What are the options if the woman has diminished ovarian reserve?

The options will depend, of course, on other infertility diagnoses, if any. All infertility problems that are correctable should be optimized. Treatment then is determined by the diagnosis that is unrelated to diminished ovarian reserve. In general, more aggressive treatment is indicated than for couples with normal ovarian reserve. What ever options couples are offered and choose, they must consider the need to try with the woman's own eggs, the need for psychological closure on their infertility if treatment fails with the woman's own eggs, and the cost vs. benefit for a treatment with a lower chance of success. IVF is still an option for couples with diminished ovarian reserve but has a decreased success rate. An alternative that offers a much better cost to benefit ratio is egg donation, where a woman under age 32 donates eggs to another couple.