Fertility in women decreases with age.

How do I know if I have a low number of eggs left to fall pregnant?
FSH Levels is a simple blood test done on day 3 of a woman's menstrual cycle to determine the effort needed to produce a mature egg.

Anti-Mullerian Hormone (AMH) is a hormone produced by immature follicles on the ovaries. It, therefore, gives us an idea of your egg reserves. Low AMH levels are associated with a lower chance to conceive successfully, BUT remember, we only need one good quality egg! Women with a very low AMH level CAN still fall pregnant.

Causes of low ovarian reserves include:

1. Primary ovarian insufficiency (POI) due to genetic disorders such as Fragile X syndrome and Turner syndrome, a low number of follicles, autoimmune diseases, chemotherapy or radiation therapy, metabolic disorders, toxins, such as cigarette smoke, chemicals, and pesticides.
2. Premature Menopause is defined as menopause before 40 years of age.
3. Older age, especially above 35 years

Is there something I can do to help make good quality eggs into advanced
maternal age / good quality eggs if my reserve is low?

The short answer is yes, absolutely yes!

Vitamin D plays a role in egg survival and maturation. Higher vitamin D levels are associated with higher AMH levels. So, eat up your salmon and soak up the sun!

Women with a healthy weight are more likely to have healthy AMH levels.

Green and yellow vegetables may be beneficial as women with a higher intake of these were more likely to enter menopause at a more advanced age compared to women with little intake of these.

Soy foods: Soy foods are a rich source of phytoestrogens, which can positively impact reproductive hormones if taken in the right amounts.

Fish: One study found that daily fish intake delayed menopause by three years compared to women who did not consume fish.

Research suggests that a Mediterranean diet and CoQ10 supplements in the correct form and dose may be beneficial.