Low AMH & Poor Ovarian Reserve in Delhi
Protocols designed for women who produce few eggs, and honest advice about what to expect.
What low AMH & poor ovarian reserve involves
A low AMH tells us how many eggs are likely to be collected — not whether you can conceive. Women with low AMH conceive naturally every day. What it does mean is that a standard high-dose protocol will not produce many more eggs, and that time matters.
The approach is to maximise the quality of what is available: gentler protocols, sometimes several collections banked together, and a low threshold for moving to a plan that actually fits the reserve rather than repeating aggressive stimulation.
Who this is for
- AMH below 1.0 ng/ml, or a low antral follicle count
- Previous cycle cancelled for poor response
- Fewer than four eggs collected in a previous cycle
- Family history of early menopause
Not everything on this list means you need this treatment. The workup comes first, and the recommendation follows from what it shows — not from what was booked before you arrived.
Step by step
Accurate reserve assessment
AMH and antral follicle count together, since either alone can mislead.
Protocol selection
Antagonist, mild stimulation or duostim depending on how you responded before.
Embryo banking
Two or three collections may be combined to accumulate enough blastocysts for one good transfer.
Honest review
If repeated cycles yield nothing usable, we discuss donor eggs openly rather than continuing indefinitely.
Your results, in writing
Whatever the outcome of low AMH & poor ovarian reserve, you leave each stage with the findings written down — what was done, what was found, what it means, and what the options are from here. Reports are issued the same day wherever the laboratory allows it.
What is different about having this done here
Protocols matched to your actual response, not a house standard
Realistic per-cycle expectations given before you pay
Duostim and embryo banking offered where suitable
No open-ended repetition of cycles that are not working
Treated by the consultant, not by a rotating team
Dr. Tiwari performs the scans, the procedure and the follow-up herself, and looks after any pregnancy that results. Over a long treatment course that continuity is the difference between being known and being processed.
- MBBS, MS (Obstetrics & Gynaecology), FNB (Reproductive Medicine)
- Over ten years in reproductive medicine and gynaecological surgery
- Previous treatment records from other centres read in full
- Itemised costs given in writing before anything begins
Areas we see patients from
Both clinics are in South Delhi. Patients travelling from further out have appointments grouped to cut down the number of trips.
Questions about low AMH & poor ovarian reserve
Can I still conceive with low AMH?
Yes. AMH predicts response to stimulation, not fertility itself. Plenty of women with low AMH conceive naturally or with simple treatment.
Will higher drug doses give more eggs?
Beyond a point, no. Very high doses in poor responders increase cost and side effects without increasing yield.
Is there any way to raise AMH?
No treatment reliably raises it. DHEA and CoQ10 are sometimes used with modest evidence. Anyone promising to reverse ovarian reserve is overselling.
Talk it through before you commit
Consultations run for a full hour. Bring any previous reports — they are reviewed properly, not repeated.