‍

Diminished Ovarian Reserve (DOR) is a condition characterized by a lower-than-expected number of eggs in the ovaries for a person's age. While DOR cannot be cured or reversed, several treatment options are available to help individuals with DOR achieve pregnancy. In this post, we'll explore the various fertility treatments for DOR and discuss the importance of timely action and personalized care.

Understanding Your Family-Building Goals
Before embarking on any fertility treatment, it's crucial to have a clear understanding of your family-building goals. Your treatment plan will be informed by factors such as your age, the number of children you hope to have, and the timeframe in which you'd like to have them. Discussing these goals with your healthcare provider will help create a tailored approach to your fertility journey.

Basic Fertility Treatment Options
Mild ovarian stimulation, combined with timed intercourse or intrauterine insemination (IUI), can be an effective first step for individuals with DOR. These treatments have shown equally successful outcomes in people with both above- and below-average ovarian reserves. To learn more about the differences between IUI and IVF, check out our recent article: Choosing to Do an IUI vs. IVF.

Advanced Fertility Treatment: IVF and Egg Retrieval
If ovarian stimulation is ineffective in achieving pregnancy, in vitro fertilization (IVF) may be the next step. During IVF, different medication protocols are used to stimulate the ovaries and produce multiple eggs. The eggs are aspirated from the follicles, and mature eggs can be frozen for later use or fertilized with sperm in a laboratory to create embryos for fresh or frozen embryo transfer.

IVF Success Rates and DOR
While IVF can be effective in overcoming the reduced fertility associated with DOR, success rates may be lower compared to those without the condition. Because individuals with DOR have a reduced number of eggs, they are typically given higher doses of ovarian stimulation medications to maximize the number of eggs retrieved and increase the odds of creating a viable embryo. It's important to note that success rates of IVF and other fertility treatments, including those for patients with DOR, vary based on age and individual health factors.

Embryo Quality and DOR
Embryo quality is not directly related to ovarian reserve. However, not all embryos created via IVF are viable. With a lower number of eggs retrieved, there is a reduced chance of creating a usable embryo. For more information on embryo transfer options, read our article: Should I Transfer a Fresh or Frozen Embryo?

Achieving Pregnancy with DOR
It's crucial to remember that DOR is a diagnosis of a lower-than-expected number of follicles for your age and does not directly impact your ability to conceive and carry a pregnancy. With the right treatment and support, many patients with DOR can achieve pregnancy. If you've experienced an unsuccessful IVF cycle, our article What to Do After an Unsuccessful IVF Cycle provides helpful guidance on moving forward.

Conclusion
Navigating fertility treatment options for DOR can be challenging, but with the help of a knowledgeable healthcare provider and a personalized approach, achieving pregnancy is possible. By understanding your family-building goals, exploring various treatment options, and staying informed about the latest research and success rates, you can make the best decisions for your unique fertility journey.

The content on this blog is for informational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always consult with a qualified healthcare provider before making any health-related decisions or implementing any medical information shared here.