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Iswarya Fertility Centre & Women's Hospital
Iswarya
Fertility Centre
Female Infertility

Poor Ovarian Reserve (Low AMH)

Poor ovarian reserve means fewer eggs are available for fertilisation, but specialised IVF protocols can still achieve pregnancy.

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Overview

What is Poor Ovarian Reserve?

Ovarian reserve refers to the quantity and quality of eggs remaining in the ovaries. Poor ovarian reserve (POR) — often indicated by low Anti-Müllerian Hormone (AMH) levels — means fewer eggs are available for stimulation during IVF, reducing response to fertility medications.

Hope with Specialised Protocols

Iswarya Fertility's specialists use gentle stimulation protocols, natural-cycle IVF, and DHEA supplementation where appropriate to maximise egg retrieval even in patients with low AMH, achieving pregnancies that patients were told were impossible elsewhere.

Symptoms

Irregular or shortened menstrual cycles
Poor response to ovarian stimulation in previous IVF attempts
Elevated FSH levels on day-2/3 blood tests
Low antral follicle count on ultrasound
History of ovarian surgery

Causes

1
Natural age-related decline in egg supply
2
Genetic factors (fragile X permutation, Turner mosaicism)
3
Prior ovarian surgery reducing egg-bearing tissue
4
Chemotherapy or radiation therapy
5
Autoimmune conditions affecting ovarian function

How It's Diagnosed

Serum AMH blood test
Day-2/3 FSH and oestradiol blood test
Antral follicle count (AFC) by transvaginal ultrasound

Take the First Step

Get a personalised treatment plan for Poor Ovarian Reserve (Low AMH) from our fertility specialists

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