Minimum Egg Size to Get Pregnant (2024)

Most times, when a couple can’t get pregnant or can’t sustain a pregnancy, they think they have some existing health conditions that prevent them from having a baby.

While this may be true, there is another issue that can stop you from getting pregnant: the size of your egg. Your egg size plays a major role in deciding whether you can conceive.

In this article, we’ll discuss the minimum egg size required for a healthy pregnancy and how ovary size plays a role in your chances of pregnancy. Continue reading to learn more

What is a good size egg for fertilization?

When you decide to undergo IVF to get pregnant, your doctor will analyze the size of your egg to determine if it is suitable for fertilization. The size also determines whether the embryo can grow and develop into a healthy baby.

When it comes to the size of your egg, the bigger the better. On average, doctors consider a follicle size of 18–20 mm (1.8–2 cm) in diameter good enough for fertilization. An egg around 23–28 mm (2.2–2.8 cm) in diameter is considered even better because a bigger egg increases the chances of a successful IVF pregnancy.

A bigger egg increases the chances of a successful pregnancy. But what about a small egg? Can you get pregnant with an egg smaller than the average size?

No, you can’t get pregnant with a smaller egg. Even if you did get pregnant, the chances of sustaining the pregnancy till full-term are very low as there are high chances of having a miscarriage.

Small eggs often have chromosomal abnormalities with abnormal DNA. This condition is called aneuploidy, and it increases the risk of miscarriages and chromosomal abnormalities in the developing baby.

Does ovary size matter for easy conceiving?

The size of your ovary determines your ovarian reserve and the size of your eggs. Most times, women with smaller ovaries tend to have a smaller egg reserve, with most of the eggs of low quality.

Doctors always analyze your uterus and ovaries through an ultrasound to determine the size of your ovaries and your chances of having a healthy pregnancy. Visit your nearest Fertility Hospital to discuss with your doctor and take the necessary steps if your ovaries are smaller than normal.

Factors affecting Ovary size change

Just like any part of your body, the size of the ovaries is also different for each woman. Some women will naturally have a smaller ovary from birth. Others might have a smaller ovary due to factors like

  • Age,
  • Hormonal imbalances,
  • Ovarian disorders like PCOS,
  • Complications in previous pregnancies, etc.

The size of your ovaries not only determines your ovarian reserve but also your chances of having a successful pregnancy. The size of the ovary and its impact on pregnancy has been discussed below.

Larger ovaries & chances to get pregnant

We have already established that a bigger egg increases the chances of pregnancy. Similarly, you might think that a bigger ovary also increases the chances of pregnancy. But no, it does not.

A bigger ovary is often an indication of complications like tumors, cysts, or other disorders. This is a very serious issue and makes it difficult to achieve pregnancy. It is best to treat the issue before trying to get pregnant.

Normal ovary size & chances to get pregnant

A normal-sized ovary will be of the following dimensions.

  • Length: 30 mm (3 cm)
  • Width: 25 mm (2.5 cm)
  • Thickness: 15 mm (1.5 cm)

A normal-sized ovary can increase your chances of getting pregnant with IVF treatments. The ovarian reserve and the number of good-quality eggs will also be high in a normal-sized ovary, allowing doctors to retrieve several eggs during egg retrieval.

PCOS ovary size

PCOS (Polycystic Ovary Syndrome) is a hormonal disorder where small or large cysts form in the ovaries. This will cause you ovulatory issues and make it difficult for you to achieve pregnancy.

A PCOS-affected ovary will have the following features:

  • When one or both ovaries have 12 or more follicles that have a diameter of 2–9 mm
  • When both ovaries have an ovarian volume of more than 10 cm3

Conclusion

The size of your eggs and ovaries matter if you are trying to get pregnant and have a safe and healthy pregnancy. Having abnormal-sized eggs and ovaries, whether big or small, can affect your chances of pregnancy and increase chances of miscarriages.

Consult your doctor and test the size of your eggs and follicles before undergoing IVF treatments. This can increase your chances of getting pregnant.

FAQs

1. How can I increase my egg size?

There are some health tips you can follow to increase your egg size. Below are some of them.

  • Improve blood flow to your reproductive organs
  • Follow a healthy diet filled with essential nutrients
  • Avoid smoking, alcohol, and drugs
  • Consult your doctor and incorporate fertility supplements
  • Maintain your BMI
  • Avoid stress

2. What is the size of the follicle on day 14?

A normal menstrual cycle will range between 28–32 days. On day 14, the follicle will be around 13 mm in diameter.

3. Can I get pregnant with a 15mm follicle?

The recommended size for an egg follicle is around 18–20 mm to have the maximum chances of pregnancy. However, pregnancy is possible even with a 15mm follicle, but the chances of miscarriage are higher. So, be very careful during your pregnancy period.

Minimum Egg Size to Get Pregnant (2024)

FAQs

Minimum Egg Size to Get Pregnant? ›

In a healthy and normal-sized ovary, the number of egg reserves are likely sufficient. However, the egg size also matters in conceiving because it has to be of the right size for fertility. The minimum egg size to get pregnant is 18-20mm (1.8 – 2.0cm), otherwise, the normal egg size is 22 to 24mm (2.2 – 2.4cm).

What is the minimum follicle size to get pregnant? ›

On average, doctors consider a follicle size of 18–20 mm (1.8–2 cm) in diameter good enough for fertilization. An egg around 23–28 mm (2.2–2.8 cm) in diameter is considered even better because a bigger egg increases the chances of a successful IVF pregnancy.

Can I get pregnant with a 27mm follicle? ›

Pregnancy was recorded as clinical pregnancy with fetal heart activity seen at 6- to 7-week transvagin*l ultrasound. For both CC and letrozole, higher pregnancy rates were achieved when the leading follicles were in the 23 to 28 mm range.

Can I get pregnant with a 32mm follicle? ›

Usually once the follicle is greater than 24 mms, the egg within is overmature and therefore no longer viable. Ovulation may occur but that is the main problem. Also, it is highly likely that these follicles will turn cystic (persist) and have to be suppressed with birth control pills.

Can you get pregnant with a 30mm follicle? ›

A follicle is a small sac of fluid in the ovaries that contains a developing egg. If the follicle size is between 18-20 mm in diameter, they are considered to be viable for the egg collection. However, sizes greater than 24 are considered too big, the egg within is overmature and is no longer viable.

Can you still ovulate with small follicles? ›

Therefore, follicle size alone is not the distinguishing characteristic. Smaller follicles capable of spontaneous ovulation might possibly have reduced numbers of granulosa/large luteal cells, but this status does not preclude these follicular cells from secreting adequate amounts of progesterone after luteinization.

What is the best follicle size for trigger shot? ›

Conclusion: Follicles of size 11-19 mm on the day of trigger are most likely to yield oocytes, providing vital information for clinicians managing ovarian stimulation to optimise patient outcomes.

What size follicle will have twins? ›

Follicles measuring 12 mm or wider increase the risk of having a twin or a high-order multiple pregnancy rate.

How successful is a 17mm follicle pregnancy? ›

Mean rate of successful egg retrieval was 90% in all cases. Clinical pregnancy rates were 32.6% (17 mm), 30.4% (18 mm), 44.1% (19 mm) and 34.2% (20 mm).

At what mm will an egg rupture? ›

It usually ruptures after it achieves 20 mm size. In regularly menstruating women, follicle ruptures 14 days before expected menses; that is follicle will rupture on 16th day in a women who has 30 days cycle.

Can I get pregnant with a 24mm follicle? ›

[6] observed that follicles of 16–23 mm on the day of oocyte retrieval had higher fertilization rates than those >23 mm. However, the % of good scored oocyte was demonstrated to increase from 55.4% of follicle size of 16–23 mm to 64.6% of follicles >23 mm [6].

Is a 28mm follicle too big? ›

The results showed that ovarian follicles more than 19mm in diameter were those most likely to produce good-quality blastocysts. The observation of good blastocyst quality even held true for the largest follicle size group, which are those 28mm or greater in diameter.

Do follicles grow after a trigger shot? ›

The small to medium sized follicles continue to grow and mature between the day of trigger shot and the retrieval.

Can I get pregnant with a 29mm follicle? ›

This optimal size is influenced by the endometrial thickness. For both drugs, higher pregnancy rates were achieved with the leading follicle being in the range of 23 to 28 mm (Table 3).

What is the best size follicle to get pregnant? ›

This includes monitoring the number and size of the follicles on each ovary. When your follicles have reached around 18-20mm in diameter they are deemed ready for egg collection. You'll be given a hormone trigger injection to stimulate your follicles to release the mature eggs that have been prepared in your follicles.

Which egg size is best for pregnancy? ›

In a healthy and normal-sized ovary, the number of egg reserves are likely sufficient. However, the egg size also matters in conceiving because it has to be of the right size for fertility. The minimum egg size to get pregnant is 18-20mm (1.8 – 2.0cm), otherwise, the normal egg size is 22 to 24mm (2.2 – 2.4cm).

Can you get pregnant with only 5 follicles? ›

It is the quality of the eggs produced that matters most rather than the quantity. Therefore it is possible to still experience successful fertility treatment even if you only produce a few follicles or even just one healthy, mature follicle that releases a viable egg.

What is the ideal follicle size for egg collection? ›

The ideal follicle size for IVF trigger shots is when two to three follicles have reached about 17 to 18 millimeters in diameter. An ideal IVF follicle size for egg retrieval is typically around 15 to 22 millimeters in size, which falls right in line with the ideal size for an IVF trigger shot.

What is normal follicle count to conceive? ›

How many follicles should be in the ovary and what size should they be? Depending on the number of antral follicles, a woman is considered to have adequate or normal ovarian reserve if the count is 6-10. Low ovarian reserve, if the count is less than 6 ovarian reserve and high ovarian reserve if is greater than 12.

Can a 14mm follicle release an egg? ›

Follicles 12–19 mm on the day of trigger contributed the most to the number of oocytes and mature oocytes retrieved.

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