What IVF Doesn’t Consider: The Role of Egg Quality in Optimizing Fertility Trisha Zehrung Fertility

What IVF Doesn’t Consider: The Role of Egg Quality in Optimizing Fertility

IVF can be an incredible tool on the path to parenthood—but there are limits to what it measures. If you’ve ever looked at an embryo grading chart and felt confused or disheartened, you’re not alone.

Embryo grades are based on appearance. But quality? That starts long before fertilization.

Let’s talk about what’s often overlooked in traditional fertility care: the role of egg quality, and how functional medicine takes a proactive approach through nutrition, cellular health, and root-cause support.

What Is an Embryo Grading Chart—And What Are Its Limits?

During IVF, embryos are graded based on things like:

  • Cell symmetry
  • Fragmentation
  • Developmental speed
  • Inner cell mass quality

This system helps embryologists choose which embryos to transfer. But grading is based solely on visual cues. It doesn’t account for the cellular strength of the egg or sperm that created the embryo.

This is where many couples hit a frustrating wall—high-grade embryos that don’t implant or result in a pregnancy. It leads to a question that embryo grading doesn’t answer:

What is the health of the egg behind the embryo?

Why Egg Quality Matters (Even in IVF)

Egg quality influences everything from:

  • How well an embryo develops
  • Whether it can sustain early cell division
  • How it responds to the fertilization process

One key factor is mitochondrial health. Mitochondria are the powerhouses of your cells, and egg cells rely heavily on this energy during ovulation and embryo development. If mitochondrial function is low, even a well-fertilized egg may struggle to progress normally.

Traditional IVF treatments don’t usually address this. But functional fertility care does.

A Functional Approach to Egg Health

In functional medicine, we take a root-cause, proactive approach to improving egg quality. Here’s how:

1. Support Mitochondrial Function

Boosting mitochondrial health helps eggs mature properly and sustain early embryo development.

Key nutrients include:

  • CoQ10 (Ubiquinol) – supports energy production
  • Alpha Lipoic Acid – aids in detox and cellular repair
  • L-Carnitine – improves fatty acid transport for fuel

These nutrients can be consumed through food or high-quality supplementation with clinical guidance.

2. Reduce Oxidative Stress

Oxidative stress is a major factor in declining egg quality. This happens when your body is exposed to more inflammation or toxins than it can handle.

To lower oxidative stress:

  • Eat an antioxidant-rich diet (berries, leafy greens, colorful veggies)
  • Avoid plastics, pesticides, and synthetic fragrances
  • Focus on sleep, hydration, and gentle movement 

3. Optimize Nutrient Density

Your body needs a steady supply of fertility-focused nutrients to support egg maturation. Prioritize:

  • Omega-3s from wild-caught fish or flax
  • Vitamin E and C for egg protection
  • B vitamins, especially B6 and folate, for hormonal support

Functional practitioners often assess nutrient levels through testing—not guesswork.

Why Timing Matters

Eggs take approximately 90–120 days to mature before ovulation. That means the lifestyle, nutrition, and stress you experience today are impacting the eggs your body will release three months from now.

IVF cycles often focus only on retrieval and transfer. Functional fertility care looks upstream and asks:

How can we make that 3-month window count?

Faith-Based Fertility Care That Looks Deeper

If you're pursuing IVF or trying to conceive naturally, your path deserves more than a grading system.

In our faith-rooted approach to fertility, we support both the biology of your body and the beliefs that sustain you. That includes functional labs, therapeutic nutrition, and science-backed strategies that honor how your body was designed to work.

Ready to Go Beyond the Chart?

If you’ve been told everything looks “fine” but you still don’t have answers, it may be time to shift from managing symptoms to restoring function.

Schedule a free discovery call to learn how we support egg quality, embryo development, and whole-body fertility health—whether you're pursuing IVF or not.