For example, a woman at 30 often has around 100,000-150,000 eggs in reserve. By 35, that number is likely around 80,000. Late into the thirties, that number could be 25,000, 10,000, or fewer.
Even though women start with 1–2 million eggs, by the time you reach puberty only about 300,000–400,000 of the eggs you were born with remain. The monthly cycle described above then continues throughout a woman's life until there are no eggs left.
You can ask your doctor to check your egg supply during a routine OB/GYN exam. Regardless of your age, you can request ovarian reserve testing during a regular, annual visit to your obstetrician/gynecologist.
ACOG states that a female's fertility gradually and significantly drops around age 32. They will have around 120,000 eggs, with a 20% chance of conceiving per cycle. ACOG further states that a female will experience a rapid decline by age 37, when egg count drops to around 25,000.
The study published by the University of St. Andrews and Edinburgh University in Scotland found that women have lost 90 percent of their eggs by the time they are 30 years old, and only have about 3 percent remaining by the time they are 40.
There are two good ways to measure egg count: an antral follicle count and an AMH (anti-Müllerian hormone) test. During an antral follicle count, a doctor uses ultrasound to count the visible follicles. Each follicle contains an immature egg that could potentially mature and ovulate.
Once she starts her periods, 1 egg develops and is released during each menstrual cycle. Pregnancy happens if a man's sperm meet and fertilise the egg. Sperm can survive in the fallopian tubes for up to 7 days after sex. Occasionally, more than 1 egg is released during ovulation.
A woman's peak reproductive years are between the late teens and late 20s. By age 30, fertility (the ability to get pregnant) starts to decline. This decline becomes more rapid once you reach your mid-30s. By 45, fertility has declined so much that getting pregnant naturally is unlikely for most women.
Menopause. Natural cessation of ovarian function and menstruation. It can occur between the ages of 42 and 56 but usually occurs around the age of 51, when the ovaries stop producing eggs and estrogen levels decline.
You're born with all the eggs you'll ever have in your life, about 1 million. By the time you hit puberty, you may have about 300,000 left. At 37, you're down to just 25,000 -- or 2.5% of your starting count. That matters because the fewer eggs in your ovaries, the lower your odds for conception.
At 37-38 years, even healthy women will have around 25,000 of their eggs but by then the quality of these eggs also becomes a concern.
At menopause, you'll have fewer than 100 eggs left. Find out what you should know about having a baby at 40.
A vaginal ultrasound is the best way to accurately assess and count the number of antral—or resting—follicles in each ovary. These sacs contain immature eggs that may potentially develop in the future. Counting the number of follicles is called an antral follicle count (AFC), which is performed via an ultrasound.
Hormone testing to assess egg quality
Three simple blood tests can check hormone levels and reveal more information about egg quality. These tests may also help diagnose infertility in a younger woman, who ordinarily would not be experiencing diminished ovarian reserve or poor quality: Basal FSH.
2. How many eggs does a woman lose each month? After a woman starts her menstrual cycle, one egg is ovulated and about 1,000 (immature) eggs are lost each month. The number of eggs a woman loses each month is not influenced by anything that can be controlled.
Shortened cycles can be an indication that the ovaries contain fewer eggs than expected. This is typically a pattern seen in women in the years leading up to perimenopause. Alternatively, a short cycle could indicate that ovulation is not occurring.
You ovulate one egg per month, usually. This is the single egg that makes it through the whole ovulatory process: the egg follicle is activated, the egg grows and matures, and then—once it reaches maturation—it breaks free from the ovary and begins on its journey down the Fallopian tubes.
Aging is one of the biggest causes of low ovarian reserve; however, sometimes, there is no cause. Other times, genetics or medical treatments cause diminished ovarian reserve. These include: Genetic disorders that affect the X chromosome.
However, the belief that the follicles are empty is under debate. The incidence of this syndrome has been estimated at 0.6–7.0%.
Ovarian reserve testing uses a combination of blood tests: FSH, Estradiol, and Anti-müllerian Hormone (AMH); and vaginal ultrasound (antral follicle count or AFC) to help evaluate the number of eggs that remain. The testing is reflective of oocyte (egg) quantity, not quality, which declines with age.