Diminished/Low Ovarian Reserve
DOR/LOR
Serving Chicago and North Shore
DOR/LOR Holistic Protocol
*Also appropriate for Egg Freezing Prep, resetting after a Failed Cycle, Premature Ovarian Failure (POI), and Poor Responders
Diminished Ovarian Reserve (DOR) or Low Ovarian Reserve (LOR) can feel like some of the hardest words to hear from your doctor. Affecting 10–20% of women in the U.S., these diagnoses often bring both urgency and uncertainty in the fertility journey. While treatments like IUI and IVF can be powerful tools to maximize your available quantity of eggs, holistic care is designed to optimize their quality and viability. To maximize results, we recommend our integrated fertility treatments for 3 months, mirroring the lifespan of the egg. If that's not possible, do what you can because some treatment is better than none at all.
Pulling Down the Moon offers a range of treatment options for our DOR/LOR clients, including acupuncture, Fertility Enhancing Massage, Mercier Therapy, and nutrition. Red light therapy can also be added to our in-house services, when appropriate.
Have insurance? Your plan may cover acupuncture and/or nutrition services. Verify your benefits here.
Get Started With Diminished Ovarian Reserve Or Low Ovarian Reserve Support
Fertility Acupuncture for DOR/LOR
Comprehensive First Visit (90 min) - $155
Follow-Up Visits (60 min) - $98
Red Light Add-On - $35
Rates for clients with insurance coverage for acupuncture will vary.
Add your policy to our verification portal for a review of your acupuncture coverage
Acupuncture has been used for thousands of years to promote balance and wellness in the body. At Pulling Down the Moon, we apply the tools of this ancient medicine to help increase the circulation of qi (energy/function) and blood throughout the body—including to the ovaries. As eggs mature over the course of roughly three months, improved qi and blood flow may help create the optimal environment for them to develop, giving us ongoing opportunities to support their healthiest possible expression.
Recent research has shown that acupuncture may improve blood flow to the ovaries, regulate hormones, reduce stress/cortisol levels, improve IVF outcomes, and reduce oxidative stress, indirectly leading to mitochondrial function and significantly increasing the number of mature eggs retrieved during an IVF cycle, particularly in women over age 37.
We customize our treatment plans to your individual needs, incorporating the protocol from this study—a precise set of points with an increased frequency of care over six weeks—to mirror the impressive results researchers observed.
Although this approach can be adapted to support you at any stage of your fertility journey,
we strongly recommend beginning as early as possible before a planned egg retrieval or other assisted reproductive treatment. Starting sooner allows us the greatest opportunity to positively influence egg quality. If you have questions about timing or how acupuncture can fit into your specific plan, your acupuncturist is here to guide you.


Mercier Therapy & Fertility Enhancing Massage for DOR/LOR
50 min Mercier session - $140
60 min FEM session - $145
90 min FEM session - $195
Red Light add-on - $35
We do not accept insurance for massage services.
Mercier Therapy and Pulling Down the Moon's exclusive Fertility Enhancing Massage (FEM) Protocol, when performed weekly, can increase pelvic blood flow, decrease toxins, reduce pelvic adhesions and congestion, optimize pelvic alignment, lower inflammation, and balance the nervous system, thus supporting an improved ovarian environment.
Let our experienced practitioners create a treatment plan that's tailored to your Diminished Ovarian Reserve or Low Ovarian Reserve diagnosis. We can even add light therapy to your massage visits to maximize cellular level support (as recommended by your therapist).
Our FEM massages feature 60- or 90-minutes of hands-on bodywork, while Mercier visits offer 50 minutes of targeted gynovisceral external manipulation. ALL visit include 10-15 minutes of assessment, education, and post-visit self-care recommendations.
Fertility Nutrition for DOR/LOR
Comprehensive Initial Consultation (60 min) - $125
Follow-Up Consultations (45 min) - $85
All nutrition consultations are virtual.
Available to clients in Illinois, Arizona, California, Colorado, Indiana & Virginia. Rates for clients with insurance coverage for nutrition will vary. Add your policy to our
verification portal for a review of your nutrition coverage.
Proper nutrition is an essential (but often overlooked!) partner in combatting a Diminished Ovarian Reserve or Low Ovarian Reserve diagnosis. Let our fertility-focused registered dietician create a plan that's mindful of your food sensitivities, metabolic requirements, and diet preferences. The initial virtual consultation sets the stage for your care, while follow-up visits offer an opportunity to calibrate your plan, as needed.
Or, choose Pulling Down the Moon's exclusive 14-day Fertility Cleanse & Detox Program. This plan, which is best performed during your follicular phase or in preparation for an active cycle, will reset your mind and nourish your body. Fertility Cleanse & Detox may decrease oxidative stress, lower inflammation, support liver detoxification, balance hormones, improve insulin sensitivity, and increase circulating nutrients important for fertility and egg health.
If you are actively in medical fertility treatment, a one-on-one nutrition consult is always a good idea to make sure you are "nourishing up." By that we mean, restore, replenish, and strengthen the body through food and lifestyle choices that may have a great impact on your egg quality, fertility and overall well being.
Optimize your DOR/LOR nutrition goals even further by adding functional medicine labs like the DUTCH Test and GI Map to your plan.

Our Holistic Health Services
We offer a range of services for Fertility, Pregnancy, Pain and Women’s Health. We also treat men.