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StemRx IVF

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🙁
Diminished Ovarian Reserve

Low Ovarian Reserve Doesn't Mean No Hope

Advanced protocols, personalized stimulation, and innovative approaches can help you conceive even with low AMH and high FSH.

Start Your Journey

Learn about your options →

50%

Of women with DOR conceive with treatment (range 30–50%)

25%

IVF success rate under 35 with DOR (range 20–25%)

50%

Cumulative success after 3–4 cycles (range 40–50%)

 

Understanding Diminished Ovarian Reserve

Diminished Ovarian Reserve (DOR) means your ovaries contain fewer remaining eggs than expected for your age. This is measured through AMH (Anti-Müllerian Hormone), AFC (Antral Follicle Count), and Day 3 FSH levels.

While DOR presents challenges, it doesn't define your fertility journey. With personalized protocols and advanced techniques, many women with low AMH successfully conceive.

"DOR indicates quantity, not quality. A single good-quality egg can lead to pregnancy."

— Fertility Specialists

What Your AMH Level Really Means

Optimal

Low-Normal

Low

Very Low

Critically Low

 
 
 
 
 

2.0-4.0+ ng/mL

Normal ovarian reserve

1.0-2.0 ng/mL

Consider fertility preservation

0.5-1.0 ng/mL

DOR — seek specialist consultation

0.2-0.5 ng/mL

Severe DOR — urgent consultation

<0.2 ng/mL

Natural cycle or donor egg IVF

AMH is just one marker. Age, AFC, and FSH provide the complete picture. Some women with low AMH still conceive naturally or with treatment.

Signs of Diminished Ovarian Reserve

📅
Irregular or Shorter Cycles
Menstrual cycles becoming shorter (<25 days) or irregular.
🧪
Low AMH on Testing
AMH below 1.0 ng/mL, especially below 0.5 ng/mL.
🔍
Low AFC on Ultrasound
Fewer than 5–7 antral follicles visible on both ovaries combined.
🕐
Difficulty Conceiving
Trying for 6+ months without success.
📈
High Day 3 FSH
FSH above 10–15 IU/L on day 3 of cycle.
☀️
Premature Menopause Symptoms
Hot flashes, night sweats in women under 40.

Treatment Strategies for DOR

🎯
Personalized IVF Protocols

Women with DOR require specialized stimulation protocols that maximize egg yield while avoiding over-suppression.

✔Microdose flare protocol
✔Antagonist protocol with higher gonadotropin doses
✔Estrogen priming before stimulation
✔Dual stimulation (DuoStim) in same cycle
✔Natural or modified natural cycle IVF
✔Minimal stimulation IVF
Adjunctive Therapies
•CoQ10 (ubiquinol) 200–600mg daily
•DHEA 25mg three times daily
•Growth hormone supplementation
•Acupuncture
•L-carnitine and other antioxidants
Lifestyle Optimization
•Smoking cessation (critical)
•Healthy BMI (18.5–24.9)
•Mediterranean diet
•Stress reduction
•Adequate sleep
•Moderate exercise
♡

When Donor Eggs May Be the Right Choice

For women with very low AMH (<0.2 ng/mL), advanced age (43+), or multiple failed IVF cycles with own eggs, donor egg IVF offers among the highest success rates (approximately 50–60% per transfer).

✔AMH <0.2 ng/mL with poor response to stimulation
✔Age 43+ with very low ovarian reserve
✔Multiple failed IVF cycles with own eggs
✔Consistently poor egg or embryo quality
✔High FSH (>15–20 IU/L) with low AFC

Choosing donor eggs is not failure — it's a strategic decision that offers a high chance of pregnancy and live birth for women with severe DOR.

Learn About Donor Egg IVF →

If You Have DOR and Want Children, Don't Wait

DOR is progressive. Your ovarian reserve will not improve with time. If you want biological children, early action is important.

🕐
Under 35 with DOR
Start trying naturally or consider IVF now. Egg freezing is still a viable option if you're not ready for pregnancy.
⚠️
Age 35–40 with DOR
Prompt consultation recommended. Consider IVF soon or egg freezing if more children are desired in the future.
❗
Over 40 with DOR
Specialist consultation is essential soon. Discuss all options including donor eggs — time matters here.

Why Women with DOR Choose StemRx

📅
Personalized DOR Protocols
🎯
Advanced Laboratory Techniques
📈
High Success Rates with Low Reserve
🧑
Compassionate, Realistic Counselling
♡
Donor Egg Program Available
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Dr. Mahajan Hospital & ITC, Near Shell Petrol Pump,

R-831, Thane Belapur Road, Rabale, 

Navi Mumbai - 400708

To Book an Appointment : 91+9152215415

Email us : info@stemrx.in

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