Annnnd another AMH question...
DoublePortion
member
I didn't want to hijack the other thread. 
Is there anyone who understands the different AMH ranges? I've always used the chart on this link: https://www.advancedfertility.com/amh-fertility-test.htm
I get confused when someone is worried about their AMH when it's 1 or above because, according to the above link, that's a good number. But then I find charts like the one here: https://www.drmalpani.com/amh.htm (Not sure how reputable that site is...)
I ask because my initial AMH was .38 which, using the first site's chart, is "low". Then my 2nd AMH which was drawn less than a year later was .97 which would be almost normal on the 1st link, but still low on the 2nd link.
Also, this info is on the 1st link..."There are some problems involved with interpretation of AMH hormone levels. Because the test has not been in routine use for many years, the levels considered to be "normal" are not yet clarified and agreed on by the experts. Also, not all current commercial assays give equivalent results."
So how do you know what to go by and what is the point of AMH anyway if no one seems to know what the results really mean?
***signature & ticker warning***
Me: 30 ~ Stage IV Endo ~ AMH .38 ~ AFC 8
AMH .97 as of 4/2012! ~ AMH 1.63 as of 4/2013!?!
Him: 29 ~ perfect swimmers
Laparotomy w/partial oophorectomy 8/2009 to remove cysts/endo.
Stopped BCP 4/2010.
Multiple clomid rounds from 11/2010 to 6/2011. ~ All BFN
IUI w/clomid 7/2011. IUI w/clomid & injectables 11/2011 & 1/2012. ~ All BFN
IVF:EPP 5/2012 ~ (4R, 3M, 2F w/ICSI). Both embryos txfrd. ~ BFN
BCP to manage endo from 10/2012 to 12/2012.
FET w/donor embryos #1: 10/2013 Cancelled
FET w/donor embryos #1.2: 11/2013 ~ ET of 2 beautiful blasts on 11/27.
Beta 1: 503(12dp5dt) Beta 2: 1035(14dpt) Beta 3: 3001(16dpt) Beta 4: 8503(19dpt)
Twins with an EDD of 8/15/14! Team Purple
G&B born 6/30/14 at 33w3d via emergency c/s.
If you're wondering about my avatar...it's a fried pickle chip shaped like a fetus!
Re: Annnnd another AMH question...
I think there's two different units of measure used pmol/L and ng/mL. I think most people in the US use ng/mL, those are the lower set of of numbers.
And yes it's a relatively new test and there is a lot of uncertainty about it and what it really means.
BFP#1 1/31/12, EDD 10/6/12 Harrison Gray born sleeping @ 18w6d. You changed our lives little guy.
BFP#2 EDD 10/29/13, C/P 2/25/13, Bye little Ish, we barely got to know you.
BFP#3 EDD 12/21/13, Baby Boots born 11/23/13 My rainbow baby!
January PAL Siggy Challenge: Good Advice
Both links have ng/mL charts and the ranges are different.
***signature & ticker warning***
Me: 30 ~ Stage IV Endo ~ AMH .38 ~ AFC 8
AMH .97 as of 4/2012! ~ AMH 1.63 as of 4/2013!?!
Him: 29 ~ perfect swimmers
Laparotomy w/partial oophorectomy 8/2009 to remove cysts/endo.
Stopped BCP 4/2010.
Multiple clomid rounds from 11/2010 to 6/2011. ~ All BFN
IUI w/clomid 7/2011. IUI w/clomid & injectables 11/2011 & 1/2012. ~ All BFN
IVF:EPP 5/2012 ~ (4R, 3M, 2F w/ICSI). Both embryos txfrd. ~ BFN
BCP to manage endo from 10/2012 to 12/2012.
FET w/donor embryos #1: 10/2013 Cancelled
FET w/donor embryos #1.2: 11/2013 ~ ET of 2 beautiful blasts on 11/27.
Beta 1: 503(12dp5dt) Beta 2: 1035(14dpt) Beta 3: 3001(16dpt) Beta 4: 8503(19dpt)
Twins with an EDD of 8/15/14! Team Purple
G&B born 6/30/14 at 33w3d via emergency c/s.
If you're wondering about my avatar...it's a fried pickle chip shaped like a fetus!
First mini-IVF Sept 2011... Only 1 egg! ... BFN
Switching RE
IVF#2 May 2012 9 eggs and only 2 sperm, WTH!
BFN
Switching RE's within practice
*~God gives his hardest battles to his toughest solders. Unknown.
I hope your results are good!
***signature & ticker warning***
Me: 30 ~ Stage IV Endo ~ AMH .38 ~ AFC 8
AMH .97 as of 4/2012! ~ AMH 1.63 as of 4/2013!?!
Him: 29 ~ perfect swimmers
Laparotomy w/partial oophorectomy 8/2009 to remove cysts/endo.
Stopped BCP 4/2010.
Multiple clomid rounds from 11/2010 to 6/2011. ~ All BFN
IUI w/clomid 7/2011. IUI w/clomid & injectables 11/2011 & 1/2012. ~ All BFN
IVF:EPP 5/2012 ~ (4R, 3M, 2F w/ICSI). Both embryos txfrd. ~ BFN
BCP to manage endo from 10/2012 to 12/2012.
FET w/donor embryos #1: 10/2013 Cancelled
FET w/donor embryos #1.2: 11/2013 ~ ET of 2 beautiful blasts on 11/27.
Beta 1: 503(12dp5dt) Beta 2: 1035(14dpt) Beta 3: 3001(16dpt) Beta 4: 8503(19dpt)
Twins with an EDD of 8/15/14! Team Purple
G&B born 6/30/14 at 33w3d via emergency c/s.
If you're wondering about my avatar...it's a fried pickle chip shaped like a fetus!
Hmmm then I don't know, except that I have read there is a lot of disagreement on what 'normal' levels are so maybe that's it?
BFP#1 1/31/12, EDD 10/6/12 Harrison Gray born sleeping @ 18w6d. You changed our lives little guy.
BFP#2 EDD 10/29/13, C/P 2/25/13, Bye little Ish, we barely got to know you.
BFP#3 EDD 12/21/13, Baby Boots born 11/23/13 My rainbow baby!
January PAL Siggy Challenge: Good Advice
NTNP 2009-2012 TTC since 2012:
Jack has handpicked his sibling up there
My blog about IF and loss ... Kate's IF Blog
Baby boy Henry born 2015.
Expecting our capstone baby (boy) early March 2018.
Was your first AMH level taken shortly after (or even a few monhts) after cessation of birth control pills?
"Recent findings of Nelson et al. are in accordance with the assumption of a suppressive effect of hormonal changes on AMH levels: They reported declining AMH levels during second and third trimesters of pregnancy [18], contradicting prior observations that claimed AMH to be stable during pregnancy and puerperium [19,20]. Also contrary to prior reports [21], AMH may also be suppressed with oral contraceptives [22]. Van den Berg et al. recently reported that AMH on day seven of contraception free intervals does not correspond to AMH values in subsequent natural cycles. They reported not only increasing AMH levels immediately after cessation of contraception, but even higher levels after two months from cessation [22]."
The quote above is from the above medical journal article:
https://www.rbej.com/content/9/1/98
2011: FSH 13.3 & E 99; AMH 0.54 2nd FSH 6.2 E 40's AFC: 8
BFP from Clomid/IUI ~ Pre-e and IUGR during pregnancy ~ DS born 9/4/12
Feb./March 2013: AMH less than 0.16 (undectable) and AFC = 4;
BFP from supps ~ DS#2 due May 2014
May 2014 January Siggy Challenge:
Was your first AMH level taken shortly after (or even a few monhts) after cessation of birth control pills?
"Recent findings of Nelson et al. are in accordance with the assumption of a suppressive effect of hormonal changes on AMH levels: They reported declining AMH levels during second and third trimesters of pregnancy [18], contradicting prior observations that claimed AMH to be stable during pregnancy and puerperium [19,20]. Also contrary to prior reports [21], AMH may also be suppressed with oral contraceptives [22]. Van den Berg et al. recently reported that AMH on day seven of contraception free intervals does not correspond to AMH values in subsequent natural cycles. They reported not only increasing AMH levels immediately after cessation of contraception, but even higher levels after two months from cessation [22]."
The quote above is from the above medical journal article:
https://www.rbej.com/content/9/1/98
2011: FSH 13.3 & E 99; AMH 0.54 2nd FSH 6.2 E 40's AFC: 8
BFP from Clomid/IUI ~ Pre-e and IUGR during pregnancy ~ DS born 9/4/12
Feb./March 2013: AMH less than 0.16 (undectable) and AFC = 4;
BFP from supps ~ DS#2 due May 2014
May 2014 January Siggy Challenge:
I agree. Sure the "normal" range of AMH is in question but it can still give you some good info. For example, an AMH level of .02 would be low by anyones standard. It's more about the level that a particular RE sees differences in success rates with and other factors like FSH and resting follicle count. My REs office likes to see at least a 1.4.