Diminished Ovarian Reserve

What it really means for you and your eggs.

Diminished Ovarian Reserve Explained

Please click any link on the page to take you to the scientific articles expanding on the points made.

Diminished Ovarian Reserve or D.O.R. is an often misunderstood and misused term in medicine. For years scientists and researchers have published papers, crying out for the proper use of Diminished Ovarian Reserve and other terms relating to it. To date, nothing has changed. Confusion reigns for both patients and doctors, while scientists call for clarity.

There are several reasons why a woman can be told she has Diminished Ovarian Reserve, however, most women take this diagnosis to mean they are running out of eggs. This article will explain what D.O.R. means to you, your ovaries, eggs, and fertility.

Women confuse Diminished Ovarian Reserve as meaning they are running out of eggs. Depending on who is using the term, it means different things.

Diminished Ovarian Reserve is used under these circumstances.

  1. You have had a transvaginal ultrasound and less than 10 or so eggs are seen growing in each ovary. 15 – 20 eggs in each ovary is normal. Diminished Ovarian Reserve is the most used diagnosis.
  2. You have done a stimulated IVF cycle and doctors have harvested fewer eggs than expected. 5 eggs or less will earn you the D.O.R. title. Poor Ovarian Responder or P.O.R. is another term for in this situation (and we will talk later on this point).
  3. You have had a blood test and your Anti-Mullerian Hormone levels are below normal. Women with low AMH levels grow fewer eggs than normal, earning the diagnosis of Diminished Ovarian Reserve.

Diminished Ovarian Reserve in the preceding contexts really means Diminished Ovarian Function.

You are not running out of eggs, just the ability to grow them as expected.

Producing fewer eggs than expected during an IVF cycle gets two labels.

  1. Poor Ovarian Responder (P.O.R.) – meaning your ovaries responded poorly to the IVF drugs. This term is accurate.
  2. Diminished Ovarian Reserve (D.O.R.) – you don’t have as many eggs as the doctors hoped to fertilize and freeze. The Reserve of Ovarian eggs harvested is Diminished (less than expected). This explanation is loose but brings concept and reality as close as can be.

The belief that “Diminished Ovarian Reserve” means you are running out of eggs is entirely wrong.

The real diminished ovarian reserve.

When you are born you have about 400000 eggs in your ovaries. These eggs are called Primordial (before the beginning) eggs. When the menstrual cycle starts, you will grow at most 20 eggs in each ovary per month. Over 33 to 37 years of fertility your ovaries will grow about 16000 eggs. Yet by the time you become a 45-year-old woman, having 5000 – 10000 primordial eggs left is normal. There is nothing diminished about those numbers! The only thing that truly diminishes the primordial egg reserve before its time is Premature Ovarian Failure.

Your egg reserves decline naturally every year. Reserves decline much faster than your ovaries will grow or ovulate them.

Growing older diminishes ovarian reserve. Decreasing levels of Anti-Mullerian hormones (AMH) over time are responsible for fewer and fewer eggs able grown by the ovaries. Becoming older doesn’t mean you are down to your very last eggs, it means it is harder for your body to produce the normal amount of eggs. AMH is the hormone to blame for this natural decline.

The idea you are down to your last few eggs is confused with the reality that you are actually growing fewer eggs, not running out.

What does AMH have to do with low or diminished ovarian reserve then?

Women can be mistakenly told they have Diminished Ovarian Reserve when their blood test shows lower than expected levels of AMH. Anti-Mullerian Hormone has everything to do with how many, and how well your eggs grow. AMH certainly does not have to do with how many eggs you currently have, or how many you have left, only what you grow.

Low AMH can be referred to as low folliculogenesis. The word folliculogenesis means Follicle (folliculo) + Growth (genesis) – the growth of your follicles.

What you need to know

  • Diminished Ovarian Reserve is linked but not causative with poor egg quality in women.
  • Your AMH score is a reflection of your Ovarian Function, and loosely related to your Ovarian Reserve.
  • The lower the AMH score is the harder it is for a woman’s eggs to be fertilized.
  • Low Ovarian Reserve and low AMH levels are linked to Egg Quality and the ability for an egg to be fertilized.

Conclusion

You now have enough information to decipher what your doctor means when he says you have Diminished Ovarian Reserve. Depending on an AMH test, an IVF cycle, or an ultrasound, you now know what is really going on in your ovaries now. Hopefully, in years to come, the scientific and medical community agree on the use of the terms discussed. Here is a quick recap.

  • Diminished Ovarian Reserve: a naturally occurring process as women age.
  • Poor Ovarian Responder: less than 5 eggs harvested at the time of egg pick-up in an IVF cycle.
  • Diminished Ovarian Function: Ovaries not growing the number and quality of eggs that they would normally.
  • Low AMH: the underlying cause of Diminished Ovarian Function.
The real decline of Ovarian Reserve with age.

Read this Fertility Guide about this must-know problem of IVF and Diminished Ovarian Reserve.

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Diminished Ovarian Reserve Formula

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INGREDIENTS AND FAQs

Ovance and RPM: The Low AMH Combination

Your doctors may have told you IVF or a donor egg is your only hope for a pregnancy. This does not have to be true.

Ovance and RPM, the low AMH combination is a proven way to increase low AMH levels and stimulate ovarian reserve. See the results of our research here to help you determine how effective the formulas are likely to be, and how long it may take to work.

You will receive a 3 or 6 month supply of Ovance, and RPM formulas. This includes 3 (or 6) x 1 month bottles of Ovance Low AMH Formula and 3 (or 6) x 1 month bottles of RPM Metabolism Formula.

Please take 2 capsules Ovance and 2 capsules of RPM twice per day with breakfast and dinner.

The combination consists of the following formulas.

Ovance Low AMH Formula
Ovance, our low AMH formula has been clinically proven to increase fertilization rates in IVF transfers and also improve pregnancy rates in women with poor egg quality. Ovance improves egg quality in women so you can ovulate the best egg your body can produce. It doesn’t just work for women with poor egg quality, it can help any woman improve her egg health.

RPM Metabolism Formula
RPM, the metabolism formula, gives energy reserves to your body and ovaries. Why do you need energy reserves to fall pregnant? If your body is having a hard time keeping up with your daily requirements, it is quite possible that it doesn’t have enough energy to grow you a baby, and has been circumventing your efforts to fall pregnant because it knows it can’t grow you a baby because you are too tired. RPM increases the overall energy and vitality of your body, without the use of artificial stimulants or caffeine, so when your body asks. do we have enough energy to do this? The answer is a very big yes.

If you have been trying to find the right combination to help you get pregnant use our Ultimate Fertility Combination – it could very well be the solution you have been looking for.

Ovance Ingredients

  • Panax ginseng, root 90.5 mg
  • Rehmannia glutinosa, root 135.7 mg
  • Angelica polymorpha, root 113.2 mg
  • Lycium chinense, fruit 113.2 mg
  • Astragalus membranaceous, root 230.5 mg
  • Cuscuta hydrophilae 113.2 mg
  • Fallopian multiflora, root 453.1 mg
  • Achyranthes bidentata, root 113.2 mg
  • Cullen corylifolium, seed 56.5 mg
  • Cornus officinalis, fruit 67.9 mg
  • Poria cocos, body 452.9 mg
  • Flos Roseacae Rubriae 34.5 mg
  • Fructus Foeniculi Vulgaris 56.5 mg

RPM Ingredients

  • Bupleurum falcatum, root 169.2 mg
  • Zizyphus jujuba, fruit 187.2 mg
  • Atractylodes macrocephala, rhiz. 280.8 mg
  • Astragalus membranaceous, root 280.8 mg
  • Codonopsis pilosula, root 280.8 mg
  • Citrus reticulata, fruit peel 113.4 mg
  • Glycyrrhiza uralensis, root 93.6 mg
  • Angelica Polymorpha, root 225.0 mg
  • Actaea cimicifuga 113.4 mg
  • Zingiber officinale, rhiz. 55.8 mg

FAQs to come…

Gina
2020

More than 1 year ago, my husband and I had a failed IVF. The doctor diagnosed me with polycystic ovarian syndrome and an AMH level of 1.1. I found this website and followed Dr. Martin’s advise to take PCOS and Ovance for 3 months. I got pregnant 3 months after I started the formulas. My baby is now almost 5 months old. I will be 40 yo this July and would like to try for a 2nd baby. My doctor took my AMH levels 2 days ago and it is 1.5! Taking Ovance last year has not only increased my AMH but also given me one healthy baby girl!

Edris
2020

After blood work and an ultrasound, the fertility doctor said there is no way to use my own eggs because of very low egg quality. My AMH level was 0.13, the doctor said there is no treatment to raise the AMH Level and we would need egg donation. I felt hopeless and frustrated, just didn’t know what to do.
Dr Scott Martin gave me new hope and the supplements really work! It has been 6 months since I started taking these supplements and the results are positive. My AMH level is higher.

Mary
2020

I took ovance the combo and my AMH has gone up. At first, it was 0.064 and now it is 0.99 in just 3 months. I’m not pregnant yet but fingers crossed! I will be ordering more of them soon. Thanks Dr. Scott

Amber Dawn
2020

I don’t usually write reviews but the Ovance RPM combo is the real deal. I’m 42 and my AMH was less than 0.1 and my Dr. was basically telling us that our only hope was IVF with a donor egg. I’m not pregnant yet but I retested my AMH and it is now 0.99 after 3 months! Truly an amazing medication. We are going to be ordering a 6 month supply and safe baby as well. Good luck to you all. If you are skeptical I say follow Dr. Scott Martin’s advice and try Ovance and retest your labs you will be a believer like my husband and me.

Suzette
2019

I had an AMH of 0.2 and FSH of 14 and I am 42. My husband’s count was a little on the low side. We did the Couples Fertility Program for 7 months, first, menovance 2 for 3 months, and we placed a second order, but by the time we finished the second order I was pregnant. It really does work! The key is to have patience. I wish you guys all the best I never thought it could happen but it did. Thanks, DR Scott

Sonya
2019

I am 45 years old female, who started trying to have kids at age 40. When I was unsuccessful, I looked to IVF. When I went to the doctor, she said I was just too old, though all my tests were normal. I gave up hope, but then over the next 2 years, I got pregnant twice but unfortunately miscarried. I then decided to return to some kind of fertility evaluation over the last 2 years. I got pregnant one more time and again miscarried. I started looking for help and found Advanced Fertility Solutions. Since then I have been able to do ivf/egg retrievals and able to fertilize 9 of my eggs. I am happy with what I have been to achieve and recommend this company if you are having issues.

Naz
2019

I have been using this Ultimate Fertility Package for 6 months and I had a good jump in my AMH from 0.1 to 0.4! it is still too low to perform any IFV treatment but I do have my faith in this package and will continue taking them. Ohh and I went from no periods for 6 months to regular cycles thanks to this miracle package. Thank you!

Anna
2019

At 45 years of age, my AMH was very low, 0.4. After just one month of taking the Ovance +RPM, my AMH increased to 1.25! I decided to have my AMH tested once per month so I could keep up with the results. The next month it had dropped to .95. The third month back up to 1.5. I am continuing this product as well as the IVF 1& 2, as I will be undergoing IVF soon. I was able to get one healthy blastocyst and hopefully, I will get successful implantation. Before I started Dr. Martin’s program, I had 1 unsuccessful Ivf with no blastocysts. I am very pleased with Dr. Martin and his miracle supplements. He is wonderful at communicating, asking how you’re doing and offering any help and advice he can. That’s something I really appreciate. His pills also make me feel so much better in general too.

Ella
2019

After 6 months of taking the Ultimate Fertility Combination my latest blood test shows my AMH has increased from 0.91 to 1.75 pmol/l or 0.22 to 0.77 nglml. I will continue taking it and remain hopeful for a baby coming my way – better late than never! All the very best of luck to all the ladies out there waiting for their baby miracle!

Suzanne
2019

It worked! It increased my AMH level in three months. I am 40 years old with fibroid in my uterus, chocolate cyst at the ovary and very low AMH, After the first month, I started noticing better skin and fewer mood swings. I definitely recommend it and will buy it again.

Shelly
2019

My Amh level was 0.37 and it was very frustrating as the chances of successful IVF were low. I took Ovance + Rpm formula for 3 months and now my Amh has risen to .56. I have ordered another 3 months supply. Would recommend to all who are struggling with low Amh level.

Adrianna
2019

I have very low AMH/high FSH and imbalanced hormones. I have been taking this combination for 5 months now. I have noticed deeper sleep at night and more energy during the day. I also have had a greater amount of cervical fluid around my ovulation time, that I did not have much of before taking these pills. I am not pregnant yet, but feel better overall and have not had any negative side effects from these herbs. I highly recommend these herbs.

Lisa
2019

The Ultimate Fertility Combination is very easy to take and doesn’t upset your stomach. I’m 42 and had an AMH of only .18 when I started the product and also had very light flow every month. Although we still haven’t conceived yet, my AMH did double and my period flow improved greatly. I highly recommend the product.

Kelda
2019

I have been using the Ultimate Fertility Combination and I just wanted to let you know that our sweet healthy little girl, Xavia Simone, is due December 6, I’m now 20 weeks pregnant! Several of my friends/ family will be reaching out to you! Thank you!

Parrish
2019

I just wanted to let you know that I just received a positive pregnancy test. I’m 44 years old, and I am on round one, bottle #3 of the Ovance, AMH formula. So this formula works and I had not even finished the third bottle!

Imee
2019

Hi Dr. Scott, I have been taking the Ovance and Maybe 1 formula; I am happy to share my AMH result … Two years ago my level was 1.25, then we did IVF, 2 rounds of egg retrieval, and my AMH went down to 1.05. I just started using Ovance and I am very thrilled with my AMH result, back to 1.25. This is just the beginning, and thank you for this amazing product!

Scott-Martin
Dr. Scott Martin
M.TCM M.ACU
Have More Questions?

Dr. Scott Martin has a masters degree in Chinese Medicine and Acupuncture and leads the team for Advanced Fertility Solutions formulas. He is also available for consultations to the public who wish to know more about the products and how they can help.

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