Infertility

AMH levels????

Can anyone help me figure this out....dr called about some blood work I did on the day of my WTF appointment last Tuesday and  said that the test we were doing was a AMH test which has something to do with the ovulation reserve I think... I can never process what he says when I talk to him on the phone! Has anyone done this blood work and do you remember what your level number was. He said that normal levels are anywhere from a 1-6 . Mine came back unregistering! OMG what does that mean..., I'm all dried up??? He wants to run the test again because he said the last time we did the test 6 months ago it was normal but when I did my first IVF I only made three eggs. Even though they were good quality but didn't implant but he expected to get way more eggs out of me since I'm only 31. Now I'm fully feaked  out and won't know anything for a while because he's going to have me test again three days into my next period which shouldn't be till the first week of July!!! Any insight from anyone right now would help!!!!! Thanks!
Me 34 and DH 39 married in aug. 2002
Did 5 round of clomid 2010 =BFN
 High levels of NK CELLS DX sept.2012 DOR:# 0.02 
IVF #1 May 2012  ER 4, EF 2, ET 2 =BFN
MINI IVF Oct.2012  Cancelled 10-27-12
Ivf #3 Antagonist Protocol April 2013
Shared cycle..Donor cycled in July Got 12 eggs 9 fertilized and 8 frozen!!
DE FET #1 Sept. 3rd 2013 FIRST BFP EVER 5dp5dt
miscarried Sept 24th at 5 weeks 5 days
Etopic  D&C and hysterscopy Nov 5 2013
dx with pre genetic blood clotting dec 2013
FET #2 Jan 31st  2014 
Miscarried for a second time again at 5 weeks 5 days
Currently fostering to adopt an amazing little 1 year old boy..P.J!
FET#3  is Oct 29th 2014
BFN on fet #3
Last and FINAL FET coming JAN 28th 2015
Everyone Welcome






Re: AMH levels????

  • https://www.advancedfertility.com/amh-fertility-test.htm

    AMH is just one piece of the puzzle (along with E2, FSH, AFC, etc.), and I can make anywhere from 13 to 1 egg, same protocol, same meds so some cycles just are not good ones. Mine was .68 at it's lowest. Sorry you're dealing with this tough situation. For the record, I've seen lots of women come and go and they can only make 1-2 embryos from their cycles, poor response but good quality.

    +++
  • AMH is a relatively new test to determine ovarian reserve.  There are conflicting opinions on its accuracy, but in general they say that below a 1 is indicative of low reserve/ poor response.  Some ladies have come back with low AMH, only to stim just fine for IVF.  Some ladies need higher doses of meds/ less supression but still produce a decent number of eggs (me).  Some ladies do not respond well at all no matter what.  It seems like there is a correlation between the two, but not necessarily a hard line. 

    Were your AFC and FSH levels normal? What meds and dosages were you on for your first IVF?  Low AMH may mean a change in protocol to help you, but it's certainly not the nail the in coffin. Don't let Dr. Google scare you too thoroughly. Keep us posted!

    Me: 31 DH: 30
    Dx DOR (AMH .49), Stage 3/4 Endo, Septate Uterus
    After 2 years, numerous tests, abdonimal surgery, and 2 IVF cycles, we are so grateful to be expecting.
    Transferred 2 "perfect" 8-cell embies 6/12. Beta 1 6/25: 472! Beta 2 6/27: 1055!
    First u/s shows TRIPLETS! WHAT?!?! Both embies stuck and one split. OMG

    Levi, Henry, and Amelia were born healthy at 34w3d.
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  • Here is some information that was helpful to me in the past: https://www.advancedfertility.com/amh-fertility-test.htm

    My AMH has been tested 3 times- always been different, but always been extremely low. 

    image
    DOR and AMA
    2/12-5/12: 4 IUI cycles = all BFN;
    7/12: DE IVF # 1 (with ICSI)- 20R, 16M, 14F, 5DT of 2 blasts; 6 frosties = BFN;
    Lupus anticoagulant initially high, then found to be normal on hematology consult;
    Follow up testing in September all clear;
    Started synthroid for "high normal" TSH;
    FET # 1- late October 2012- BFP on FRER; beta # 1- 21(low), beta # 2- 48 (still low), beta # 3- 132, beta # 4- 1,293; beta # 5- 5,606; last beta- over 100,000. First u/s 11/21- heard heartbeat
    12/12- Officially an OB patient!
    Level 2 ultrasound at 20 weeks shows vasa previa and VCI
    Referral to MFM and mandatory c section for delivery
    Beautiful baby girl born at 34 weeks
    Finally home after 15 day NICU stay!
    Trying for sibling: FET # 2- May 2014; beta 5/31, BFN
    FET #3, early July 2014; beta 7/14, BFN
    DE IVF # 2- August 2014; 14R, 13M, 11F, 5dt of 2 blasts (3 AA), 5 frosties = BFN
    FET #4- December 2014, yet another BFN

    Dr. KK work up shows borderline uterine blood flow, elevated NK cells, and MTHFR mutation (homozygous for c677t)

    Added baby aspirin, prednisone, supplements, Metanx, and intralipids

    Switched to large clinic for final attempt; had endometrial receptivity testing in January; FET March 2015 = yet another BFN

    Likely OAD- NBC

  • AMH still confuses me as to what exactly my numbers mean mine was a 5.8 which he said was good because it meant I had plenty of eggs but it could mean i have pcos but we didnt get in much more detail then that cause we got diagnosed with MFI right after that so thats what we are focused on right now lol...good luck what a vague and annoying explanation of a result i would def be calling to figure out what that means exactly ...GOOD LUCK!
    June 2009- Begin TTC November 2011- Laparoscopy to check for endometriosis (normal) HSG to check for clear tubes -(Normal) and hysteroscopy to check uterus (normal) April 2012- AMH checked- (5.8) thyroid and prolactin= normal....internal ultrasound- thin uterin lining indicating issues with ovulation April 2012- Semen Analysis- sperm count of 8
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