re-introduction with new DX (low AMH)

lhcooper

Hi all -- I posted here a month or more back, and now here I am again with a new RE and, as of yesterday, a new dx -- a shockingly low AMH of .42 (normal range of .7-3.5).  As my signature makes clear, it's been a long hard road since we conceived on the first shot in July 2009 (ended in miscarriage).  I've had 6 failed IUIs (AF arrived yesterday, same day as this crummy dx) and we are now moving to IVF in Feb-March (antagonist protocol) with a very supportive RE who nonetheless has said she thinks there's a 10% chance of success (aaaaggghhhhhh).  We're OOP, too, and without parental help we might not be able to do even the one IVF, so this is truly beyond anxiety producing, but my gut instinct is that I'm just not ready to even think about donor eggs (if I ever will be) until we've given mine a try with IVF.  So: I'm on 75 mg/day of DHEA, will start fertility accupuncture next Monday, am already doing yoga, am cutting out caffeine as of tomorrow and alcohol (I don't drink much anyway) as of today.  Yesterday was an awful day full of tears but today I'm back at work so at least I've got that to focus on.

Any advice and/or success stories with low AMH levels, please share.  I've been posting mostly on the +35 board but you folks over here have a lot more IVF experience as far as I can tell so I will be trying to navigate between the two, probably via a lot of x-posting.

STL34

There aren't a lot of success stories on this board yet since most people move to PAIF or SAIF once they have success. 

I have the dreaded DOR Dx.  I have low AMH, too.  I will note that my RE considers normal to be greater than 1 for AMH.  However, he also looks at AFC and FSH/E2 levels. 

I have gone through two IVF cycles and both were BFNs.  My first cycle was long lupron and my second cycle was antagonist.  I just started seeing a new RE and will be going through a round of retesting as well as a few additional tests.  After which we will be deciding how to proceed.  We are still not ready to move to DE.  However, we are also OOP so we can't just keep trying IVF until something sticks.  So, what happens next will depend on what my RE says.

I will say that AMH is one of the tests that many REs use to determine response to stims/ovarian reserve.  I am a low responder to stims and only had 4 eggs retrieved with IVF #1 and 6 with IVF #2.  How did you respond during your IUI cycles?

Good luck!

MTooms

No advice, but wish you good luck and all you need is one good egg!