241 EP - 249 VL - 12 IS - 4 PY - 2011 SN - 2251-676X L1 - https://www.jri.ir/documents/fullpaper/en/474.pdf L2 - https://www.jri.ir/article/474 UR - https://www.jri.ir/en/currentissue.aspx?id=49 PB - Avicenna Research Institute AU - Badawy, Ahmed AU - Wageah, Alaa AU - EL-Gharib, Mohamed AU - Osman, Ezz Eldin AB - Failure to respond adequately to standard protocols and to recruit adequate follicles is called ‘poor response’. This results in decreased oocyte production, cycle cancellation and, overall, is associated with a significantly diminished probability of pregnancy. It has been shown that ovarian reserve tests, such as basal FSH, antimullarian hormone (AMH), inhibin B, basal estradiol, antral follicular count (AFC), ovarian volume, ovarian vascular flow, ovarian biopsy and multivariate prediction models, have little clinical value in the prediction of a poor response. Although recent evidence points that AMH and AFC may be better than other testsbut they still continue to be used and form the basis for the exclusion of women from fertility treatments. Despite the rigorous efforts made in this regard, a test that could reliably predict poor ovarian response in all clients that undergo IVF is currently lacking. CY - Tehran, Iran KW - Controlled ovarian hyperstimulation KW - Female infertility KW - Ovarian failure KW - Poor ovarian response LA - English