Success with low AMH but normal FSH

twaterford

Hi ladies...I'm normally on the secondary IF board, but thought you may be able to answer this question. I'm getting ready to do ivf and found out thaty AMH level is slightly low, but my FSH is within normal range. Wondering if there are any success stories out there with similar circumstances? I could really use some right about now! :

ELF4321

What is "slightly low"?  Mine was 1.1, with FSH of 8.9.  Do you know your AFC (antral follicle count)?  That is an important factor to look at together with the other numbers.  My AMH was borderline low, but my AFC was well into DOR territory at only 4-5, which is why my RE recommended skipping IUIs and going straight to IVF.  (We got super lucky and didn't end up needing IVF though).

Saraevh

What is low?  Are you "young?"   

 I have always had normal FSH (never higher than 7) and had an AMH of .7 a year and a half ago.  I just had my levels retested and am waiting to hear back to see what my AMH is at now. 

I'm not really sure what my AFC ever has been because I never asked but figured if it was a concern someone would have said something to me about it.

My RE said age is a really, really big factor in everything because he said that even with a low AMH you could have good quality eggs - just maybe not as many as other people with no issues.   

I'm sorry IUI didn't work for you   That is what I had success with and shocked even my RE when I got a surprise BFP. 

Good luck to you.

twaterford

Thanks for the replies : my FSH is 8 and AMH is .5 I believe...it may have been .8, I'm getting a little list in all this!. My RE said it was slightly below the normal range. I just turned 38. I'm not sure about the other thing you asked about, but I was told everything else looked great and was in normal range. I do know that today, during the saline U/S he counted my follicles and there were about 1011. I'm not using any meds or doing anything this cycle. I was told that all my AMH level tells him is that I will likely produce fewer eggs during extraction.

twaterford

I'm using my phone and it's taking out some punctuation for some reason when I post. There were 10 or 11 follicles today...not 1011. Haha! That would be something, huh?!

IBackBevo

I would not call either .8 or .5 slightly low.  .8 would be low and .5 would be very low.  I think normal is about 2-3

Sony22

My AMH was .8, all else normal and I'm 33. I didn't do well with IVF.

On the first go around, I had ten follicles, then eight and had only 4 eggs during collection. Only two mature.

Second go around, I had six follicles and then on retrieval, zero eggs were collected. We were devastated. RE said this has only happened once before and we have no explanation.

The good news is we managed to conceive on our own.

alchris

My FSH was good to borderline for my age and my AMH was .17.  My RE considered age above all else, and considered my being 35 (3 years ago!) to be young.  Remember AMH is just one number out of many numbers and variables; if anything he was concerned about my low AFC.   My RE was very optimistic for me even with an AMH of .17 (he would have been thrilled with anything above .3 or so) and he was right!  Best wishes!

ELF4321

twaterford:

I'm using my phone and it's taking out some punctuation for some reason when I post. There were 10 or 11 follicles today...not 1011. Haha! That would be something, huh?!

.8 would be low for an AMH, but not abnormal for age 38 (my testing was done at age 36 and I would guess mine is around .8 now).  If it's .5, that is very low.  Low AMH can be an indication of poor egg quality depending on your age (at 38, there is definitely risk of that, even with "normal" FSH).

Your 10-11 follies is a pretty good number -- if you are near CD3 for the count, that would be your AFC number (may not be reliable at other points in your cycle, though).  Anything above 10 is considered normal.  7-10 is only slightly low, and less than 7 is low count.

Basically, you fall into the gray area where you really won't know how your body will respond to the meds until you do it.  But your numbers aren't catastrophic at all, so there's certainly reason to be hopeful.  That said, at 38, I wouldn't waste a lot of time on IUIs unless IVF just isn't an option for you (for financial or other reasons). 

Good luck!

twaterford

Thanks for the replies. I'm embarrassed to say that I'm not actually sure what the AMH number was because I was trying to take in so many things when I was told. I do know that I was told that everything was within normal and good range other than that, and that the AMH was only just below 1, which my RE wasn't concerned about. He seemed very optimistic with my case. My son is 3 and was conceived the first month we tried, and completely naturally. We tried for our second when he turned 1, again, I got preg that first month, completely naturally. That preg was a blighted ovum...I had a dnc. After that I started having probs conceieving. Had a chem preg a few months later, then started iui a few months after that. I got preg this past may, had a heartbeat, but the baby stopped growing. I miscarried in July. All the chromosomal testing was fine and every other test I've had and my husband has checked out good. I usually respond well to meds, but I realize ivf is a different ball game. I find comfort in my RE being so optimistic, mostly because I know he shoots straight on all accounts. I'm hopeful and have faith that I will be a success story as well! Best wishes to everyone!

IBackBevo

How old did you say you were again?  I can't find it in this thread anywhere.

An AFC of 10-11 would be decent.  Certainly not horrible.  I think it is in the intermediate range.  I think 7-10 is slightly low, 4-6 low and less than 4 extremely low.  I think the less than 4 is when there is really need to worry.

From what I have seen/heard anecdotaly and even read in medical journals, it seems like age does play into it all of this quite a bit. 

I also think the fact that you recently had a baby is a good sign, too.

IBackBevo

Oh, and I was also going to say that from what I've read (from doing quite a bit of reading on DOR from various sources including other websites and medical journals), I have formed the opinion that AFC seems to be the most important of the 3 numbers (between AMH, FSH and AFC). Just my two cents. I'm certainly not an RE.  But that would be positive for you--maybe that is why your RE is optimistic and discounting a low AMH.

itsmevkb

I'm so old that doctors weren't even testing AMH when I did my IVF!  I did have it tested at some point though, I think between my third and fourth pregnancies and it was very low.  I wasn't that surprised though given that I am a poor responder to drugs and was almost 39 when I was tested.  My FSH was normal, although on the higher end of normal.

Despite the low AMH, my age and my husband's crappy sperm, we have since had two healthy babies.  So, there is always hope. 

AMH is more about egg quantity than quality and when it comes down to it, you need one good egg.