Hypovarianism is a condition in which the patient has poor ovarian function before the age of 40. During outpatient consultations, we often see the results of the 6 sex hormone tests: FSH 10.35 IU/L, LH 4.23 IU/L, E2.76 ng/ml, and the rest of the test results are normal. When you take such test results to your doctor, the answer you get is often “your ovaries are not functioning well.” What is the meaning of this statement? Let’s talk about ovarian hypofunction. When a woman who is trying to have a baby has not been able to conceive after six months, and her menstrual cycle is shorter than 28 days or tends to lengthen gradually, she should go to a fertility center for the appropriate tests. The first visit should be chosen to come to the hospital on an empty stomach, 2-4 days after menstrual bleeding, so that blood can be taken on the same day for the sex hormone 6 test, the results of which show the basic reserve function of the ovaries. The presence of 8-10 IU/L, or FSH/LH ratio of 2, or E2.60-80ng/ml are indicative of poor ovarian function. Usually seeing such results will suggest another test 2-4 days after the next menstrual period to see blood to exclude laboratory errors. When ovarian dysfunction is clearly identified, different methods of pregnancy assistance will be given depending on the age. For women aged 35, a combination of Chinese and Western medicine treatment for 2-3 months is recommended, with monthly monitoring of FSHLHE2 changes and timely assisted follicle monitoring according to the results to guide intercourse and increase the chances of conception. For women aged 35, in addition to the above treatment, it is also necessary to look at the number of sinus follicles on the 2nd day of menstruation and combine the results of sex hormone tests with timely assisted follicle monitoring or directly choose IVF assisted fertility to avoid a continuous decline in ovarian function over time until premature ovarian failure and inability to have their own offspring. For patients who are unable to obtain eggs, egg donation or surrogacy can be considered for assisted reproduction.