Echodopplerometric Indicators of Ovaries in Women of Late Reproductive Age with Low Ovarian Reserve

Abstract

Abstract The study included 90 women of late reproductive age. Based on the level of ovarian reserve, all participants were divided into three groups: Group I consisted of 30 women with low ovarian reserve, Group II comprised 30 women with very low ovarian reserve. The control group was made up of 30 healthy women with a normal level of ovarian reserve. The results of the study showed that women of late reproductive age with low and very low ovarian reserve have significant changes in hormonal profile and echodopplerometric indicators compared to healthy women. These changes include elevated levels of FSH and LH, decreased level of AMH, reduced ovarian volume, decreased number of antral follicles, and impaired ovarian blood supply. The correlation analysis between age and average ovarian volume revealed a weak inverse correlation (r=−0.25), and the correlation analysis between age and the total number of antral follicles showed a weak inverse correlation (r=−0.23). Thus, echodopplerometric indicators and hormonal analysis can serve as important methods for assessing ovarian reserve in women of late reproductive age.