Solutions for Addressing Low Egg Count, Ovarian Degeneration, and Low AMH Levels

11 Jul 2024

At our fertility clinic in Bangkok, we understand that facing fertility challenges can be emotionally and physically taxing. Among the various fertility issues we encounter, low egg count, ovarian degeneration, and low Anti-Müllerian Hormone (AMH) levels are increasingly common concerns. This article aims to provide comprehensive information about these conditions and explore potential solutions to help you on your journey to parenthood.

Understanding Low Egg Count, Ovarian Degeneration, and Low AMH Levels

Before getting into potential solutions, it’s crucial to understand these conditions:

Low Egg Count: Also known as diminished ovarian reserve (DOR), this refers to a reduction in the quantity and quality of eggs in a woman’s ovaries.

Ovarian Degeneration: This is the gradual decline in ovarian function, which can lead to reduced fertility and earlier onset of menopause.

Low AMH Levels: AMH is a hormone produced by ovarian follicles. Low levels can indicate a reduced ovarian reserve.

These conditions often overlap and can significantly impact fertility. However, it’s important to note that with proper treatment and care, many women with these issues can still achieve pregnancy.

Accessed from: Shecares website

How to Improve Egg Quality with Low AMH?

Improving egg quality is crucial for increasing the chances of successful conception and healthy pregnancy. Here are some strategies:

Nutritional Optimization:

• Consume a balanced diet rich in antioxidants
• Include foods high in omega-3 fatty acids
• Ensure adequate intake of vitamins D and E

Lifestyle Modifications:

• Quit smoking and avoid alcohol
• Maintain a healthy body weight
• Reduce stress through meditation or yoga

Supplements:

• CoQ10 (Coenzyme Q10) may improve egg quality
• DHEA (Dehydroepiandrosterone) under medical supervision
• Melatonin can act as an antioxidant

Regular Exercise:

• Engage in moderate exercise to improve blood flow to reproductive organs

Acupuncture:

• Some studies suggest acupuncture may improve ovarian function

Reduce Environmental Toxins:

• Minimize exposure to pesticides, plastics, and other endocrine disruptors

Accessed from: Biophilia website

What Is the Treatment for Low AMH Level?

While AMH levels cannot be directly increased, several treatments can help optimize fertility:

Ovarian Stimulation:

• Controlled ovarian hyperstimulation with gonadotropins
• This can help produce multiple eggs in a single cycle

In Vitro Fertilization (IVF):

• Often the most effective treatment for women with low AMH
• Allows for the collection and fertilization of multiple eggs

Egg Donation:

• For women with very low AMH or poor response to stimulation
• Offers high success rates but requires acceptance of using donor eggs

DHEA Supplementation:

• May improve ovarian response in some women
• Should only be taken under medical supervision

Growth Hormone Adjuvant Therapy:

• Can potentially improve egg quality in some cases
• Used in conjunction with IVF treatment

Natural Cycle IVF:

• For women who prefer minimal medication
• Relies on the natural development of a single egg

What Is the Best Treatment for Diminished Ovarian Reserve?

The best treatment for DOR depends on individual factors, including age, overall health, and personal preferences. However, some common approaches include:

Early Intervention:

• Prompt fertility treatment is crucial as ovarian reserve continues to decline with age

Aggressive Ovarian Stimulation:

• Higher doses of fertility medications to stimulate egg production

Mini-IVF or Natural Cycle IVF:

• For women who respond poorly to standard stimulation protocols

Preimplantation Genetic Testing (PGT):

• To select the healthiest embryos for transfer

Fertility Preservation:

• Egg or embryo freezing for future use, if pregnancy is not immediately desired

Lifestyle Modifications:

• As mentioned earlier, improving overall health can positively impact fertility

Complementary Therapies:

• Acupuncture, herbal medicine, or other holistic approaches may be beneficial for some women

Does Low AMH Mean Poor Egg Quality?

As studies have shown, it’s a common misconception that low AMH automatically equates to poor egg quality. While AMH levels correlate with the quantity of eggs remaining, they don’t necessarily reflect egg quality. Here’s what you need to know:

AMH and Quantity:

• Low AMH indicates a reduced number of eggs but not necessarily their quality

Age and Quality:

• Age remains the most significant factor affecting egg quality

Individual Variation:

• Some women with low AMH can still produce high-quality eggs

Other Factors:

• Lifestyle, genetics, and overall health also influence egg quality

Success Stories:

• Many women with low AMH have successfully conceived with their own eggs

Comprehensive Assessment:

• AMH should be considered alongside other factors for a complete fertility evaluation

Accessed from: Shecares website

Fertility Options are Available

Even though low egg count, ovarian degeneration, and low AMH levels might present challenges, your reproductive journey should not end there. Reproductive medicine has advanced, treatment strategies are tailored to each patient, and fertility is approached holistically. Many women with these conditions have had success becoming pregnant.

Our fertility clinic in Bangkok, we are committed to delivering the most innovative and compassionate treatment possible. We are here to help you at every stage of the journey since we recognize that every patient is different.

Many variables will determine fertility. Your prospects of success could be heightened with the correct strategy, patience, and professional care.

Make an appointment to speak with one of our fertility experts if you have any concerns about your fertility or would like more information on low egg counts, ovarian degeneration, or low AMH levels.