Low Ovarian Reserve means fewer eggs than expected for your age, which can make conception difficult - but not impossible. With early diagnosis and advanced treatments like IVF and ovarian rejuvenation, pregnancy is still achievable.
Your Reproductive Potential
Did you know? A woman is born with all the eggs she will ever have. This egg pool—called ovarian reserve—naturally declines with age, affecting fertility over time.
1 to 2 Million
Oocytes
300,000 - 500,000
Oocytes remaining
25,000 - 40,000
Rapid decline begins
< 1,500
Oocytes remaining
*Egg numbers vary for every woman. Blood tests like AMH are required to accurately assess ovarian reserve.
Often, Low Ovarian Reserve has no obvious symptoms. However, some warning signs may include:
Tests are done not only to estimate pregnancy chances, but also to understand how your ovaries will respond to fertility treatment.
A key blood test. Low AMH levels indicate a reduced ovarian reserve.
High FSH levels (especially on Day 2 or 3 of the cycle) suggest the ovaries are working harder to produce eggs.
A vaginal ultrasound used to count resting follicles in the ovaries.
The most common factor. Both egg quantity and quality naturally decline as a woman grows older.
Ovarian surgeries (for cysts or endometriosis), chemotherapy, or radiation therapy can reduce the egg pool.
Conditions such as Fragile X syndrome or autoimmune disorders may lead to early ovarian ageing.
Smoking, tobacco use, and excessive alcohol intake are linked to faster depletion of eggs.
Severe pelvic infections or pelvic inflammatory disease (PID) can impair ovarian function.
In some women, egg reserve declines early without any identifiable medical reason.
Low egg count can make conception more challenging, but it does not mean pregnancy is impossible. With the right approach, many women successfully conceive using advanced fertility care.
Dehydroepiandrosterone (DHEA) is a naturally occurring hormone. When prescribed appropriately, it may improve the ovarian environment and support better egg quality before fertility treatment.
With Own Eggss: Advanced stimulation protocols are used to retrieve the best
available eggs.
With Donor Eggs: If own eggs are not viable, donor egg IVF offers very high
success rates.
Targeted supplements like CoQ10 and folic acid, along with avoiding alcohol and tobacco, maintaining a healthy BMI, and stress reduction, can positively influence egg quality.
Low ovarian reserve is influenced by factors such as age, genetics, and lifestyle. It is often identified through irregular menstrual cycles or repeated difficulty in conceiving. While it can reduce fertility potential, pregnancy is not impossible. With timely diagnosis and advanced treatments like IVF, DHEA supplementation, and donor egg programs, many women successfully achieve motherhood. Importantly, a diagnosis of low ovarian reserve does not mean immediate menopause and should be addressed early with expert care.
If you suspect low ovarian reserve, early evaluation is critical. Prompt testing and expert intervention can significantly improve outcomes. Our specialists create personalized fertility strategies to help you move forward with confidence.
