High FSH, Normal AMH

[Anonymous]

From looking online, it doesn't seem too common. The high FSH means I likely don't ovulate on my own which I already suspected due to my irregular cycles. I don't know what the cause is, but my doctor ruled out PCOS. Has anyone had this before and gotten an explanation for it? I'm waiting for my next RE appt, but just wondering what's going on.

[Anonymous]

How old? Have you always been irregular? How many periods a year?

[Anonymous]

Anonymous wrote:How old? Have you always been irregular? How many periods a year?

OP here. I'm 30. Irregular since a teen. Cycles range from 30 to 45 days.

[Anonymous]

Anonymous wrote:

Anonymous wrote:How old? Have you always been irregular? How many periods a year?

OP here. I'm 30. Irregular since a teen. Cycles range from 30 to 45 days.

I don’t know. Have you been trying already with OPK? You are very young so if you ovulate that’s a good sign, but it might be laborious to try to pinpoint when that is. Have you spoken to an RE about IVF?

[Anonymous]

you AMH is still decent because you are 30. Most women don't get these test till they are older - AMH can diminish abruptly after age 35. How high is your FSH? You should be meeting with an RE and get serious quick if you're trying to have more than one kid.

Not to be alarmist, just realistic. For example I have very low AMH (was 0.4 at 34 year old) but even now at 42 my FSH has never been over 9 and my AMH is undetectable. I am 26 weeks along with my second DD from IVF (own eggs, mini stim).

So personally depending on how high your FSH is - take it as a real red flag.

[Anonymous]

No, I don't ovulate or very infrequently from looking at OPKs. My RE doesn't seem super concerned but I'm very curious as to what's going on.

[Anonymous]

OP here. Got some more details on the results. AMH 3.4, FSH 10.8. Everything else normal except for slightly elevated SHGB of 97 (meaning slightly lower testosterone). It seems that that high FSH and high SHGB might be related, but not a clear reason why. I do have a follow-up with my RE, but anxious in the meanwhile. Anyone have something similar going on?

[Anonymous]

I don't know about your case, but my AFC mattered more than my AMH when it came to my IVF cycle. Whatever is going on, your young age will likely be a big benefit to you. If your only problem is not ovulating that likely can be fixed with drugs.

[Anonymous]

Anonymous wrote:I don't know about your case, but my AFC mattered more than my AMH when it came to my IVF cycle. Whatever is going on, your young age will likely be a big benefit to you. If your only problem is not ovulating that likely can be fixed with drugs.

Thank you for responding. My AFC results just came back and it's sky high. 44 follicles. I'm trying to get my follow up appt moved up asap because my RE told me it wasn't PCOS based on my hormone panel and lack of indicator (slender, normal A1C, no insulin intolerance) but clearly there is something strange going on here - either atypical PCOS or something I'm not thinking of.

[Anonymous]

The good news is with ovulation stimulating drugs you’ll get pregnant easily

[Anonymous]

Anonymous wrote:you AMH is still decent because you are 30. Most women don't get these test till they are older - AMH can diminish abruptly after age 35. How high is your FSH? You should be meeting with an RE and get serious quick if you're trying to have more than one kid.

Not to be alarmist, just realistic. For example I have very low AMH (was 0.4 at 34 year old) but even now at 42 my FSH has never been over 9 and my AMH is undetectable. I am 26 weeks along with my second DD from IVF (own eggs, mini stim).

So personally depending on how high your FSH is - take it as a real red flag.

What age did you have your first? Also, for your current pregnancy what age did you retrieve your eggs?

[Anonymous]

Anonymous wrote:

Anonymous wrote:you AMH is still decent because you are 30. Most women don't get these test till they are older - AMH can diminish abruptly after age 35. How high is your FSH? You should be meeting with an RE and get serious quick if you're trying to have more than one kid.

Not to be alarmist, just realistic. For example I have very low AMH (was 0.4 at 34 year old) but even now at 42 my FSH has never been over 9 and my AMH is undetectable. I am 26 weeks along with my second DD from IVF (own eggs, mini stim).

So personally depending on how high your FSH is - take it as a real red flag.

What age did you have your first? Also, for your current pregnancy what age did you retrieve your eggs?

First was from a retrieval when I was 36.5, delivered at 37. Second (current) was from a retrieval a month before i turned 42.

[Anonymous]

Anonymous wrote:The good news is with ovulation stimulating drugs you’ll get pregnant easily

+1 You have a good prognosis because of your age. Age of mother is #1 factor, even in male factor infertility

If you end up doing IVF try minimal stim first. You are at risk of overstimulating. You could be started on IUI and make so many follicles they want to convert you to IVF (which is good!).

I can't explain your labs. They are definitely weird.

[Anonymous]

I did an IVF cycle last January (at 35) with AMH of 5.5, FSH of 11, and AFC of 24. Just like you, good AMH/AFC and a borderline high FSH. My RE wasn't concerned about my FSH at all and I had good results from my retrieval, 17 retrieved, 12 fertilized, 6 blasts, 3 PGTA normal.

[Anonymous]

Anonymous wrote:I did an IVF cycle last January (at 35) with AMH of 5.5, FSH of 11, and AFC of 24. Just like you, good AMH/AFC and a borderline high FSH. My RE wasn't concerned about my FSH at all and I had good results from my retrieval, 17 retrieved, 12 fertilized, 6 blasts, 3 PGTA normal.

OP here. This is so encouraging to hear. Could I ask if you had your DHEA or testosterone tested? My RE added these tests and found that I'm borderline low and I need to do 3 months of DHEA supplements before IVF.