Low Ovarian Reserve (AMH)

It is the situation where the number of remaining (stored) healthy egg cells in a woman's ovaries that can create a chance of pregnancy is much lower than normal compared to her biological age.

Aging (over 35 years old) is the most natural and common cause. However, even at very young ages, genetic factors (history of early menopause), previous ovarian surgeries (chocolate cyst surgery), cancer treatments (radiotherapy), or heavy smoking rapidly consume the reserve.

It is the most reliable blood test showing women's ovarian capacity. It can be done on any day of the menstrual cycle. A low AMH value (usually below 1.0 ng/mL) proves that the egg pool has significantly decreased.

No, absolutely not. Women with low ovarian reserves can also get pregnant naturally or with treatment. Because to get pregnant, you don't need thousands of eggs, but only ONE high-quality egg. However, this situation is a very serious alarm indicating that 'no time should be wasted'.

In addition to the AMH blood test, the Gynecology specialist performs a Transvaginal Ultrasonography on the 2nd or 3rd day of menstruation and counts the small egg sacs (Antral Follicle Count) ready to crack in the ovaries, and a definitive diagnosis is made by combining both tests.

There is no treatment that increases the decreasing number of eggs with medication (refills the tank). The main goal is to use the remaining eggs in the most efficient way. If the woman is single, the remaining eggs are collected and frozen so that she can become a mother in the future (Egg Freezing Procedure). For married women who want children, In Vitro Fertilization (IVF) or Insemination treatment is started directly without wasting time.