According to World Health Organization (WHO) data, 16% of people are affected by infertility
across the globe. One underlying factor is the age-related decline of ovarian reserve
(DOR), which can lead to a higher chance of infertility and has no widely accepted
treatment currently. Specific supplements and moderate exercise have been shown to
improve fertility; however, there is no consensus to date on the type of exercise
providing the best results. Our goal is to develop a novel exercise program combined
with natural supplements for the improvement of fertility. We also propose a single-centered,
randomized, open-label clinical trial using our newly developed exercise in the intervention
group, compared to walking and no exercise in the other groups, to investigate the
benefits of this exercise program in the future. In this study, we developed a structured,
novel combination of exercises focusing on the pelvic and ovarian regions, core strengthening
and improvement of blood circulation in this region. The 70 min full body “reproductive
gymnastics”, includes strengthening, stretching, and relaxation exercises combined
with yoga-inspired moves and diaphragmatic breathing with meditation elements to activate
the parasympathetic pathway and stress relief. We believe we can improve fertility
through the combination of natural supplements and our targeted, moderate physiotherapy
program in women with DOR.