Can Ovarian Reserve Be Low in Your Twenties?! A True Story That Will Change the Way You Think About Fertility
Many young women are surprised when their doctor asks them to do an ovarian reserve test (AMH), especially if they’re in their twenties. And sometimes, we hear responses like:
“But I’m still young—how could there be a problem?!”
But the truth is: age alone isn’t enough to determine reproductive potential.
And being in your twenties doesn’t automatically mean everything is fine.
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Your Twenties: A Tempting Age… But Not Always Reassuring
Your twenties can make you feel like you still have plenty of time, and that getting pregnant will be easy. But unfortunately, there are sometimes hidden problems that can only be uncovered through proper testing.
So when a 23- or 25-year-old woman says:
“I’ve been trying to conceive, but it’s not happening,”
people around her might respond with:
“Why are you rushing? You’re still young!”
But sadly, that kind of response can cause her to lose precious time—time that could’ve made all the difference if she had gotten the right help sooner.
A Young Doctor’s Story… and a Shocking Test Result
One of the cases closest to my heart was a young woman, a doctor in her late twenties. She had been married for three years and still hadn’t conceived, despite seeing several doctors.
When she began online consultations with us, we were the first team to ask her for an AMH (ovarian reserve) test.
And the result shocked us all: 0.3 AMH—a very low number, even lower than what we’d expect in women in their 40s!
What was surprising was that no one had ever thought to request this test before—because she looked young and healthy, no one suspected there could be a problem.
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The Big Decision: Should We Start IVF?
Once we saw the result, the patient made a bold decision and said:
“I’m ready to start IVF.”
So we began her first IVF cycle—but sadly, we didn’t get any embryos.
Even then, we didn’t lose hope. We decided to prepare for a second cycle, but with a more tailored protocol and a more precise, supportive approach.
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The Second Cycle… and Hope Returns
In the second cycle, we used a different protocol and focused on improving her egg quality using the right vitamins and supportive measures.
We were able to retrieve 8 eggs—half of them were empty, but the other half were good quality. That alone was a big improvement.
We ended up transferring 3 embryos.
And the best part? God blessed them—and she got pregnant!
They now have a beautiful, healthy baby 🌙
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The Test That No One Asked For Was the Game-Changer
This young woman admitted she was terrified when she saw her AMH result. It was the only test that revealed the real issue—because all her other tests looked normal.
All the previous doctors she visited had told her:
“You’re young—there’s nothing wrong.”
And not one of them thought to check her ovarian reserve.
But once she did the test with us, everything changed.
We now knew exactly what we were dealing with—and how to move forward.
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The Egg Doesn’t Always Respond Well on the First Try
In her first IVF cycle, we retrieved empty follicles—and yes, that happens.
But that doesn’t mean hope is lost.
In the second cycle, there was a significant improvement:
better eggs, embryos formed, and eventually—a pregnancy.
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Words from the Couple
The husband said they had agreed to keep supporting each other, to push through every attempt with patience and faith.
He tried his best to ease her emotional burden, especially since she was the one going through the physical strain.
But when they saw their baby’s image on the ultrasound screen, they forgot all the hardship and simply said:
“Thank God we didn’t give up.”
As for the wife, she shared how she had been watching our videos since the beginning of her marriage.
When she finally decided to follow up with us, she had been paying close attention to every detail—and asked about every step.
Because she wanted to understand her body deeply and take control of her journey.