Ovary size: How important is the size of ovaries for pregnancy?

Author : Dr. Deepika Nagarwal September 13 2024
Dr. Deepika Nagarwal
Dr. Deepika Nagarwal

MBBS, MS ( Obstetrics and Gynaecology), DNB, FMAS, DCR( Diploma in clinical ART)

8+Years of experience:
Ovary size: How important is the size of ovaries for pregnancy?

When trying to conceive, there are numerous factors to consider beyond the basics like tracking basal body temperature and signs of ovulation. One crucial yet often overlooked aspect is the ovaries’ size. Though, the normal ovary size for pregnancy typically ranges from 1 to 3 cm in diameter.  Along with the size of the ovaries, their health determines your fertility and chances of getting pregnant.

In this article, let’s explore the importance of ovary size for pregnancy, how it is determined, different ranges of ovary size and factors that can affect it.

Importance of Ovary Size For Pregnancy

Ovaries are oval-shaped small glands responsible for the production and release of eggs (also known as oocytes). They are located on both sides of the uterus and also regulate in producing the estrogen and progesterone hormones. Along with ovaries, the female reproductive system also includes multiple organs such as the vagina, uterus, fallopian tubes, and cervix. Refer to the below table to understand how the ovary size and function change throughout a woman’s life cycle, along with approximate size measurements at different stages:

 

Phases Ovary Size Size Measurement Function
Childhood Small Less than 1 cm Ovaries are dormant (not active)
Puberty Enlarges 1-3 cm Begin to produce hormones, initiate ovulation
Reproductive Medium/Large 2-5 cm Regular ovulation, hormone production
Menopause Decreases Less than 1 cm Ceases ovulation, declines hormone production

 

Note: These are standard measurements which may vary from one woman to another based on several factors such as genetics, lifestyle and underlying health conditions. 

How to determine the Ovary size for Pregnancy? 

With the help of diagnostics; blood tests and ultrasound scans, the fertility expert analyses the ovaries’ health and quality to determine your ovary size for pregnancy. If it is less than the average ovary size required for pregnancy, the doctor will detect the root cause to initiate the best course of treatment.

Factors affecting the ovary size for pregnancy

The size and shape of your ovaries may change over time due to health conditions or ageing. Some of the common factors that can affect ovary size and shape include:

  • Advanced age – The ovaries are naturally small at the time of birth. They increase in size before puberty and attain maximum size during pregnancy. Over time, usually after the age of 35 years, the size of the ovary begins to decrease. By the time of menopause, the size reaches less than 2 cm.
  • Ovarian disorders – Ovarian disorders like Polycystic Ovarian Syndrome (PCOS) can cause the ovaries to enlarge due to abnormal growths and cyst formation.
  • Hormonal changes – Your ovaries are responsible for the production and release of reproductive hormones including estrogen and progesterone. Certain hormonal changes and imbalances can affect the ovary size usually making them enlarged.

How does ovary size affect pregnancy? 

An irregular ovary size, whether smaller or larger than normal, can affect conception.

Small ovaries can impact follicular development, thereby, affecting the process of ovulation. On the other hand, the large ovary size does not imply a higher number of ovarian follicles, it can occur due to hormonal disorders and cystic tumours. Due to this, the ovary size can become as large as 15 cm in size.
Therefore, it is important to attain a normal ovary size for pregnancy. According to the experts, the normal ovary size is considered 3 cm x 2.5 cm x 1.5 cm (length x width x thickness).

How to improve the health and size of ovaries? 

While you may not have control over your hormones or disorders, there are certain measures you can take to improve the ovaries’s health and size for pregnancy:

  • Maintain a balanced diet rich in antioxidants and essential nutrients.
  • Engage in regular exercise to support overall health and hormone balance.
  • Manage stress levels through relaxation techniques.
  • Avoid smoking and excessive alcohol consumption.
  • Consult a fertility expert for personalized guidance and treatment options.

Conclusion

Ovary size for pregnancy is as essential as other parameters to achieve conception. The overall health and quality of the eggs are determined by several factors including age, ovarian disorders, and hormonal changes. However, the normal size for pregnancy is 30mm (3 cm ) x 25mm (2.5 cm) x 15mm (1.5 cm) (length x width x thickness).

Remember, if you are trying to conceive, the key takeaway from this article is that you can improve your ovaries’ health by following the mentioned tips. Also, if you are looking for personalised guidance and treatments consult our fertility expert by calling us today.

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Frequently Asked Questions

While both your ovaries can support and lead to healthy pregnancy, research has suggested that ovulation that occurs from the ovary on the right side is more suitable.

Yes, it is totally possible to achieve a healthy pregnancy by ovulation from the left ovary.

It has been seen that the fertility potential of egg production from right ovary is more than the left ovary.

Yes, the size of your ovaries extend and increase during pregnancy as a result of hormone production.

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