Adolescent Ovarian Reserve

Ovarian Reserve in Adolescence – A Comprehensive Guide

What is Ovarian Reserve in Adolescence?

Ovarian reserve refers to the number and quality of eggs a woman has. This reserve is determined from birth and decreases throughout life. During adolescence, the reserve is close to its highest level.

What is the Egg Count?

Female babies are born with approximately 1-2 million eggs. By the time they reach adolescence, this number drops to around 300,000–500,000.

Why is Ovarian Reserve Important in Adolescence?

This period forms the foundation of future fertility potential. However, having a high reserve in adolescence does not guarantee its preservation in the future.

How is Ovarian Reserve Assessed?

Ovarian reserve is not routinely measured during adolescence. However, in special circumstances, assessment can be made with AMH and ultrasound.

In Which Cases Should It Be Measured?

Assessment may be considered in cases of early menstrual irregularities, a family history of early menopause, a history of chemotherapy, or suspicion of serious gynecological disease.

Factors Affecting Ovarian Reserve

Genetic makeup, chronic diseases, chemotherapy, radiotherapy, and certain surgeries can affect ovarian reserve.

Endometriosis and Adolescence

Endometriosis starting in adolescence is not uncommon and can affect ovarian reserve in later years.

Impact of Lifestyle

Smoking, poor nutrition, and environmental toxins can negatively affect ovarian reserve in the long term.

Recommendations for Future Fertility

A healthy lifestyle, regular check-ups, and early assessment in risky situations are important.

Conclusion

Ovarian reserve is generally high in adolescence, but awareness is important for its future preservation.