How can I improve ovarian reserves?

Doctor's Answers 2

It is not something than one can improve as such…. as we are all born with a fixed number of follicles which gradually and steadily reduce in number over time.. Controllable factors are smoking and excessive drinking!

If you can, avoid repeated ovarian surgery. As multiple cystectomies with excessive diathermy use is related to decreased reserve. However some conditions requiring cystectomy may also contribute to reduced ovarian reserve in the first place eg chronic endometriosis.

Hi there.

It is interesting that your left ovary has “lower capacity” than your right. Have you had some form of surgery to the left ovary before? Sometimes it is difficult to say that 1 ovary has less function than the other, based only on 1 cycle of SO-IUI. Ovaries may respond differently in subsequent SO-IUI cycles, hence I would suggest another 1 or 2 more cycles before making that conclusion.

Even with SO-IUI, the chances of success depend on the number of mature follicles you had during that cycle; do not despair if the 1st cycle did not turn out well.

You may also like to note that ovarian reserves cannot be improved upon. You can however try to conceive while you are younger, and while your ovarian reserves are better. This will increase your pregnancy chances.

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Dr Colin Theng

Dermatologist

Should I be concerned that my ovaries are of different sizes?

I presume that your gynae performed the ultrasound scan to rule out PCOS (given that you also have irregular periods). You have a cyst in your right ovary - cysts are very common in women who are still ovulating, and are almost always benign (none-worrying, and go away by themselves). This can account for the difference in size between your ovaries. Ovaries are usually NOT of exactly the same size, and range from about 2 - 3 cm x 2 - 3 cm in size. If your ovaries are otherwise normal in appearance (as the report suggests), there is no reason for concern.

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