Infertility in women of advanced age: etiology, management, application of preimplantation genetic screening

Abstract

The problem ofdecreased fertility in women of advanced reproductive age is important today. The number of women of advanced age with infertility is increasing constantly, however efficiency of infertility treatment (even with the use of artificial reproductive technologies) remains low. There are many biological and other causes ofageassociated infertility. Women of advanced reproductive age have high incidence of somatic and gynecological diseases, high risk of chromosomal abnormalities of oocytes and embryos and diminished ovarian reserve. This paper considers the main causes of decreased fertility in women of advanced age, impact of aging on oocyte quality and in vitro fertilization outcomes, and possibilities of application of preimplantation genetic screening in this group of women.

Keywords

• in vitro fertilization
• preimplantation genetic screening
• infertility
• advanced maternal age
• oocyte quality