Age 40+
1. Measure your AMH level – comes to know about ovarian reservoir
2. Impact of health on future pregnancy
3. Genetic problems with pregnancy
4. Difficulty in getting pregnant
Treatment
IUI
IVF/ICSI -
Androgen supplements to improve the ovarian reserve
Dual stimulation protocol i.e. two stimulations in one menstrual cycle
Embryo pooling and embryo transfer
Time-lapse imaging for selecting the best embryo
PGT- pre-implantation genetic testing- For selecting a healthy embryo
Laser assisted hatching(LAH) to improve the implantation and IVF success rate
ERA- Endometrial receptivity array- to improve the implantation and IVF success rate
Novel technique - PRP- platelet rich plasma infusion in the ovary to improve the ovarian reserve
Donor egg