Hearing "diminished ovarian reserve" for the first time can feel like the ground shifting under you. But a low number on a lab report is information, not a verdict. DOR is far more common than most women realize, and it does not mean your fertility journey is over. What Is Diminished Ovarian Reserve? DOR means your ovaries have fewer eggs left than expected for your age, or the remaining eggs respond less well to fertility hormones. You're born with all the eggs you'll ever have, and that number naturally drops every year. DOR simply means your "balance" is lower than typical, not that you have zero eggs left. How Common Is It? A large 2023 clinical study of over 13,000 women found an overall DOR prevalence of 37.2%, meaning more than 1 in 3 women tested had some degree of reduced reserve. Among women seeking fertility treatment, prevalence ranges from 6% to 64% depending on age. Importantly, DOR is now appearing in younger women more often than before, so it's no longer just a concern for women over 40. Read more: pahlajanis.com/blog/diminished-ovarian-reserve-dor How Is It Diagnosed? Doctors typically combine two or three tests: an AMH blood test (the most reliable indicator, doable any day of your cycle), an FSH blood test (usually day 2–3), and an antral follicle count via ultrasound. Guidelines generally define DOR as AMH under 1.0 ng/mL or FSH above 10.0 mIU/mL. Local Access in Chhattisgarh Women in Raipur, Bilaspur, and Bhilai now have local access to AMH testing and fertility specialists without needing to travel to metro cities. Pahlajanis' Women's Hospital & IVF Center, with over 45 years of experience and centers across Raipur, Bhilai, and Bilaspur, offers AMH testing, fertility evaluation, and advanced ART treatments under one roof. The Bottom Line DOR is common, manageable, and countless women with this exact diagnosis have gone on to become mothers. What matters most is not the diagnosis itself, but the steps you take with the time you have.
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