Fertility specialists in Bengaluru are sounding the alarm as a concerning trend emerges — women in their 20s and early 30s are increasingly being diagnosed with low ovarian reserve, a condition typically associated with those approaching their 40s. Many are stunned to learn of their reduced egg count while seeking help for conception.

This condition often goes unnoticed due to a lack of obvious symptoms. Dr Manjunath, deputy medical director at Birla Fertility and IVF, observes about 40 such cases monthly. “Nearly every second young woman aged between 20 and 30 now shows a diminished egg supply. This surge has unfolded dramatically over the past two decades,” he noted.

Women are born with 1–2 million eggs, but this number sharply falls by puberty and continues to decline with age. By 30, around 70,000 eggs remain. Modern lifestyle factors—urban stress, environmental toxins, unhealthy food habits, and postponed parenthood—are accelerating the depletion.

Dr Priyanka Das from Altius Hospital links this trend to stress, pollution, endocrine disruptors in cosmetics and plastics, and poor nutrition. Tests like the AMH (Anti-Müllerian Hormone) level and Antral Follicle Count (AFC) help determine egg reserve status. An AMH below 1 ng/mL and AFC under 6 follicles indicate severe depletion.

Dr Meghana Nyapathi of Milann Fertility Hospital confirms roughly 30% of patients face this issue monthly, complicating fertility plans. Experts stress egg quality also declines, raising the risk of miscarriage and genetic disorders.

Key tips: Avoid smoking, eat clean, maintain weight, and consider early planning.

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