Follow-up testing to high FSH levels? — The Bump
TTC after 35

Follow-up testing to high FSH levels?

I got a message from RE last night that my FSH tested high again (don't know number) and that they want to do further testing next cycle.

I can't get a hold of the nurse until tomorrow, but am wondering what further testing they might do. AMH? Clomid Challenge test? Something else entirely? If AMH, is that done CD3? TIA

TTC #1 since June 2010
Me: 36, DH: 42
Dx: DOR and MFI

DH: low count + very low motility; hormones all normal; Sperm DNA Frag. test = poor to fair; male karyotyping normal
Me: FSH 13.4 + AMH 0.26 + hypothyroidism; Scratch the hypothyrodism (?); Blood clotting and immune panel all negative; endometrial biopsy normal

IVF #1 (MDLF - Jul/Aug 2011): BFN (9R, 5M, 3F with ICSI, 3dt of 1 10-cell grade 2, no frosties)
IVF #2 (EP-antagonist - Sep/Oct 2011): BFN (6R, 4M, 3F w/ ICSI, 3dt of 1 6-cell, 1 7-cell, grade 4s, no frosties)
DE IVF #1 (shared cycle - June 2012): c/p (6R, 6F w/ICSI, 3dt 1 8-cell grade A- and 1 7-cell grade A-; no frosties)
DE IVF #2 (shared cycle with new donor - Nov/Dec/ 2012): - BFP!!!!! 12/14/12. U/S on 12/27 shows twins!!!!!

SAIFW/PAIFW

Re: Follow-up testing to high FSH levels?

  • Definitely get AMH done. It can be done any day of the cycle. Hugs:)

    TTC #1 since 8/1/10; Me:41 and BRCA1+, DH:46
    DOR (FSH 24.3)/ terrible egg quality ; homozygous MTHFR c677t
    5 IUI's: 2/11 to 6/11 and 1/12= BFN
    OE IVF#1-4 8/11-6/12= all BFN
    DE IVF#1 11/12 bad embryos= BFN
    DE IVF #2 2/13 BFP/Beta hell: m/c 5w6d
    CFNBC 7 months, not doing well; decided on guarantee program at RBA w/frozen DE
    DE IVF #3 1/14  ET 4BB; BFP;M/C 5w1d, incomplete m/c; MVA extraction in ER 7w1d

    DE FET#1 ET 3/1714; BFP, beta 1 3/27= 197, beta 2 3/31= 1586, beta 3 4/7= 13879!!
    First u/s= Twins with HBs at 6w2d! We are Team Pink x 2!!

    K & K born 11/21/14 at 38wks 4 days

    imageimage

    SAIF/PAIF Welcome


    http://waitingforraintostop.wordpress.com

  • I would guess they would do the AMH.  Have you had an antral follicle count done?  I just found out my RE had done that on one of my baseline ultrasounds and sort of forgot to tell me the results...  The number they see for the count is also a good measure of remaining ovarian reserve (like the AMH).

    Me: 41, DH 43 TTC #1 since 8/09 CP 10/09.
    3/11 Clomid-Ovidrel-IUI #1-progesterone= BFN.
    5/11 Femara-Bravelle-Ovidrel-IUI#2-progesterone=BFN.
    6/11 Femara-Ovidrel-IUI#3-progesterone=BFP!
    Beta #1 7/1: 39. Beta #2 7/5: 301 U/S 7/19 - saw HB!!
    EDD 3/12/12
    DD born 3/5/12
    Baby #2 Beta #1 12/16: 439.  Beta #2 12/18: 1240
    EDD 8/22/15


  • Loading the player...
  • Thanks, ladies.

    Why wouldn't they just do the AMH test with everything else, especially after they already had one high FSH result sitting in front of them?! Grrrr... I have not had antral follicle count done (to my knowledge), so maybe they'll want that, too.

    I figured this was coming, but that doesn't make it any less frustrating. 

    TTC #1 since June 2010
    Me: 36, DH: 42
    Dx: DOR and MFI

    DH: low count + very low motility; hormones all normal; Sperm DNA Frag. test = poor to fair; male karyotyping normal
    Me: FSH 13.4 + AMH 0.26 + hypothyroidism; Scratch the hypothyrodism (?); Blood clotting and immune panel all negative; endometrial biopsy normal

    IVF #1 (MDLF - Jul/Aug 2011): BFN (9R, 5M, 3F with ICSI, 3dt of 1 10-cell grade 2, no frosties)
    IVF #2 (EP-antagonist - Sep/Oct 2011): BFN (6R, 4M, 3F w/ ICSI, 3dt of 1 6-cell, 1 7-cell, grade 4s, no frosties)
    DE IVF #1 (shared cycle - June 2012): c/p (6R, 6F w/ICSI, 3dt 1 8-cell grade A- and 1 7-cell grade A-; no frosties)
    DE IVF #2 (shared cycle with new donor - Nov/Dec/ 2012): - BFP!!!!! 12/14/12. U/S on 12/27 shows twins!!!!!

    SAIFW/PAIFW
  • From what I've gathered, the AMH is a newer test, so it might not be part of their "routine" yet.  I was so surprised on Monday when they mentioned they had done my count, I forgot to ask what it was (she just said <5 on each side, which seems pretty darn low...); I'm planning to ask at my next visit.

    I hear you on the frustrating part.  I keep wishing that this wasn't happening to me, but I'm trying to keep my chin up as best as I can and remind myself, it really does just take 1!!  (((Hugs))).

    Me: 41, DH 43 TTC #1 since 8/09 CP 10/09.
    3/11 Clomid-Ovidrel-IUI #1-progesterone= BFN.
    5/11 Femara-Bravelle-Ovidrel-IUI#2-progesterone=BFN.
    6/11 Femara-Ovidrel-IUI#3-progesterone=BFP!
    Beta #1 7/1: 39. Beta #2 7/5: 301 U/S 7/19 - saw HB!!
    EDD 3/12/12
    DD born 3/5/12
    Baby #2 Beta #1 12/16: 439.  Beta #2 12/18: 1240
    EDD 8/22/15


  • I think AMH is also more expensive as well so some places might not automatically run it. My place only runs the test once per week so I had to wait for my results even though everything else was done.  As for the antral follicle count, you may have had one and they didn't tell you (like Danish, that happened to me). I was expecting one and when I asked the tech she looked at me strangely like she didn't know what I was talking about. 2 months later when I asked the doc why they don't do them, she looked in my chart and said they did. I only had 2 on each side! I'm guessing the tech's look was because she didn't want to tell me how low it was. 

    TTC #1 since 8/1/10; Me:41 and BRCA1+, DH:46
    DOR (FSH 24.3)/ terrible egg quality ; homozygous MTHFR c677t
    5 IUI's: 2/11 to 6/11 and 1/12= BFN
    OE IVF#1-4 8/11-6/12= all BFN
    DE IVF#1 11/12 bad embryos= BFN
    DE IVF #2 2/13 BFP/Beta hell: m/c 5w6d
    CFNBC 7 months, not doing well; decided on guarantee program at RBA w/frozen DE
    DE IVF #3 1/14  ET 4BB; BFP;M/C 5w1d, incomplete m/c; MVA extraction in ER 7w1d

    DE FET#1 ET 3/1714; BFP, beta 1 3/27= 197, beta 2 3/31= 1586, beta 3 4/7= 13879!!
    First u/s= Twins with HBs at 6w2d! We are Team Pink x 2!!

    K & K born 11/21/14 at 38wks 4 days

    imageimage

    SAIF/PAIF Welcome


    http://waitingforraintostop.wordpress.com

  • That makes sense about AMH if it's a newer test, more expensive and handled differently by lab. Also, I wonder if they did do an AFC already. Something for me to ask the nurse tomorrow.

    Thanks so much for the help.

    TTC #1 since June 2010
    Me: 36, DH: 42
    Dx: DOR and MFI

    DH: low count + very low motility; hormones all normal; Sperm DNA Frag. test = poor to fair; male karyotyping normal
    Me: FSH 13.4 + AMH 0.26 + hypothyroidism; Scratch the hypothyrodism (?); Blood clotting and immune panel all negative; endometrial biopsy normal

    IVF #1 (MDLF - Jul/Aug 2011): BFN (9R, 5M, 3F with ICSI, 3dt of 1 10-cell grade 2, no frosties)
    IVF #2 (EP-antagonist - Sep/Oct 2011): BFN (6R, 4M, 3F w/ ICSI, 3dt of 1 6-cell, 1 7-cell, grade 4s, no frosties)
    DE IVF #1 (shared cycle - June 2012): c/p (6R, 6F w/ICSI, 3dt 1 8-cell grade A- and 1 7-cell grade A-; no frosties)
    DE IVF #2 (shared cycle with new donor - Nov/Dec/ 2012): - BFP!!!!! 12/14/12. U/S on 12/27 shows twins!!!!!

    SAIFW/PAIFW
  • also, many insurance plans do not cover AMH testing ... so it is not considered routine testing since you may have to pay OOP.

     

This discussion has been closed.
Choose Another Board
Search Boards