How to Improve Egg Quality for IVF Pregnancy?

by | Aug 3, 2023 | IVF

How Egg Quality Affects Fertility?

The vitality of ova directly impacts the chances of conception and the subsequent development of a healthy embryo. The aptness of eggs is determined by their intrinsic characteristics, such as genetic integrity and chromosomal composition. As a woman ages, the number and quality of eggs diminish, leading to a decrease in fertility and an increased risk of miscarriage.

Egg quality primarily affects fertilization, where suboptimal eggs might struggle to be fertilized by sperm. Furthermore, compromised eggs can result in chromosomal abnormalities in the embryo, making it less likely to develop into a healthy fetus.


What is the Normal Egg Count by Age?

As women mature, the number of eggs in their ovaries decreases. At birth, females have a staggering one to two million eggs, but this number declines significantly over time. By the time they reach puberty, the egg count drops to around 300,000 to 500,000. This decline continues throughout their reproductive years.

  • Age 20-30: During the early reproductive years, from the late teens to early thirties, women generally have a higher quantity of eggs with relatively good quality. This is considered the prime fertility phase, where the chances of conception are at their peak.
  • Age 30-35: From the mid-thirties onwards, the number of eggs and their quality start to decline at a more noticeable rate. Although pregnancy is still possible, it may take longer, and the risk of miscarriage increases.
  • Age 35-40: Beyond the age of 35, women are classified as having advanced maternal age, which further affects egg quality and fertility. The chances of getting pregnant decrease, and the risk of chromosomal abnormalities in the eggs rises significantly.
  • Age 40 and Above: For women over 40, conceiving naturally becomes increasingly challenging due to a reduced egg reserve and a higher likelihood of poor egg quality. At this stage, fertility treatments like IVF may offer a viable option for those aspiring to become mothers.


How Much Egg is Needed to Get Pregnant?

The concept of egg quantity and egg quality are intertwined, and both factors influence fertility. While a larger quantity of eggs might seem advantageous, the quality is equally important for successful conception.

Imagine a basket of apples; some are ripe and healthy, while others may be bruised and overripe. When trying to conceive, it’s the ripe and healthy eggs that matter the most.


Signs of Bad Egg Quality

Identifying signs of poor egg quality can be challenging, as they may not always be apparent. However, certain indicators might hint at potential issues:

  1. Irregular Menstrual Cycles: If you experience irregular menstrual cycles, it could be a sign of hormonal imbalances that affect egg quality.
  2. Age and Fertility Struggles: As mentioned earlier, age plays a significant role in egg quality. Women over 35 who are finding it difficult to conceive may be facing the effects of declining egg quality.
  3. Previous Unsuccessful Pregnancies: Recurrent miscarriages or failed IVF attempts might be indicative of egg quality problems.
  4. Poor Response to Fertility Treatments: In cases where a woman’s ovaries respond poorly to fertility medications during assisted reproductive procedures, egg quality could be a contributing factor.


Tests for Bad Egg Quality

To assess egg quality, several tests are available that can provide valuable insights:

  1. Follicle Stimulating Hormone (FSH) Test: The FSH test measures the levels of this hormone in the blood on the second or third day of the menstrual cycle. Elevated FSH levels may indicate reduced ovarian reserve and diminished egg quality.
  2. Anti-Mullerian Hormone (AMH) Test: AMH levels are indicative of a woman’s ovarian reserve, giving an estimate of the number of remaining eggs. Low AMH levels might suggest diminished egg quantity and potentially compromised egg quality.
  3. Antral Follicle Count (AFC): An ultrasound-based test, AFC, counts the number of small follicles in the ovaries. A lower AFC could imply reduce egg quantity and quality.
  4. Day 3 Estradiol and Inhibin B: These hormone tests, when combined with FSH, provide a more comprehensive picture of ovarian reserve and egg quality.

How to Improve Egg Quality for IVF Pregnancy?

To enhance egg quality for IVF (In Vitro Fertilization) pregnancy, several steps can be taken:

  1. Nutrition: Maintain a balanced diet rich in antioxidants, vitamins (especially D and E), and minerals like zinc and selenium. These support egg health and reduce oxidative stress.
  2. Lifestyle Changes: Avoid smoking, excessive alcohol, and caffeine consumption. Engage in regular exercise and manage stress to improve hormonal balance.
  3. Supplements: Consult a healthcare professional for recommended supplements like CoQ10 and DHEA, which may enhance egg quality.
  4. Hydration: Stay well-hydrated to support overall reproductive health and egg development.
  5. Medication and Hormone Therapy: Work with a fertility specialist to determine if specific medications or hormone therapies could benefit your situation.
  6. Age Consideration: Understand that egg quality naturally declines with age. Women above 35 may consider freezing eggs at a younger age for future IVF use.
  7. Ovarian Stimulation Protocols: Tailor the IVF stimulation protocol to your unique needs, which may include antagonist or agonist protocols.
  8. Genetic Screening: Consider preimplantation genetic screening (PGS) to select the healthiest embryos for transfer.
  9. Avoid Environmental Toxins: Minimize exposure to harmful chemicals and pollutants in your environment.
  10. Regular Check-ups: Regularly monitor your reproductive health through ultrasounds, blood tests, and other evaluations.


Foods to Eat to Improve Egg Quality

When it comes to enhancing egg quality, a well-balanced and nutritious diet plays a pivotal role. Consider incorporating the following fertility-boosting foods into your daily meals:

  1. Omega-3 Rich Foods: Omega-3 fatty acids, found in fatty fish like salmon and sardines, as well as flaxseeds and chia seeds, help reduce inflammation and promote hormonal balance, which can positively impact egg quality.
  2. Colorful Fruits and Vegetables: Antioxidant-rich fruits and vegetables such as berries, spinach, kale, and sweet potatoes are essential for combating oxidative stress, a factor that can affect egg quality.
  3. Lean Proteins: Lean proteins like chicken, turkey, and tofu are excellent sources of amino acids, crucial for egg development and overall reproductive health.
  4. Nuts and Seeds: Snack on almonds, walnuts, and sunflower seeds for a boost of vitamin E, which has been associated with improved egg quality.
  5. Whole Grains: Swap refined grains for whole grains like quinoa, brown rice, and oats. They help regulate blood sugar levels and provide essential nutrients for reproductive health.


Which Vitamins Improve Egg Quality?

In addition to a healthy diet, certain vitamins and supplements have shown promising results in enhancing egg quality:

  1. Coenzyme Q10 (CoQ10): CoQ10 is an antioxidant that supports energy production in cells. Studies suggest that CoQ10 supplementation may improve egg quality and boost fertility in women.
  2. Vitamin D: Vitamin D is essential for reproductive health. Adequate levels of vitamin D have been associated with better IVF outcomes and improved egg quality.
  3. Vitamin C: Vitamin C is another powerful antioxidant that may help prevent cellular damage and support healthy egg development.
  4. Myo-Inositol: Myo-Inositol is a type of B-vitamin that has been linked to improved egg quality, particularly in women with polycystic ovary syndrome (PCOS).

It’s crucial to consult your healthcare provider before starting any new supplements to ensure they are suitable for your specific needs.


Things to Avoid to Improve Egg Quality

While certain habits and lifestyle factors can improve egg quality, others can have detrimental effects. Here are some things to avoid:

  1. Smoking and Alcohol: Smoking and excessive alcohol consumption can harm egg cells and reduce fertility. If you’re trying to conceive, it’s essential to avoid these habits.
  2. Caffeine: High caffeine intake may negatively impact fertility. Consider limiting your daily caffeine consumption, including coffee, tea, and energy drinks.
  3. Stress: Chronic stress can disrupt hormonal balance and affect ovulation. Engage in relaxation techniques like yoga, meditation, or spending time in nature.
  4. Environmental Toxins: Exposure to environmental toxins and pollutants can be harmful. Minimize contact with pesticides, chemicals, and toxins in your surroundings.


Is Improving Egg Quality After 35 & 40 Age Possible?

Age can influence egg quality, and women over 35 or 40 may face additional challenges in achieving pregnancy. However, it’s important to remember that every woman is unique, and age should not be a deterrent. While egg quality naturally declines with age, there are still steps you can take to improve your chances:

  1. Prioritize a Healthy Lifestyle: Maintain a healthy diet, exercise regularly, and get enough sleep to support your reproductive health.
  2. Seek Professional Advice: Consult a fertility specialist to discuss your options, including potential fertility treatments or assisted reproductive techniques.
  3. Consider Donor Eggs: For some women, using donor eggs can be a successful path to pregnancy.
  4. Emotional Support: Dealing with fertility challenges can be emotionally taxing. Seek support from your partner, friends, or a therapist to navigate this journey together.



Understanding how egg quality affects fertility is essential for individuals or couples planning to start a family. As we’ve explored, age, quantity, and quality of eggs all play vital roles in the conception journey. While the decline in egg quality is a natural part of the aging process, there are various tests and treatments available to address fertility challenges. Remember, every individual’s fertility journey is unique, and seeking professional guidance can pave the way for a hopeful and successful parenthood adventure.



Q: How can I improve my egg quality naturally?

A: Enhancing egg quality naturally can be achieved through adopting a holistic approach. This includes maintaining a balanced diet, incorporating fertility-friendly foods, regular exercise, managing stress, getting adequate sleep, and avoiding harmful substances.

Q: How can I improve my egg quality fast?

A: Improving egg quality rapidly is challenging as it is a natural process that takes time. However, by following the aforementioned lifestyle changes diligently and consulting with a fertility specialist for personalized guidance, you may optimize your chances of improving egg quality.

Q: Can a woman’s egg quality be improved?

A: Yes, a woman’s egg quality can be improved to some extent by implementing lifestyle changes that support overall health and fertility. While it may not be possible to reverse all aspects of egg aging, positive changes can positively impact egg quality.

Q: Which fruit is best for fertility?

A: While no single fruit guarantees enhanced fertility, fruits rich in antioxidants such as berries (blueberries, strawberries, etc.), oranges, and avocados are believed to have potential benefits for fertility. A diverse diet with various fruits is recommended for overall health.

Q: What destroys egg quality?

A: Several factors can negatively impact egg quality. These include advanced maternal age, exposure to environmental toxins, smoking, excessive alcohol consumption, certain medical conditions, and poor overall health.

Q: At what age is egg quality best?

A: Generally, egg quality is considered best in a woman’s late teens and 20s. As women age, the quality and quantity of their eggs decline, increasing the likelihood of fertility challenges and chromosomal abnormalities.

Q: Can egg quality improve in 2 months?

A: While significant improvements in egg quality within two months are unlikely, lifestyle changes and a nutritious diet can positively influence reproductive health. It’s essential to maintain realistic expectations and remember that each individual’s response to such changes may vary. Consistency over time is crucial for potential benefits.

Q: Why is my egg quality poor?

A: Poor egg quality can arise from various factors, including advancing age, genetic predispositions, lifestyle choices, exposure to environmental toxins, certain medical conditions, and hormonal imbalances. These factors can impact the integrity and vitality of eggs, affecting fertility.

Q: Can folic acid improve egg quality?

A: Folic acid is crucial for overall reproductive health and fetal development. While it may not directly improve egg quality, it plays a vital role in supporting healthy cell division and reducing the risk of neural tube defects in a developing fetus. A balanced intake of folic acid is recommended for women planning pregnancy.

Q: What are the signs of good egg quality?

A: Determining egg quality without medical testing is challenging. However, signs of potentially good egg quality include regular menstrual cycles, optimal hormone levels, no history of recurrent miscarriages, and successful past pregnancies.

Q: How can I improve egg quality in 2 weeks?

A: Making significant improvements in egg quality within two weeks is unlikely, given the natural process of egg development. However, during this time frame, focus on adopting a healthy lifestyle, consuming nutrient-rich foods, staying hydrated, and avoiding harmful substances to support overall reproductive health.

Q: How can I improve my egg quality in 15 days?

A: Within 15 days, concentrate on self-care and adopting fertility-friendly habits. Prioritize a balanced diet with fertility-boosting foods, engage in light exercises, get sufficient rest, manage stress effectively, and avoid smoking and excessive alcohol consumption to promote a healthier reproductive environment.

Q: How can I improve my egg quality in 30 days?

A: In 30 days, emphasize long-term lifestyle changes to enhance egg quality. These include maintaining a nutritious diet with essential vitamins and minerals, engaging in regular moderate exercises, managing stress through relaxation techniques, getting enough sleep, and avoiding harmful substances like tobacco and excessive caffeine.

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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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