Assessment of ovarian reserve: Is there still a role for ovarian biopsy in the light of new data?
Author(s) -
Amir Lass
Publication year - 2004
Publication title -
human reproduction
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.446
H-Index - 226
eISSN - 1460-2350
pISSN - 0268-1161
DOI - 10.1093/humrep/deh118
Subject(s) - ovarian cortex , ovarian reserve , follicular phase , biopsy , ovary , medicine , ovarian follicle , ovarian tissue cryopreservation , physiology , biology , gynecology , oncology , ovarian tissue , fertility preservation , pregnancy , fertility , infertility , population , environmental health , genetics
Ovarian reserve depends on the number of primordial follicles in the ovarian cortex. It was suggested that determining the follicular density directly by obtaining ovarian biopsy might be more accurate than current indirect biochemical and ultrasonic tests, especially for women in the later stage of their reproductive life. It might also be important and beneficial for young patients having chemotherapy for malignant disease in whom the ovarian tissue should be considered for reimplantation after recovery. The advantages and pitfalls of obtaining ovarian biopsy in these cases are discussed in light of new emerging data on the natural distribution of primordial follicles in the human ovary and its implications.
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