Poor Egg and Low Ovarian Reserve

Women age is one of the most important predictors for the infertility treatment success and older patients, when over 35 years of age, she should seek help, preferably infertility specialist after six (6) months of unsuccessful trying. Patients over 40 years old who are trying to conceive should right away see infertility specialist for evaluation. Although number of good oocytes decreases with age in all women, there is a better chance for conception and pregnancy with normal FSH/AMH values and when additional infertility factors have been corrected. Delaying seeing a doctor to ‘WAIT AND RELAX’ can dramatically reduce women chances for successful pregnancy and baby

Diminished ovarian reserve (DOR) defined by FSH over 10 and/or AMH less then 1 regardless of women age, prognoses less eggs left in the ovary and lower chance for spontaneous pregnancy and successful treatments. Low ovarian reserve potentiates negative age factor effect on egg number and quality. Patients with lower reserve have lower pregnancy rates then patients with normal ovarian reserves due to poor response to medications, lower total number oocytes harvested and eggs inferior quality. Poor quality eggs, often with broken zona pellucida or other oocyte defects produce poor quality, weak embryos and miscarried pregnancies or failed fertilizations. Often Growth Hormone (GH) is added to IVF meds in women with poor eggs and in older patients with some higher pregnancy rates but inconsistent outcomes. GH is started 6- 8 weeks prior to treatment cycle. GH is expensive, over $5,000 oer cycle cost, considered experimental, not covered by insurance and with unreliable outcomes at the end

Our customized ovarian stimulation is helping all women produce more higher quality eggs. High quality eggs in sufficient number and quality embryos are the bases for IVF success. Minimum or no medication lower chances for pregnancy by bringing poor- quality eggs especially in older women. ‘Mini’ IVF or ‘natural’ IVF usually eliminates use of injectable fertility medications but the same time the ‘super eggs’ production step is eliminated. Chances for a quality embryo produced by a single, sub-fertile oocyte is too low to recommend. Too often patients with multiple failed Mini IVF or ‘natural IVF cycles’ are looking for second opinion and after she was told already that her FSH is too high to continue treatment. Our pregnancy rates for older patients, over 35 using own eggs, are one of the highest in New York area over 50% per IVF treatment for women age 35-40 are higher than national under 40% pregnancy rates

(LOR). Any women diagnosed with LOR and poor eggs should see infertility doctor for advanced fertility testing and treatment

Due to age- decreased number of eggs, women over 35 years of age who are trying to get pregnant are defined as ‘older patients’ and older patients are more often looking for help from Dr. Hanna, ‘poor egg specialist’.

Age Matters

Women age is one the most important predictors for her chances

for successful pregnancy healthy baby and
infertility treatments outcomes

With age, number and quality of eggs (oocytes) decreases, making natural conception less successful. Women over 35 should seek help from infertility specialist, a doctor, like Dr. Hanna, who treat older patients seeking pregnancy.

Women with low egg count or poor egg quality and patients over 40 years old who are trying to have a baby, should right away see infertility specialist
Delaying seeing a doctor. to ‘WAIT AND RELAX’ can dramatically reduce chances for successful pregnancy and baby

FSH Follicle – Stimulating Hormone, main hormone responsible for reproduction is produced by pituitary. FSH regulates menstrual cycle, stimulates hormone estrogen production and ovulation (egg development). With lower egg count, FSH level in blood is high

AMH Anti-Mullerian Hormone, hormone is produced in the women ovary, AMH indicates estimated number of EGGS present in her ovaries (ovarian reserve), but not egg quality. Ovarian reserve decreases with age and AMH closely corelates with women fertility potential

FSH/AMHAlthough number of good oocytes decreases with age in all women, there is a better chance for conception and pregnancy with normal FSH/AMH values and when additional infertility factors have been corrected

Low Ovarian ReserveLow ovarian reserve (LOR) is defined by FSH blood levels over 10 (ten) and/or AMH blood level less then 1 (one). Both results indicated LOR, regardless of women age

Women diagnosed with LOR, has less eggs left in her ovary and LOR decreases chances for spontaneous pregnancy and infertility successful treatments:

Less good quality eggs associated with LOR is responsible for reduced pregnancy rates when compared to same age patients with normal ovarian reserves
LOR patients show poor response to medications and have lower total number oocytes harvested for IVF. More retrieved eggs are immature and with inferior quality including broken zona pellucida and other oocyte defects
Defective eggs produce weak embryos resulting in poor implantation, miscarried pregnancies or failed fertilizations
Low ovarian reserve potentiates negative age factor effect on egg number and quality with much lower number of good quality oocytes

Hanna, ‘poor egg quality fertility doctor’ is experienced with low AMH and poor egg quality and she is a trusted expert in helping women facing these fertility challenges
Each patient is receiving customized protocols and personalized fertility plans, tailored for each patient needs and based on her lab profile and previous treatment history
Advanced pre- treatment protocols customized to each patient implemented before ovarian stimulation
Stimulation protocols that maximize production of higher- quality eggs employed together with advanced- technology IVF and embryo banking
Gonadotropins and hormonal support to increase high- quality eggs production. High -quality eggs are essential for optimal number of high-quality embryos available for transfer and successful IVF
Minimum or no medication protocols lower chances for pregnancy by bringing poor- quality eggs especially in older women. ‘Mini’ IVF or ‘Natural’ IVF usually eliminates use of injectable fertility meds, but the same time the ‘super eggs’ production step is eliminated
Chances for quality embryo and pregnancy produced by a single, sub-fertile oocyte, especially in older patient is too low to recommend
Too often patients with multiple failed Mini IVF or ‘Natural IVF cycles’ are looking for second opinion after she was told already that her FSH is too high to continue treatment.
Contact today our Manhattan clinic, trusted by women across Manhattan, and get expert care for your infertility needs

Premature Menopause

When diagnosed, menopause is usually NOT REVERSIBLE condition. Patient has no periods and no own eggs left in her ovary to make a baby. Use of egg donors or adoption are options for menopause- diagnosed women and for LOR who failed other ttreatments

Our Results

Our pregnancy rates for older patients, over 35 using own eggs, are one of the highest in New York area, over 50%per IVF treatment for women age 35-40 are higher than national under 40% pregnancy rates