Reply to high AMH but no PCOS? insights on IVF/shady grove?

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[quote=jkimtysons]Hi, I am 34 and we've started seeing Dr. Levens at Shady Grove. I like him a lot but have also heard the common critiques of SG feeling like a factory and them not being open to thinking outside the box. We have yet to do anything beyond testing. So far the two concerns are DH's morphology (3%, they didn't seem too concerned since the other #s are good, but it's still low) and having high AMH (18.7 ng/mL). I guess the high AMH is a concern not just for OHSS risk, but also acc to this article by Geoffrey Sher, "However, both high and poor responders have one characteristic in common, namely that in both cases, there is a high tendency for their eggs to be chromosomally abnormal (aneuploid), which leads to embryos that cannot develop into a “normal” baby." (http://haveababy.com/fertility-information/ivf-authority/ovarian-stimulation-what-high-responders-and-poor-responders-have-in-common) Sigh.

Dr. L seems pretty confident that I don't have PCOS and I don't have symptoms (ovulate regularly, 33 day cycles generally), normal weight, etc., so I'm guessing I'm in the potential high responder-but-no-PCOS camp. Any insight from folks on 1) Whether we should spend time on Clomid (which he already suggested)/IUIs, or limit time there and go on to IVF? (also b/c of the morphology issue) 2) If you have any experience as a high responder without PCOS and how that affected your IVF experience 3) Whether this situation seems within the realm of things that SG is equipped to deal with (impossible to predict, but any insights are appreciated), or if there are other recs.

(Sidenote, spoke with Dr. L again and he's unconcerned about the high AMH and says it shouldn't affect things other than tweaking an IVF protocol to take into account being a high responder. But 18.7 just seems incredibly high! And in a "there must be something weird/wrong" way, not a "wow, sounds great" way. I still do have to do my AFC, so that will give some more info.)

We have great insurance (thank you state of MD), but I was thinking we might do Shared Risk b/c the cost of FET's could potentially add up, and then we have the insurance to fall back on if we need to see someone else in the area that's covered.

All hypotheticals, but it's nice to throw our situation out there in a pool of people who have gone through this and see what people might know.

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