Low Egg/Ovarian Reserve

What do you mean by diminished egg/ovarian reserves?

It is a condition of low fertility, when a female has low no. of eggs remaining in the ovaries or impaired egg development or recruitment.

Causes of Low Egg/Ovarian Reserve?

Low egg reserve may be because of advanced maternal age, premature ovarian failure, genetics, prior ovarian surgery, high body mass index, pelvic adhesions, endometriosis, radiations, chemotherapy, smoking etc.

Diagnoses of Low Egg/Ovarian Reserve?

  • High FSH (follicle stimulating Hormone) concentration ( > 12 or > 15 mIU/mL)
  • High E2 (estradiol) concentration ( >30 or 75 pg/mL)
  • Low AMH (Anti Mullerian hormone) concentration ( < 1ng/mL)
  • AFC (Antral Follicle count) in TVS is < 4

Treatment of Low Egg/Ovarian Reserve?

Treatment with Hormonal injections, Natural cycle IVF and in very low egg reserve Donor Egg IVF is the best option.

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