Many women reach us after repeated unsuccessful IVF cycles and a diagnosis of “poor ovarian reserve” or “poor ovarian response”. Their AMH level may be very low, and they are often told to attempt another cycle quickly. It is a frightening diagnosis, but understanding it helps in choosing the next step.
What is poor ovarian reserve?
Ovarian reserve describes the number and quality of the eggs left in the ovaries. It is estimated by:
- Anti-Müllerian hormone (AMH) in the blood
- Antral follicle count on a vaginal ultrasound
- Day-3 FSH and estradiol levels
Reserve normally falls with age, but it can be lower in younger women because of surgery on the ovaries, endometriosis, chemotherapy or radiation, smoking, autoimmune conditions or genetic factors.
Is it treatable?
Egg numbers cannot be increased, but reserve is not the only factor: egg quality, timing, the health of the tubes and womb, and the partner’s sperm matter too. A low AMH does not mean pregnancy is impossible, particularly in women who still ovulate regularly, though time is important.
Options
- Trying to conceive naturally with accurate ovulation timing, if there is no other obstacle
- IVF with a protocol adapted for low response, or using donor eggs when appropriate
- Correcting vitamin D, thyroid and other deficiencies, stopping smoking and managing weight and stress
Homeopathic support
Homeopathic treatment is individualised and can be used to support general health and wellbeing while you consider your options. It does not create new eggs, and because age and time matter, please discuss timing with a fertility specialist.
Learn more
To discuss your situation with a Welling Homeopathy doctor, contact a clinic or call +91 80 80 850 950 for a consultation in person or online.
Disclaimer: this page is for information only and is not a substitute for professional medical advice, diagnosis or treatment. Results vary from person to person.
