Nex IVF and Fertility Centre Explains
When it comes to fertility, many women wonder: Does ovary size matter? According to experts at Nex IVF and Fertility Centre, ovary size can play a role — but it’s not the only factor that influences your ability to conceive.
Let’s explore how ovary size impacts fertility and what it really means for your pregnancy journey.

✅ What Is the Normal Size of Ovaries?
In women of reproductive age, a normal ovary typically measures:
- Length: 2.5 to 5 cm
- Width: 1.5 to 3 cm
- Thickness: 0.6 to 2.5 cm
However, ovary size may fluctuate due to factors like age, menstrual cycle phase, hormonal conditions, or underlying health issues. At Nex IVF, we monitor ovarian size using high-resolution ultrasound for accurate assessments.
🥚 Why Ovary Size May Matter for Fertility
- Ovarian Reserve (Egg Count):
Larger ovaries may have more antral follicles, which can be a sign of good egg reserve. This is often assessed through an ultrasound and AMH (Anti-Müllerian Hormone) levels. - PCOS (Polycystic Ovary Syndrome):
Women with PCOS often have enlarged ovaries with multiple small follicles, but ovulation may not occur regularly — impacting fertility. - Ovarian Atrophy or Small Ovaries:
Smaller-than-average ovaries may suggest reduced ovarian reserve or early ovarian aging, which may affect natural conception. However, even with smaller ovaries, many women conceive with the right treatment.
👶 Can You Get Pregnant with Small Ovaries?
Absolutely. Ovary size is not the only fertility indicator. If hormone levels are normal and ovulation is occurring, pregnancy is still possible — naturally or with assistance. At Nex IVF and Fertility Centre, we’ve helped many women with small ovaries achieve successful pregnancies using techniques like IVF, IUI, or ovulation induction.
⚠️ When to Consult a Fertility Specialist
If you are facing any of the following, it’s time to seek professional help:
- Irregular or absent periods
- Known PCOS or hormonal imbalance
- History of ovarian surgery
- Low AMH or follicle count
- Difficulty conceiving after 6–12 months of trying
At Nex IVF, our team uses advanced diagnostics and personalized care plans to address all aspects of your reproductive health.
🌼 Conclusion
Ovary size can offer valuable insights, but it’s not the sole indicator of your fertility. Egg quality, age, hormones, uterine health, and sperm quality also play a role.