[Desire to have children in the menopausal transition].

Desire to have children in the menopausal transition Abstract. The menopausal transition is characterized by the loss of ovarian reserve, i. e. the number and quality of oocytes. This impairment results in a quick and massive decline in female fecundity. Ovarian reserve can be determined with the measurement of FSH and AMH in the serum plus the count of the sonographically visible follicles (antral follicle count; AFC). Therapeutically the desire to have children can be fulfilled by using homologous fertility treatments such as monofollicular ovarian stimulation and In Vitro Fertilization. More promising, however, is heterologous egg donation. As a preventive measure Social Egg Freezing is utilized increasingly.