Understanding Ovarian Reserve Testing: What It Is & Why It’s Important
If you’re planning for fertility or considering treatments like IVF, you’ve likely heard the phrase “ovarian reserve.” But what exactly does it mean, and how to test ovarian reserve so you can make informed decisions on your fertility journey?
In this article, we’ll break down what an ovarian reserve test is, when it’s recommended, how the process works, and what the results can tell you. We’ll also discuss whether at-home ovarian reserve test options are available and how to interpret the results.
What Is Ovarian Reserve?
Your ovarian reserve refers to the number of remaining eggs (oocytes) you have available for fertilization.
From birth, your egg count declines over time, with age being the primary factor in this decline.
Clearly, tracking ovarian reserve gives you a snapshot of your fertility potential and can help your fertility doctor at CNY Fertility tailor the best plan for you.
What Is Ovarian Reserve Testing?
When we talk about “ovarian reserve testing,” we refer to a set of assessments, including both blood tests and ultrasounds, used to estimate the number of eggs you may have and how your ovaries might respond to fertility treatment.
It’s important to note that while an ovarian reserve test provides valuable information on quantity, it does not directly assess egg quality or guarantee a pregnancy.
Why Does CNY Fertility Recommend Testing?
Your fertility care team will likely recommend ovarian reserve testing when you’re:
- Considering fertility treatments (like IVF or egg freezing)
- Over age 35 and starting to plan for pregnancy
- Concerned about diminished egg supply after surgery, chemotherapy, or a history of ovarian issues
The results help guide personalized protocols, such as medication doses in IVF, and provide insight into timing and enhancement options.
How to Test Ovarian Reserve: Step-by-Step
Here’s how an ovarian reserve test is conducted at most fertility clinics, including CNY Fertility, and what you can expect.
1. Schedule a Baseline Visit
We’ll review your history and timing. For the best results, certain tests are performed early in your menstrual cycle (days 2–5), although some can be done at any time.
2. Blood Tests
Common markers include:
3. AMH (Anti-Müllerian Hormone): Can be measured at any time in the cycle; higher levels usually signal more remaining eggs.
- FSH (Follicle Stimulating Hormone): Usually drawn on cycle day 3; elevated levels may suggest lower egg reserve. reproductivefacts.org
- Estradiol (E2): Also often day 3; elevated baseline levels can indicate diminished reserve.
4. Ultrasound – Antral Follicle Count (AFC)
A transvaginal ultrasound counts small follicles (antral follicles) in each ovary. Those follicles contain eggs in the early stages of maturation. A low count may indicate reduced ovarian reserve.
5. Interpretation & Personalized Plan
At CNY Fertility, we review your age, test results, and goals to design a protocol, whether that’s for conception or fertility preservation. We emphasize that test results are one part of the picture, not the full story.
What to Do With Your Results
Good News vs Signal for Action
Normal reserve: Means your egg count is within the expected range for your age—great!
Low reserve: Doesn’t mean you cannot get pregnant. It just means you may require a more proactive plan, such as earlier treatment, fertility preservation, or a targeted stimulation protocol.
Very low reserve: We may discuss accelerated timelines, alternative strategies, or stronger stimulation protocols.
What an At-Home Ovarian Reserve Test Means
“At home ovarian reserve test” kits exist, and are typically blood-based AMH tests. While they can offer a helpful baseline, they lack the ultrasound component and clinical context that we provide at CNY. They should not replace a full evaluation.
Common FAQs
Why Ovarian Reserve Testing Matters for IVF & Fertility Planning
- Helps determine stimulation dose and protocol in IVF
- Assesses the urgency for fertility preservation
- Guides conversation about options, timelines, and budgeting
At CNY Fertility, we use these insights to tailor a plan that aligns with your goals and values.
How to Improve Egg Quality with Diminished Ovarian Reserve
While the total number of eggs (ovarian reserve) cannot be increased, research shows that egg quality and overall reproductive health can be supported through targeted supplements, nutrition, and lifestyle changes.
These steps can enhance your response to fertility treatments and improve your chances of success with IVF.
1. DHEA Supplementation
Dehydroepiandrosterone (DHEA) is a mild androgen that may improve ovarian response and egg quality in individuals with diminished ovarian reserve. Several studies have shown that pretreatment with DHEA can enhance follicle development and increase pregnancy rates in IVF cycles.
2. Coenzyme Q10 (CoQ10)
CoQ10 is a mitochondrial antioxidant that supports energy production within eggs, helping maintain their quality and developmental potential. Pretreatment with CoQ10 has been linked to better ovarian response to stimulation and higher-quality embryos in IVF-ICSI cycles.
3. Diet and Nutrition
Preliminary studies suggest that a low-carbohydrate or ketogenic-style diet may improve ovarian function and hormone balance in some women with diminished reserve or PCOS. Emphasizing nutrient-dense foods, healthy fats, and low-glycemic carbohydrates can also support hormone regulation and egg health.
4. Acupuncture
Acupuncture may enhance blood flow to the ovaries and uterus, helping increase follicular recruitment and endometrial receptivity. Clinical studies have shown improved ovarian response and potentially higher pregnancy rates when acupuncture is used alongside IVF.
Together, these interventions can help support optimal egg quality and improve outcomes when facing diminished ovarian reserve.
But remember, you must consult your fertility specialist before starting supplements or new therapies to ensure they complement your personalized treatment plan.
Ovarian Reserve Testing: The Takeaway
If you’re wondering “what is ovarian reserve testing?” or “how to test ovarian reserve?”, here’s the takeaway:
- An ovarian reserve test is a powerful tool that estimates your remaining egg quantity.
- It combines blood markers (AMH, FSH, estradiol) and ultrasound (antral follicle count).
- While not a crystal ball for fertility, it offers invaluable insight for planning.
If you’re curious about your ovarian reserve or ready to explore your fertility options, let’s connect. For personalized, high-quality, and compassionate care throughout this journey, schedule a consultation with CNY Fertility. Your future family deserves this attention and clarity.
