Low AMH levels

faith71479

Hi!  My hubby and I have been TTC x 18 months.  Initial AMH was 1.5, now 1.27.  I've tried multiple rounds on Clomid, then Letrozole now Letrozole with dexamethasone.  Went to a specialist that wanted to jump straight to IVF.  I'm almost 33.  I'm thinking about trying IUI first with my regulary GYN b/c I feel like that's a big jump to skip that when that's a more conservative option.  Any ideas or advice? 

lynn0926

Your AMH is not terribly low. I am 33 and mine is 0.3, now that is low. Your AFC is a better indicator of how your will respond. Do you know what your AFC amd FSH are? AMH is only one tool used to indicate if one is DOR, but there is more that goes into being DOR than your AMH.

Edwina.McDunnough

Ditto Lynn, but wanted to add that GYNs often don't offer proper monitoring for IUIs or for medicated cycles in general. YMMV but the amount of people on this very board upset over something their GYN did that no RE would do would astound you. Do you have any other issues? IVF is not something that's suggested right away for someone with your AMH unless you have MFI or tubal concerns etc.

Also, AMH will fluctuate a little and 1.27 and 1.5 are not that far off; < .4 was the point of concern at my first clinic. See: https://www.advancedfertility.com/amh-fertility-test.htm 

mm29

I agree with the other ladies.  I would be jumping for joy with that AMH.  Mine unfortunately is <0.2 and I'm 31.   GL with TTC, I wish you the best!

chicagobride_07

I think you should try IUI first.  I don't think those AMH levels are all that bad.  My AMH fluctuated between undectable and 0.34, and I am much older than you- the RE still wanted to try IUI (we did 4 rounds) first.