Bad Egg Quality: Symptoms, Causes, Diagnosis & Treatment

by | May 10, 2023 | Fertility

What is Egg Quality?

Egg quality refers to the health and viability of a woman’s eggs. An egg with good quality has the potential to be fertilized, implant in the uterus, and develop into a healthy pregnancy. On the other hand, poor egg quality may lead to difficulty conceiving, miscarriages, or genetic abnormalities.

The Impact of Bad Egg Quality on Fertility

Egg quality is a crucial component of a successful pregnancy. Healthy eggs are more likely to be fertilized, implant successfully, and result in a full-term, healthy baby. However, if the quality of an egg is compromised, the chances of conceiving and carrying a pregnancy to term decrease significantly.

Imagine egg quality as a key to unlocking the door of fertility. A high-quality key will fit the lock perfectly, opening the door with ease. A low-quality key, on the other hand, might be too worn or damaged to open the lock. Similarly, a healthy egg is more likely to unlock the door to a successful pregnancy than a poor-quality egg.


Factors Affecting Egg Quality:

Several factors can impact egg quality, some of which are within your control, while others may be unavoidable. Let’s explore these factors and how they can influence the health of your eggs.

  • Age: Age is one of the most significant factors affecting egg quality. As women age, the quantity and quality of their eggs naturally decline. This process typically begins in the late 20s and accelerates as a woman reaches her mid to late 30s. By the time a woman reaches her 40s, her egg quality has usually decreased substantially, making conception more challenging.
  • Lifestyle Choices: Your lifestyle choices can also have a considerable impact on egg quality. Habits such as smoking, excessive alcohol consumption, and a poor diet can all contribute to a decline in egg quality. On the flip side, adopting a healthy lifestyle – eating a balanced diet, exercising regularly, and managing stress – can help improve your egg quality and overall fertility. Have you ever heard the saying, “you are what you eat”? In the context of egg quality, this old adage holds true. A nutritious diet, rich in antioxidants, can help protect your eggs from damage and improve their overall health.
  • Medical Conditions: Certain medical conditions can also affect egg quality. Conditions such as polycystic ovary syndrome (PCOS), endometriosis, and autoimmune disorders can all have a negative impact on the health of your eggs. Proper diagnosis and management of these conditions are essential for optimizing fertility.
  • Environmental Factors: Lastly, exposure to environmental toxins and certain medications can also play a role in egg quality. Pesticides, heavy metals, and even some medications can cause damage to eggs, reducing their quality. Being mindful of your environment and discussing any medications you’re taking with your healthcare provider can help you minimize the risk to your egg quality.



Symptoms of Bad Egg Quality:

Recognizing the signs of poor egg quality is essential for understanding and addressing potential fertility issues. Let’s dive into the most common symptoms you may encounter.

  • Difficulty Conceiving: One of the most apparent indicators of poor egg quality is having trouble getting pregnant. If you’ve been trying to conceive for over a year without success, it may be time to investigate the possibility of bad egg.
  • Recurrent Miscarriages: Experiencing multiple miscarriages can be emotionally devastating, and unfortunately, it’s often a symptom of poor egg quality. Abnormalities in the egg can make it difficult for the embryo to develop properly, leading to recurrent pregnancy loss.
  • Failed IVF Cycles: IVF can be an emotional and financial rollercoaster, so when cycles repeatedly fail, it’s natural to feel disheartened. In many cases, poor egg quality is the culprit behind failed IVF attempts, as it hinders successful fertilization and implantation.
  • Poor Embryo Quality: During IVF, doctors assess the quality of embryos before transferring them to the uterus. If the embryos consistently display poor quality, it could point to an issue with egg quality. Healthy eggs are crucial for producing strong embryos capable of implanting and developing into a healthy pregnancy.
  • An Abnormal Number of Chromosomes: Eggs with poor quality may have an abnormal number of chromosomes, leading to chromosomal disorders like Down syndrome. This genetic imbalance can result in difficulties with conception or pregnancy complications.
  • Hormonal Imbalances: Hormones play a vital role in fertility, and imbalances can signal problems with egg quality. Low levels of follicle-stimulating hormone (FSH), estradiol, and anti-Müllerian hormone (AMH) can all indicate poor egg quality.
  • Low Follicle Count: Antral follicle count (AFC) is a measure of the number of follicles in your ovaries, each containing a potential egg. A low follicle count can be an indicator of poor egg quality, as it suggests a limited ovarian reserve.
  • Irregular Periods: An irregular menstrual cycle can be a warning sign of poor egg quality. Consistently irregular periods may indicate hormonal imbalances or other underlying issues affecting the quality of your eggs. Hormones are essential for egg development and quality. Imbalances in hormones like FSH, estradiol, and AMH can negatively impact the quality of your eggs and hinder your chances of conceiving.
  • Low Oestradiol: Low oestradiol levels can also be a contributing factor to poor egg quality. Oestradiol, a form of estrogen, plays a crucial role in egg maturation and the menstrual cycle. Insufficient oestradiol levels can negatively impact egg quality and hinder your chances of conception.


Causes of Bad Egg Quality:

Bad egg quality is a major concern for many women facing fertility challenges. Understanding the causes behind poor egg quality is essential in navigating your fertility journey and making informed decisions.

  1. Age-related Decline in Egg Quality: One of the primary causes of poor egg quality is age. As women age with time, the quality and quantity of their eggs naturally decline. This process typically begins in the late 20s, with a more rapid decrease occurring in the mid to late 30s. By the time a woman reaches her 40s, her egg quality has usually diminished significantly, posing challenges for conception.
  2. Lifestyle Factors: Your lifestyle choices can have a profound impact on your egg quality. Let’s examine some common habits that can affect your fertility.
  3. Poor Diet: A diet lacking essential nutrients can compromise your egg quality. Eating a balanced diet, rich in vitamins, minerals, and antioxidants, is crucial for maintaining healthy eggs and supporting overall fertility.
  4. Smoking and Alcohol Consumption: Smoking and excessive alcohol consumption can both contribute to a decline in egg quality. These habits expose your body to harmful substances that can damage your eggs and impair fertility. Limiting alcohol intake and quitting smoking are essential steps in preserving your egg quality.
  5. Lack of Exercise: Regular physical activity is important for overall health, and it also plays a role in egg quality. A sedentary lifestyle can lead to hormonal imbalances and weight gain, both of which can negatively affect your fertility. Engaging in regular exercise can help improve your egg quality and boost your chances of conception.
  6. High-Stress Levels: Chronic stress can take a toll on your egg quality by disrupting hormonal balance and impairing overall health. Finding healthy ways to manage stress, such as through meditation, yoga, or therapy, can help protect your egg quality and support your fertility journey.
  7. Medical Conditions: Several medical conditions can affect egg quality. Let’s explore some of the most common ones.
  8. Polycystic Ovary Syndrome (PCOS): PCOS is a hormonal disorder that can lead to poor egg quality. Women with PCOS often have insulin resistance and elevated androgen levels, both of which can impair egg development and decrease fertility.
  9. Endometriosis: Endometriosis is a condition in which tissue similar to the uterine lining grows outside the uterus. This can cause inflammation and hormonal imbalances, both of which can negatively impact egg quality.
  10. Autoimmune Diseases: Autoimmune diseases, such as lupus or rheumatoid arthritis, can also affect egg quality. These conditions cause the immune system to attack healthy cells, potentially damaging your eggs and impairing fertility.
  11. Genetic Factors: Genetic factors can play a role in poor egg quality. Specific gene mutations or chromosomal abnormalities can negatively impact the development and health of your eggs, posing challenges for conception.
  12. Environmental Factors: Finally, environmental factors can contribute to bad . Let’s explore some common culprits.
  13. Exposure to Toxins: Exposure to environmental toxins, such as pesticides, heavy metals, and industrial chemicals, can damage your eggs and compromise their quality. Being mindful of your environment and reducing exposure to toxins can help protect your egg quality.
  14. Prolonged Use of Certain Medications: Some medications, when used for prolonged periods, can negatively affect egg quality. Examples include chemotherapy drugs, certain antidepressants, and long-term use of non-steroidal anti-inflammatory drugs (NSAIDs). It’s important to discuss any medications you’re taking with your healthcare provider to understand their potential impact on your fertility.


Diagnostic Tests for Egg Quality:

  1. Basal Follicle-Stimulating Hormone (FSH) Test: The basal FSH test is a blood test that measures follicle-stimulating hormone levels in your body. This hormone plays a critical role in the development of eggs within the ovaries. High FSH levels can indicate a reduced ovarian reserve, which may suggest poor egg quality. The test is typically performed on the second or third day of your menstrual cycle. By evaluating your FSH levels, healthcare professionals can gain insights into your fertility potential and guide you toward appropriate treatment options.
  2. Anti-Mullerian Hormone (AMH) Test: The AMH test is another blood test that can provide valuable information about your egg quality. The anti-Mullerian hormone is produced by small follicles within the ovaries and is an excellent indicator of your ovarian reserve. Unlike the FSH test, the AMH test can be performed at any time during your menstrual cycle. Lower AMH levels may suggest a diminished ovarian reserve and poor egg quality. This test offers a reliable assessment of your fertility potential, helping you make informed decisions about your reproductive journey.
  3. Antral Follicle Count (AFC): The Antral Follicle Count (AFC) is a non-invasive ultrasound examination that evaluates the number of small, resting follicles in your ovaries. These antral follicles are essential for egg development, and a higher count usually indicates a more robust ovarian reserve. A low AFC may suggest poor egg quality and reduced fertility potential. By assessing your antral follicle count, healthcare providers can help you understand your fertility status and guide you toward appropriate interventions.
  4. Ovarian Reserve Testing: Ovarian reserve testing typically combines the aforementioned tests (FSH, AMH, and AFC) to provide a comprehensive assessment of your egg quality and fertility potential. By evaluating these different factors, your healthcare provider can develop a clearer understanding of your reproductive health. Sometimes, additional tests, such as a clomiphene citrate challenge test or a hysterosalpingogram, may be recommended to further investigate fertility concerns. These tests can provide valuable insights into your reproductive function, helping you and your healthcare provider make the best decisions for your fertility journey.


Treatment of Bad Egg Quality:

Facing fertility challenges can be daunting, but don’t lose hope. There are various treatment options available to help improve egg quality and enhance your fertility potential.

Lifestyle Modifications:

  • Nutritious Diet: A well-balanced diet, rich in fruits, vegetables, lean proteins, and whole grains, can provide essential nutrients for optimal egg health. Focus on consuming antioxidant-rich foods, healthy fats, and an adequate amount of vitamins and minerals to support your reproductive system.
  • Exercise: Regular exercise is crucial for overall health and can positively impact your fertility. Aim for moderate-intensity activities, like brisk walking or swimming, to maintain a healthy weight and reduce stress. However, be cautious not to overdo it, as excessive exercise may harm your fertility.
  • Stress Management: Chronic stress can negatively affect hormone balance and egg quality. Incorporate stress-reducing practices, such as deep breathing exercises, mindfulness, or spending time in nature, to maintain your emotional well-being throughout your fertility journey.
  • Quitting Smoking and Alcohol: Smoking and excessive alcohol consumption can harm egg quality. Quitting smoking and limiting alcohol intake are crucial steps toward improving your reproductive health and boosting your fertility potential.


Supplements and Vitamins:

  • Coenzyme Q10 (CoQ10): CoQ10 is a powerful antioxidant that plays a vital role in energy production within cells. Studies suggest that CoQ10 supplementation may improve egg quality and enhance fertility, particularly for women of advanced reproductive age.
  • DHEA (Dehydroepiandrosterone): DHEA is a hormone precursor that can help balance estrogen and testosterone levels. Some research indicates that DHEA supplementation may improve ovarian function and egg quality, especially for women with diminished ovarian reserve.
  • Inositol: Inositol is a sugar-like compound found in various foods and is crucial for insulin sensitivity and hormone regulation. Inositol supplementation may improve egg quality and ovarian function, particularly for women with polycystic ovary syndrome (PCOS).
  • Antioxidants: Antioxidant supplements, such as vitamins C and E, can help protect your eggs from damage caused by free radicals. Boosting your antioxidant intake may improve egg quality and support your fertility.


Medical Treatments:

  • Fertility Medications: Fertility medications, such as clomiphene citrate or gonadotropins, can stimulate egg development and enhance ovulation. These treatments may improve egg quality and increase your chances of conception.
  • IVF with Preimplantation Genetic Testing (PGT): IVF is a fertility treatment that involves retrieving eggs, fertilizing them in a laboratory, and transferring embryos into the uterus. PGT can screen embryos for chromosomal abnormalities before the transfer, helping to ensure the highest-quality embryos are selected.
  • Intracytoplasmic Sperm Injection (ICSI): ICSI is a specialized IVF technique where a single sperm is injected directly into an egg. This procedure may be beneficial for couples facing male factor infertility or those with a history of poor fertilization in previous IVF cycles. By selecting the best sperm for fertilization, ICSI can potentially improve embryo quality and increase the likelihood of a successful pregnancy.
  • Donor Eggs: For women facing severe egg quality issues or diminished ovarian reserve, using donor eggs can be a viable option. Donor eggs are typically sourced from young, healthy women, ensuring better egg quality and increasing the chances of a successful pregnancy.


Alternative Therapies:

  • Acupuncture: Acupuncture is a traditional Chinese medicine technique that involves inserting thin needles into specific points on the body. Research suggests that acupuncture may improve blood flow to the reproductive organs, regulate hormones, and enhance fertility. Consider incorporating acupuncture into your fertility treatment plan for a holistic approach to improving egg quality.
  • Herbal Remedies: Herbal remedies have been used for centuries to support reproductive health. While scientific evidence is limited, some herbs, such as vitex, maca, or red clover, may help balance hormones and improve fertility. Always consult a healthcare professional before using herbal supplements, as they can interact with other medications and may not be suitable for everyone.
  • Yoga and Meditation: Yoga and meditation are powerful tools for reducing stress, promoting relaxation, and fostering a positive mindset throughout your fertility journey. Regular practice can help you cultivate a deeper mind-body connection, which may contribute to improved egg quality and overall fertility.


Egg Quality Age Chart:

  • Egg Quality and Age: As women age, the quantity and quality of their eggs decline. It’s a natural biological process. After all, time waits for no one! The egg quality age chart provides insight into how the quality of a woman’s eggs deteriorates over time. Knowing this information can be a valuable guide to understanding fertility and the potential success of IVF treatments.
  • The 30s: Did you know that the decline in egg quality accelerates after a woman turns 30? Yes, it’s true! So, if you’re planning on starting a family or considering IVF, it’s essential to be aware of your biological clock.


Does Egg Quality Vary Month on Month?

Is it possible for egg quality to vary month on month? Absolutely! Just like our moods can swing, egg quality can fluctuate as well. Factors like stress, diet, and overall health can impact the quality of eggs produced during a given month.

Boost Your Egg Quality

Now that you know egg quality can vary, the next question is – how can you improve it? Lifestyle changes, such as eating a balanced diet, getting regular exercise, and managing stress, can help support better egg quality.


How Does Poor Egg Quality Affect IVF Success Rate?

If you’ve ever asked yourself, “Can poor egg quality affect my chances of having a baby through IVF?” the answer is yes. Egg quality is a critical factor that impacts the success of IVF treatments. Poor egg quality can lead to lower chances of fertilization, implantation failure, or miscarriage.

Despite the challenges, don’t lose hope! Medical advancements have come a long way, and there are ways to improve your chances of a successful IVF treatment. But first, let’s explore the best IVF protocols for poor egg quality.


Best IVF Protocols for Poor Egg Quality

  • Personalized IVF Protocols: Just like snowflakes, no two IVF cases are the same. Therefore, it’s crucial to have a personalized approach to IVF treatments. A skilled fertility specialist can tailor the IVF protocol to address poor egg quality based on the unique needs of each patient.
  • Mild Stimulation IVF: A mild stimulation IVF protocol can be beneficial for women with poor egg quality. It involves using lower doses of fertility drugs, which can help reduce stress on the ovaries and potentially result in better-quality eggs.
  • Donor Eggs: Sometimes, the best option for women with poor egg quality is to use donor eggs. Donor eggs can significantly increase the chances of a successful pregnancy and a healthy baby.



Bad egg quality can significantly impact a woman’s fertility, making it essential to understand the symptoms, causes, and diagnostic tests associated with this condition. By adopting healthier lifestyle habits, considering supplementation, exploring medical treatments, and seeking alternative therapies, women can take proactive steps toward improving egg quality and enhancing their chances of conception. Remember that each fertility journey is unique, and it is crucial to consult with a healthcare professional to determine the most appropriate course of action for your specific situation. Stay hopeful, remain patient, and keep striving towards your dreams of parenthood, knowing that there are various options available to help you overcome the challenges of bad egg quality.



How do you know if your egg quality is poor?

A: The quality of eggs can be determined through medical testing, including ultrasound, blood tests, and fertility evaluations. However, it’s important to note that age is the most significant factor in determining egg quality, as a woman’s eggs naturally decrease in quality and quantity as she ages.

Q: How can you tell if a woman’s egg is good quality?

A: Egg quality can be evaluated through several factors, including the age of the woman, her hormone levels, her medical history, and the results of fertility testing.

Q: What causes poor egg quality?

A: Poor egg quality can be caused by various factors, including age, genetics, certain medical conditions, lifestyle factors such as smoking and excessive alcohol consumption, and exposure to environmental toxins.

Q: How can I improve my poor-quality eggs?

A: While it’s difficult to improve egg quality, some steps that may help include maintaining a healthy diet and lifestyle, avoiding exposure to toxins, managing stress, and seeking medical treatment for underlying medical conditions that may affect fertility.

Q: How can I test my egg quality at home?

A: There are currently no reliable home tests for assessing egg quality.

Q: At what age is egg quality best?

A: A woman’s egg quality is typically best in her late teens and early 20s, with a gradual decline in quality and quantity as she ages.

Q: What is the first indicator of egg quality?

A: There is no single indicator of egg quality, but some factors that may suggest good egg quality include a regular menstrual cycle, normal hormone levels, and a healthy medical history.

Q: Does folic acid improve egg quality?

A: While folic acid is important for overall fertility and a healthy pregnancy, there is limited evidence to suggest that it specifically improves egg quality. However, it’s still recommended that women of childbearing age take folic acid supplements to reduce the risk of birth defects.

Q: How can I improve my egg quality naturally?

A: While there is no guaranteed way to improve egg quality, some steps that may help include maintaining a healthy diet and lifestyle, avoiding exposure to toxins, managing stress, and seeking medical treatment for underlying medical conditions that may affect fertility.

Q: What can I eat to improve egg quality?

A: A healthy diet that includes a variety of fruits, vegetables, lean protein, and healthy fats may help support overall fertility and egg quality. Some specific foods that may be beneficial include leafy greens, berries, nuts, and seeds.

Q: Can you conceive naturally with poor egg quality?

A: It’s still possible to conceive naturally with poor egg quality, but it may be more challenging. In some cases, fertility treatments such as IVF may be recommended to improve the chances of conception.

Q: Does exercise help egg quality?

A: Regular exercise can help support overall fertility and may improve egg quality. However, it’s important to maintain a healthy balance and avoid excessive or strenuous exercise, which may have the opposite effect.

Q: Which fruit is best for fertility?

A: While no single fruit is a magic fertility solution, some fruits that may be beneficial for overall fertility and reproductive health include berries, citrus fruits, and tropical fruits such as papaya and pineapple.

Q: Can you improve egg quality in 30 days?

A: While it’s unlikely to significantly improve egg quality in just 30 days, adopting healthy habits such as maintaining a nutritious diet and managing stress may help support overall reproductive health.

Q: Can female egg quality improve?

A: While egg quality naturally decreases over time, some lifestyle changes and medical treatments may help improve egg quality and support overall fertility.

Q: What causes poor egg quality in females?

A: Poor egg quality can be caused by various factors, including age, genetics, certain medical conditions, lifestyle factors such as smoking and excessive alcohol consumption, and exposure to environmental toxins.

Q: Can I get pregnant with poor egg quality?

A: It may be more challenging to conceive with poor egg quality, but it’s still possible. Fertility treatments such as IVF may be recommended to improve the chances of conception.

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    Dr Mona Dahiya

    Dr Mona Dahiya

    IVF Specialist & Consultant

    Dr Mona Dahiya has performed over 5,000+ IVF cycles and is considered a global expert in IVF, ICSI, IUI and male fertility treatment. She is an eminent writer on Infertility Treatment and has over 100 Publications in both International and National Journals. Dr Mona Dahiya has immensely contributed to the field of infertility through her Research and articles.

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