CoQ10 and Miscarriage: Does It Help or Is It Just Hype?

David M. Blue, MD
July 8, 2025
5 min read

The Science Behind CoQ10, Egg Quality, and Pregnancy Loss

📌 Quick Summary:

CoQ10 may improve egg quality and reduce oxidative stress, potentially lowering miscarriage risk—especially in women over 35.
✅ It plays a critical role in mitochondrial function, which powers egg cells and supports early embryo development.
✅ While early research is promising, human studies specifically measuring miscarriage rates are still limited.
Dosage matters—most fertility studies use between 100 mg and 600 mg per day (some as high as 1200 mg).
✅ CoQ10 is best absorbed in divided doses and in its lipid-soluble form.
It’s not a magic fix—CoQ10 should be part of a broader fertility strategy including diet, lifestyle, and professional medical guidance.

🗂 Article Index

  • Introduction
  • Understanding Miscarriage
  • CoQ10’s Role in Female Reproductive Health
  • Scientific Evidence & Research Findings
  • Limitations & Counterarguments
  • Practical Applications & Dosage Guidelines
  • Conclusion
  • Frequently Asked Questions (FAQ)
  • References

🧐 Introduction

Miscarriage is more common than many realize. While 10–20% of known pregnancies end in miscarriage, experts believe the actual number is significantly higher due to early pregnancy losses that go undetected.

For women over 35, the risk increases—primarily due to age-related declines in egg quality and chromosomal abnormalities.

🔍 So, can Coenzyme Q10 (CoQ10) help? This naturally occurring antioxidant is essential for cellular energy production and has been studied for its potential role in improving egg quality.

This article explores:

✔ How CoQ10 affects reproductive health
✔ The scientific evidence on CoQ10 and miscarriage risk
✔ Dosage recommendations and practical applications

🧩 Understanding Miscarriage

Before we dive into CoQ10’s role, it’s important to understand why miscarriages happen.

Common Causes of Miscarriage

Cause How It Contributes to Pregnancy Loss
Chromosomal Abnormalities The most common cause—if an embryo has too many or too few chromosomes, it may not develop properly.
Egg Quality Decline (Age-Related) Older eggs are more prone to DNA damage, leading to higher miscarriage rates.
Oxidative Stress Free radicals damage egg cells, increasing the risk of abnormal embryos.
Hormonal Imbalances Conditions like PCOS or thyroid dysfunction can disrupt pregnancy hormones.
Uterine Abnormalities Structural issues (e.g., fibroids, thin uterine lining) may prevent implantation.
Lifestyle Factors Smoking, excessive alcohol, obesity, and chronic stress can increase risk.

🚨 Key Takeaway:

🔹 Egg quality is a critical factor—and it’s directly linked to mitochondrial function. This is where CoQ10 might help.

Pie chart showing the most common causes of miscarriage. Chromosomal abnormalities account for 55%, followed by uterine abnormalities (13%), hormonal imbalances (10%), autoimmune and clotting disorders (7%), lifestyle factors (7%), infections (3%), and unexplained causes (5%).

⚡ CoQ10’s Role in Female Reproductive Health

CoQ10 is a powerhouse nutrient involved in:

🔋 Mitochondrial Function

  • Every egg cell (oocyte) contains thousands of mitochondria, which provide the energy (ATP) needed for fertilization and embryo development.
  • As women age, mitochondria become less efficient—and CoQ10 levels decline.

🛡 Antioxidant Protection

  • CoQ10 acts as a shield against oxidative stress, reducing DNA damage in eggs.
  • Oxidative damage = chromosomal abnormalities = increased miscarriage risk.

💡 What This Means:

✅ By boosting mitochondrial energy production, CoQ10 may improve egg quality.
✅ By reducing oxidative stress, it may lower chromosomal abnormalities, possibly decreasing miscarriage risk.

Step-by-step diagram showing how CoQ10 improves fertility: 1) fuels mitochondria to increase ATP energy, 2) enhances egg quality, 3) reduces oxidative stress with antioxidant effects, and 4) increases chances of successful pregnancy.

🔬 Scientific Evidence & Research Findings

So, what does science say about CoQ10’s potential to reduce miscarriage risk?

🔹 Human Studies on CoQ10 & Egg Quality

  • A 2018 randomized controlled trial found that CoQ10 improved ovarian response and embryo quality in women over 35 undergoing IVF.
  • Another study showed that women with poor ovarian reserve had better-quality embryos and higher fertilization rates after CoQ10 supplementation.

A callout box stating that most major fertility studies use the Ubiquinone form of CoQ10, and absorption depends more on formulation than the form itself.

🔹 Animal Studies Suggesting Reduced Miscarriage Rates

  • Older mice supplemented with CoQ10 had higher-quality eggs and fewer pregnancy losses.
  • A separate study found improved embryo survival rates in CoQ10-treated animals.

🔹 CoQ10 and Other Antioxidants – How They May Help

Antioxidant Primary Benefit for Fertility Human Research on Miscarriage Risk?
CoQ10 Mitochondrial energy + antioxidant protection 🔸 Limited, but promising
NAC (N-Acetylcysteine) Reduces inflammation & oxidative stress 🔸 Some studies suggest benefit
Resveratrol Anti-aging & mitochondrial support 🔹 Emerging research
Vitamin E Antioxidant protection 🔸 May help, but weaker evidence

📌 What This Means:

🔹 CoQ10 has some of the strongest research support, but combining it with other antioxidants (like NAC or resveratrol) may be even more effective.

📊 Practical Applications & Dosage Guidelines

💊 How Much CoQ10 Should You Take?*

A chart showing CoQ10 dosage ranges by use case: 100–300 mg for general antioxidant support, 400–600 mg for fertility and egg quality, and 600–1200 mg for IVF preparation, with a note to split higher doses.

📌 Best Practices for CoQ10 Absorption:

Take with healthy fat—CoQ10 is fat-soluble.
Split doses—Higher doses (600mg+) are better absorbed in multiple doses.
✅ Delivery method matters more than the form—Most major CoQ10 studies use Ubiquinone, and research suggests that absorption depends more on how CoQ10 is formulated (e.g., with oils, emulsifiers, or other delivery systems) rather than whether it is Ubiquinone or Ubiquinol.
✅ Some individuals may absorb Ubiquinol better, but for the majority of people, there is no significant advantage, and Ubiquinone remains the more research-backed form.

Informative callout box with a timer icon. Text explains that CoQ10 should be taken consistently for at least 2–3 months to affect egg quality, due to the 90-day egg maturation cycle.

📘 Get the Free CoQ10 User Guide

Want to learn exactly how to take CoQ10, which form is best, and how to find a high-quality supplement?

📥 Download our free CoQ10 User Guide for practical tips and expert-backed recommendations.

🔗 [Get CoQ10 User Guide Here]

(The guide includes detailed dosage recommendations, absorption tips, and supplement selection criteria to help you get the most out of CoQ10.)

Callout box prompting users to download the free CoQ10 User Guide for tips on dosage, timing, and choosing high-quality supplements. Includes a downward arrow icon for downloads.

FAQs

Can CoQ10 reduce the risk of miscarriage?

🔹 Possibly. While direct studies on miscarriage prevention are limited, CoQ10 has been shown to improve egg quality, reduce oxidative stress, and enhance mitochondrial function—all of which are linked to lower miscarriage risk.

How does CoQ10 improve egg quality?

🔹 CoQ10 fuels mitochondrial energy production in egg cells, helping them mature properly. It also acts as an antioxidant, protecting eggs from DNA damage that can lead to chromosomal abnormalities.

Is CoQ10 safe to take during pregnancy?

🔹 CoQ10 is generally considered safe and well-tolerated, but consult your doctor before taking any supplements during pregnancy.

What dosage of CoQ10 is recommended for fertility?

🔹 Typical doses for fertility support range from 400 mg to 600 mg per day. Some IVF studies use up to 1200 mg per day, divided into smaller doses for better absorption.

How long does it take for CoQ10 to improve egg quality?

🔹 At least 2 to 3 months. Eggs take about 90 days to mature, so consistency is key when supplementing with CoQ10.

Does CoQ10 prevent chromosomal abnormalities in eggs?

🔹 CoQ10 may reduce the risk of chromosomal abnormalities by protecting eggs from oxidative damage, but it cannot guarantee normal chromosomes.

Is Ubiquinol better than Ubiquinone for fertility?

🔹 No strong evidence supports Ubiquinol being superior. Most major fertility studies use Ubiquinone, and research shows absorption depends more on formulation than the form itself.

Can CoQ10 improve IVF success rates?

🔹 Yes, some studies suggest it can. CoQ10 may improve egg quality, embryo development, and ovarian response—especially in women with low ovarian reserve or those over 35.

Where can I learn how to take CoQ10 correctly?

📥 Download our free CoQ10 User Guide for expert-backed tips on dosage, timing, and how to choose a high-quality supplement.

 [Get Your Copy Today]

References

  • *Although I am a doctor, I am not your doctor. This information is not individualized health advice. Consult with a healthcare professional who knows you, your history, and your health goals before making any changes to your healthcare regimen.
  • Zhang, Y., Huang, X., Liu, N., et al. (2022). Discovering the Potential Value of Coenzyme Q10 in Oxidative Stress: Enlightenment From a Synthesis of Clinical Evidence Based on Various Populations. *Frontiers in Pharmacology*, 13, 936233. [Link](https://doi.org/10.3389/fphar.2022.936233)
  • American College of Obstetricians and Gynecologists. (2020). **Early Pregnancy Loss**. Retrieved from [https://www.acog.org/womens-health/faqs/early-pregnancy-loss](https://www.acog.org/womens-health/faqs/early-pregnancy-loss)
  • Delbaere, I., Verbiest, S., & Tydén, T. (2020). Knowledge about the impact of age on fertility: a brief review. *Upsala Journal of Medical Sciences*, 125(2), 167–174. [Link](https://doi.org/10.1080/03009734.2019.1707913)
  • Mayo Clinic Staff. (2021). Miscarriage - Symptoms and causes. Mayo Clinic. Retrieved from [https://www.mayoclinic.org/diseases-conditions/pregnancy-loss-miscarriage/symptoms-causes/syc-20354298](https://www.mayoclinic.org/diseases-conditions/pregnancy-loss-miscarriage/symptoms-causes/syc-20354298)
  • Palomba, S., de Wilde, M. A., Falbo, A., et al. (2015). Pregnancy complications in women with polycystic ovary syndrome. *Human Reproduction Update*, 21(5), 575–592. [Link](https://doi.org/10.1093/humupd/dmv029)
  • Nybo Andersen, A. M., Wohlfahrt, J., Christens, P., Olsen, J., & Melbye, M. (2000). Maternal age and fetal loss: population based register linkage study. *BMJ*, 320(7251), 1708–1712. [Link](https://doi.org/10.1136/bmj.320.7251.1708)
  • American Society for Reproductive Medicine. (2016). **Age and Fertility: A Guide for Patients**. Retrieved from [https://www.reproductivefacts.org/news-and-publications/patient-fact-sheets-and-booklets/documents/fact-sheets-and-info-booklets/age-and-fertility/](https://www.reproductivefacts.org/news-and-publications/patient-fact-sheets-and-booklets/documents/fact-sheets-and-info-booklets/age-and-fertility/)
  • Crane, F. L. (2001). Biochemical functions of coenzyme Q10. *Journal of the American College of Nutrition*, 20(6), 591–598. [Link](https://doi.org/10.1080/07315724.2001.10719073)
  • Bentov, Y., & Casper, R. F. (2013). The aging oocyte—can mitochondrial function be improved? *Fertility and Sterility*, 99(1), 18–22. [Link](https://doi.org/10.1016/j.fertnstert.2012.11.031)
  • Tatone, C., Di Emidio, G., Vitti, M., et al. (2015). Sirtuin functions in female fertility: possible role in oxidative stress and aging. *Oxidative Medicine and Cellular Longevity*, 2015, 659687. [Link](https://doi.org/10.1155/2015/659687)
  • Miles, M. V. (2007). The uptake and distribution of coenzyme Q10. *Mitochondrion*, 7 Suppl, S72–S77. [Link](https://doi.org/10.1016/j.mito.2007.02.012)
  • Xu, Y., Nisenblat, V., Lu, C., et al. (2018). Pretreatment with coenzyme Q10 improves ovarian response and embryo quality in low-prognosis young women with decreased ovarian reserve: a randomized controlled trial. *Reproductive Biology and Endocrinology*, 16(1), 29. [Link](https://doi.org/10.1186/s12958-018-0343-0)
  • Bentov, Y., Esfandiari, N., Burstein, E., & Casper, R. F. (2010). The use of mitochondrial nutrients to improve the outcome of infertility treatment in older patients. *Fertility and Sterility*, 93(1), 272–275. [Link](https://doi.org/10.1016/j.fertnstert.2009.07.988)
  • Littarru, G. P., & Tiano, L. (2007). Bioenergetic and antioxidant properties of coenzyme Q10: recent developments. *Molecular Biotechnology*, 37(1), 31–37. [Link](https://doi.org/10.1007/s12033-007-0052-y)
  • Ben-Meir, A., Burstein, E., Borrego-Alvarez, A., et al. (2015). Coenzyme Q10 restores oocyte mitochondrial function and fertility during reproductive aging. *Aging Cell*, 14(5), 887–895. [Link](https://doi.org/10.1111/acel.12368)
  • Cao, S., Yan, H., Tang, W., et al. (2023). Effects of dietary coenzyme Q10 supplementation during gestation on the embryonic survival and reproductive performance of high-parity sows. *Journal of Animal Science and Biotechnology*, 14, 75. [Link](https://doi.org/10.1186/s40104-023-00879-4)
  • Gupta, S., Agarwal, A., Banerjee, J., & Alvarez, J. G. (2007). The role of oxidative stress in spontaneous abortion and recurrent pregnancy loss: a systematic review. *Obstetrical & Gynecological Survey*, 62(5), 335–347. [Link](https://doi.org/10.1097/01.OGX.0000261644.89300.df)
  • ClinicalTrials.gov. (2020). **Coenzyme Q10 as a Mitochondrial Antioxidant to Improve Pregnancy Outcomes in Women With Recurrent Pregnancy Loss**. Retrieved from [https://clinicaltrials.gov/ct2/show/NCT04483778](https://clinicaltrials.gov/ct2/show/NCT04483778)
  • Florou, P., Anagnostis, P., Theocharis, P., Chourdakis, M., & Goulis, D. G. (2020). Does coenzyme Q10 supplementation improve fertility outcomes in women undergoing assisted reproductive technology procedures? A systematic review and meta-analysis of randomized-controlled trials. *Journal of Assisted Reproduction and Genetics*, 37(10), 2377–2387. [Link](https://doi.org/10.1007/s10815-020-01906-3)
  • Weis, M., Mortensen, S. A., Rassing, M. R., et al. (1994). Bioavailability of four oral coenzyme Q10 formulations in healthy volunteers. *Molecular Aspects of Medicine*, 15, s273–s280. [Link](https://doi.org/10.1016/0098-2997(94)90038-8)
  • Mayo Clinic Staff. (2022). **Coenzyme Q10 (CoQ10): Mayo Clinic Overview**. Mayo Clinic. Retrieved from [https://www.mayoclinic.org/drugs-supplements-coenzyme-q10/art-20362602](https://www.mayoclinic.org/drugs-supplements-coenzyme-q10/art-20362602)
  • López-Lluch, G., & Navas, P. (2016). Coenzyme Q10 as a daily supplement. *Canadian Journal of Physiology and Pharmacology*, 94(9), 879–889. [Link](https://doi.org/10.1139/cjpp-2015-0495)
  • Weber, C., Bysted, A., & Hølmer, G. (1997). The coenzyme Q10 content of the average Danish diet. *International Journal of Vitamin and Nutrition Research*, 67(2), 123–129. [Link](https://pubmed.ncbi.nlm.nih.gov/9129255/)
  • López-Lluch, G., Del Pozo-Cruz, J., Sánchez-Cuesta, A., Cortés-Rodríguez, A. B., & Navas, P. (2019). Bioavailability of coenzyme Q10 supplements depends on carrier lipids and solubilization. *Nutrition*, 57, 133–140. [Link](https://doi.org/10.1016/j.nut.2018.05.020)

Although I am a doctor, I am not your doctor. This information is not individualized health advice. Consult with a healthcare professional who knows you, your history, and your health goals before making any changes to your healthcare regimen. 

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