Girls, are you fertile?

Dr Fatima Momtaz

It is a common concept that fertility of a woman declines significantly at late 30s and faster in early 40s due to quality of eggs and ovarian reserve. However, many people do not know that young age is not a guarantee of fertility. There are many reasons for a woman to be infertile, for example insufficient egg reserve in ovary or abnormal quality eggs. Women have around 2 million germ cells at birth, but only 400 remains during menopausal period. Depletion of the entire pool can occur in a very young girl called premature ovarian failure (POF). Even though this condition is not very common, but it is not very rare as well. This condition is primarily genetically determined. However, radiotherapy and chemotherapy can also induce premature menopause. A reliable way of knowing ovarian reserve is checking Anti Mullarian Hormone (AMH) test. Another method is Day 3 Follicle Stimulating Hormone (FSH) test. If any girl has a history of poor fertility in her family, it is worthy to check ovarian reserve to rule out any POF. Because, egg collection and freezing could be the solution if early diagnosis of POF can be made. Therefore, if any suspicion arises, it should be clarified by simple blood tests like AMH or FSH test.
The writer is a Clinical Embryologist working in Australia. E-mail: drfatimatithi@yahoo.com