Anonymous wrote:Completely anectodal but mine was .71 at 29 and I was similarly concerned but got pregnant right away. TBD if I’ll be as lucky for attempt #2.

Agree with PPs that time is on your side!

Sorry not time—I meant age!!

Completely anectodal but mine was .71 at 29 and I was similarly concerned but got pregnant right away. TBD if I’ll be as lucky for attempt #2.

Agree with PPs that time is on your side!

Anonymous wrote:OP here. Thanks all. I’m going to head to a specialist focusing on low ovarian reserve. Any recommendations as to which are the best?

I went to dr Dimattina.

It had .3 at 33, and it took me 2 years of trying and 3 failed iuis to get two pregnancies. One was a blighted ovulation other was my first child. Next time I had AMH checked was after a year of trying for my second and no pregnancies. AMH was undetectable less than .01 at age 37. Dr told me donor egg or adopt. I asked him to try one round of bc IVF, which he agreed to do. I did icsi and assisted hatching. That kid is now 8. Had one period period after he was born.

Anonymous wrote:AMH predicts response to IVF stims more than natural fertility. For you to be "fertile" you need to be able to put out one good egg a year that manages to come down your tube, get fertilized and implant. On the other hand, low AMH does predict earlier menopause.

You do have an ace in your hand: your age. Most women battling low AMH are also older and a greater percent of their eggs are abnormal, so they are battling low egg numbers and quality issues.

Make sure your tubes are open and get your partner's sperm tested. There could be more than one factor going on. The younger you are the more likely there is a male factor.

I was told high FSH predicts your response to IVF and low AMH indicates earlier menopause or poor egg quality.

AMH predicts response to IVF stims more than natural fertility. For you to be "fertile" you need to be able to put out one good egg a year that manages to come down your tube, get fertilized and implant. On the other hand, low AMH does predict earlier menopause.

You do have an ace in your hand: your age. Most women battling low AMH are also older and a greater percent of their eggs are abnormal, so they are battling low egg numbers and quality issues.

Make sure your tubes are open and get your partner's sperm tested. There could be more than one factor going on. The younger you are the more likely there is a male factor.

Anonymous wrote:OP here. Thanks all. I’m going to head to a specialist focusing on low ovarian reserve. Any recommendations as to which are the best?

Dr. Davis at Cornell in NYC is often cited here. I have severe DOR and had two successful pregnancies thanks to Cornell (not Dr. Davis but Dr. Reichman).

Good luck, op.

OP here. Thanks all. I’m going to head to a specialist focusing on low ovarian reserve. Any recommendations as to which are the best?

Me. .4 AMH at 34. I ended up having 2 DD’s but took over 6 retrieval rounds at 4 different clinics and in the end needed to really be somewhere that understands DOR and is open to mini stim and low dose stim. I’ll TLDR you and NYC is your best bet. You’ll get blasted with high doses of stims and have little or no viable eggs forget embryos to test. Low AMH is really about egg quality.

For the good news i did have 2 healthy children with my own eggs. First at 37 and second at 42. Started this process at 34. Every moment was some sort of retrieval or transfer and we spent $$$$$ even with excellent insurance coverage. Good luck!!
At last test at 41 my AMH was .11

Anonymous wrote:AMH is basically irrelevant for predicting the chance of a natural conception, but if you want more than one kid or aren’t even trying now, you probably want to do IVF because it’s certainly not going to get easier. Those numbers suggest a diagnosis of diminished ovarian reserve. If you aren’t getting pregnant on your own or want to prepare for the future, IVF is your best bet, but it may take multiple rounds with those AMH and FSH numbers.

+1. Act fast and skip IUIs.

Do more testing. Mine was 4 at 34 and we still couldn’t get pregnant - unexplained. Recently succeeded via IVF which wasn’t as bad as I first imagined. It’s good to know now but even good numbers don’t equal success.

AMH is basically irrelevant for predicting the chance of a natural conception, but if you want more than one kid or aren’t even trying now, you probably want to do IVF because it’s certainly not going to get easier. Those numbers suggest a diagnosis of diminished ovarian reserve. If you aren’t getting pregnant on your own or want to prepare for the future, IVF is your best bet, but it may take multiple rounds with those AMH and FSH numbers.

My AMH was supposedly 0.1 at age 35 and I got pregnant naturally and had a healthy baby. I didn’t get any other tests done because I ended up getting pregnant, so I don’t know how accurate that one test was. I just want to say that at your age you could still have healthy eggs.

It did for me, but it really depends on whether the few eggs you have left are still good. Some people can conceive naturally or get genetically normal embryos through IVF, others have egg quality issues that go along with DOR. Go straight to IVF as soon as you can and see how you respond to stims. And good luck, I’m so sorry you’re dealing with this. It’s truly heartbreaking.

FSH is 19.6. Does this mean I’m infertile? I’m getting nervous….heading back to me Dr soon, but reassurance welcome.