Infertility

Dhea and AMH levels

Last summer, my AMH level was 1.1 and FSH was around 7.8.  As you can see my history in my signature, my egg quality was thought to be an issue.  In April, I started 75 mg of DHEA, which I reduced to 50 due to acne problems, acupuncture at least once a week, and Chinese herbs from cd 1 to ovulation.  I received my lab results, and my AMH level is now 1.9!  It was performed by a different lab, but I'm hoping there isn't that much difference between the labs and that much fluctuation month to month.  I'm hopeful this is working.  
My RE had mixed feelings about DHEA.  My cycle has lengthened back to 27/28 days!

I had been on NeoQ10 and a prenatal vitamin as well as synthroid (50mcg).  (I don't recall my testosterone level, if ever tested.). My Vit D has always been on the low end of normal and came back again on the low end of normal.  I started 2000 of Vit D a week or two ago.  My total testosterone is normal (0.34).  However, my FSH is 9.8.  That concerns me, but I know this can fluctuate from month to month.  If things go as planned in September and we get to do another IVF cycle, I will let you all know how it goes. Just thought I would share the news.  
Me:32 DH:36
Me: DOR, poor egg quality, MTHFR
DH: MFI
TTC since 3/2014
2015: 3 IUI's-BFN
12/2015: 1st IVF cycle-(9 follicles retrieved, 5 mature, 3 fertilized w/ICSI, transferred 1 excellent and 1 good embryo on day 3)-chemical pregnancy
3/2016: 2nd IVF cycle- canceled (3 follicles retrieved, 3 mature, all fertilized w/ICSI, 1 fragmented, 2 arrested) 
3/2016: RE suggested donor eggs- taking an ivf break and to supplement 
9/2016: 3rd ivf cycle-cancelled due to early ovulation
Oct./Nov 2016: 4th ivf cycle- EPP-AFC:5, retrieved 10, 10 mature, 8 fertilized with ICSI, 6 blastocysts biopsied and frozen. 3 CCS normal embryos
1/9/17: transferred 1 embryo-BFP 1/16
1/18/17: beta #1-104
1/20/17: beta #2-174
2/2/17: first u/s, heartbeat of 107 at 6w1d
7/20/17: baby boy born at 30+3 via emergency c-section 


Re: Dhea and AMH levels

  • That's great news! I hope it's working for you!

    (Also hate to be a rain cloud, but just so you know - its fairly common for AMH to be a false double. Within a year I had 1.8, 0.8 and 1.1. The 1.8 and 0.8 were from the same general lab only a few months apart. The 1.1 was from a lab that specializes in fertility stuff per my REs request.)
    ______________________________________________________________________________

    Image and video hosting by TinyPic
    Trying to conceive #2
    Me: 36 - slight DOR (AMH: 1.1), decent OAR; DH: 41 - Morphology 4%
    NTNP July-Aug 2014, ATTC Sept 2014-Present
    October 2014 - CP
    July 2015 - Clomid + #1 IUI = BFN
    September 2015 - Clomid + #2 IUI = CP
    October 2015 - Letrozole (5 follies - yay!) + #3 IUI = BFN
    November 2015 - CP
    December 2015 - CP
    February 2016 - Letrozole + #4 IUI = CP
    April 2016 - CP
    May/June 2016 - IVF #1 and IUI #5 (Estrace + Follistim + micro-hCG + HGH) = BFN

    Struggled to conceive #1 2012-2013
    Me: Chronic Pain Condition since 2009, DH: Slightly Abnormal SA
    Clomid #1: March 2013 - BFN; Clomid + IUI: May 2013 CXL; BFP on 4/22/13 = Baby Boy #1 1/1/14

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  • Kp214Kp214 member
    Thanks for letting me know.  I asked about that, and the nurse said there shouldn't be dramatic swings but she may be wrong.  I have to have my TSH checked again in 4 weeks, so I think I'll ask if we can repeat all of these tests again.
    Me:32 DH:36
    Me: DOR, poor egg quality, MTHFR
    DH: MFI
    TTC since 3/2014
    2015: 3 IUI's-BFN
    12/2015: 1st IVF cycle-(9 follicles retrieved, 5 mature, 3 fertilized w/ICSI, transferred 1 excellent and 1 good embryo on day 3)-chemical pregnancy
    3/2016: 2nd IVF cycle- canceled (3 follicles retrieved, 3 mature, all fertilized w/ICSI, 1 fragmented, 2 arrested) 
    3/2016: RE suggested donor eggs- taking an ivf break and to supplement 
    9/2016: 3rd ivf cycle-cancelled due to early ovulation
    Oct./Nov 2016: 4th ivf cycle- EPP-AFC:5, retrieved 10, 10 mature, 8 fertilized with ICSI, 6 blastocysts biopsied and frozen. 3 CCS normal embryos
    1/9/17: transferred 1 embryo-BFP 1/16
    1/18/17: beta #1-104
    1/20/17: beta #2-174
    2/2/17: first u/s, heartbeat of 107 at 6w1d
    7/20/17: baby boy born at 30+3 via emergency c-section 


  • Vitamin d deficiency can make amh low.  Also, affects egg development.  I would supplement heavily for at least 3 months.  Also, take it with a fat like peanut butter for absorption.
    IF DX: DOR & Fragile X pre-mutation carrier
    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:
    image
    image
  • I also was getting low d despite supplements and Dr told me to take with fatty food.
    IF DX: DOR & Fragile X pre-mutation carrier
    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:
    image
    image
  • Kp214Kp214 member
    @IBackBevo  Thanks for that tip!  I am outside a lot gardening and thought I was getting plenty of Vit D that way.  My RE doesn't seem concerned about it, but I guess she doesn't realize how much I'm outside and take a prenatal vitamin with D in it.  I'll do that.
    Me:32 DH:36
    Me: DOR, poor egg quality, MTHFR
    DH: MFI
    TTC since 3/2014
    2015: 3 IUI's-BFN
    12/2015: 1st IVF cycle-(9 follicles retrieved, 5 mature, 3 fertilized w/ICSI, transferred 1 excellent and 1 good embryo on day 3)-chemical pregnancy
    3/2016: 2nd IVF cycle- canceled (3 follicles retrieved, 3 mature, all fertilized w/ICSI, 1 fragmented, 2 arrested) 
    3/2016: RE suggested donor eggs- taking an ivf break and to supplement 
    9/2016: 3rd ivf cycle-cancelled due to early ovulation
    Oct./Nov 2016: 4th ivf cycle- EPP-AFC:5, retrieved 10, 10 mature, 8 fertilized with ICSI, 6 blastocysts biopsied and frozen. 3 CCS normal embryos
    1/9/17: transferred 1 embryo-BFP 1/16
    1/18/17: beta #1-104
    1/20/17: beta #2-174
    2/2/17: first u/s, heartbeat of 107 at 6w1d
    7/20/17: baby boy born at 30+3 via emergency c-section 


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