Does diminished ovarian reserve cause trouble getting pregnant?

Ovarian reserve describes the remaining supply of eggs and gives information about how the ovaries may respond to stimulation. Diminished reserve can reduce the number of eggs available for ovulation or fertility treatment, and age also affects egg quality. Some people have no obvious symptoms until they try to conceive; regular periods do not by themselves measure ovarian reserve.

Tests may include an anti-Müllerian hormone blood test, antral follicle count on ultrasound, or other hormone testing. These results help with planning but do not independently predict whether pregnancy will occur. Ovulation, fallopian tube health, sperm factors, medical history, and timing also matter.

Arrange a fertility assessment if conception has been difficult or if you have a reason to be concerned about ovarian reserve. Bring menstrual dates, prior test results, surgery history, and a list of medicines. Ask whether both partners should be assessed and whether testing should include ovulation, the tubes, and sperm. A clinician can explain whether monitoring, trying naturally, fertility treatment, or preserving eggs fits your situation.

Seek an earlier appointment if periods become irregular or stop, you have had ovarian surgery or chemotherapy, or you are concerned about fertility because of your age or medical history. Seek urgent care for severe pelvic pain, fainting, or heavy bleeding. These symptoms need assessment for an immediate problem and are not a way to diagnose ovarian reserve.

Which tests are useful for assessing my ovarian reserve? What do my results mean for natural conception and treatment planning? Should my partner and I have a combined assessment? What options preserve time and choice?