Secondary IF

Low AMH

Hi everyone, I've finally gotten all the results back from my initial bloodwork and my AMH came back low.. really low. I'm meeting with my OB/RE next month to go over everything and she says she has a strategy but doesn't want to go over it until my husband's SA is complete. Just wondering for those of you in my shoes what course of treatment has been recommended (assuming DH's SA is normal). Thanks!
Me 38, DH 34 Missed M/C 10/08 at 10 weeks DD born 8/09, TTC#2 since Jan 2011 Baby Birthday Ticker Ticker

Re: Low AMH

  • I am sorry you are dealing with low AMH, it is one of a few tests that can show fertility issues, is your FSH high as well, it is usually a combination of results that shows real trouble.  Our issue is DH and his azoo though I have low AMH too, but we can only use IVF/ICSI because of DH so I am sorry I cannot be of more help, I hope your appointment next month gives you answers and a plan :)
    H: 34 dx Azoospermia due to CBAVD from CF  
    ME: 39 IS FINE!!!  DOR and poor AMH/FSH/LH
    IVF/ICSI/PESA #1 Beta 1 373 Beta 2 1783 BOY/GIRL TWINS!! Born April 2010!!
    Natural FET 5/26/12 2 blasts Beta 1 207 Beta 2 513 Beta 3 1377 U/S 6/28 Pregnancy not viable d & c scheduled :( 
    IVF/ICSI/PESA #2 ER 11/15/12 Nothing to transfer :( 
    IVF/ICSI #3 April 2013 MDLF 3dt of 3 embryos, chemical :(  
    IVF #4/ICSI/MESA/CCS/FET EPP April 2015
    ODWU CCRM with Dr. Sch COMPLETE!!!! Put on acai supplement they are studying for DOR and embryo quality.
    DAY 3 Labs Drawn 2/26 put on vitamin D and calcium supplements
    Regroup and Protocol Reveal 3/04 "Bazooka Protocol" EPP with MDLF "Protocol 6 with patches"
    ER/MESA 4/10 ER 9 eggs retrieved MESA success found live swimmers :)
    Fertilization Report 6 eggs mature and ICSI'd 4 eggs fertilized normally
    Day 6 Report to Blast for CCS 4/16: 2 DAY 5 BLASTS BIOPSIED FOR CCS a 4AB and a 3AB!!!!
    CCS Results BOTH BLASTS CCS NORMAL!!!!!!  call on 4/24
    Regroup call to discuss CCS results and FET call on 5/20
    FET prep: CD 1 6/08 CD 3 Start BCP 6/10, HSG 6/12 Lupron Start 10 iu 6/17 End BCP 6/21 CD 1 6/23!!!
    Start vivelle patches 6/25 change e/o/d reduce Lupron to 5iu 6/25 Blood Draw 7/01, 7/08, 7/15, 7/19
    Increase vivelle patches 7/03 2 change e/o/d and 7/05 change e/o/d 3 and 7/07 4 change e/o/d add vaginal estrace 2x a day
    Lining Check/Blood Draw 7/08 and 7/15 End Lupron 7/18  Start PIO 1ml daily 7/18  Blood  Draw 7/19
    Flight to clinic 7/22
    FET 2 CCS BLASTS :):)  7/23 :):) YES YES both thawed and both fully expanded :):)
    7/26 :):) 3dp5dt PM very very faint positive FRER
    7/27: 4dp5dt Neg Digi AM but very very faint positive FRER PM POSITIVE DIGI CLEARBLUE PREGNANT 1-2 :):) 
    7/31:8dp5dt AM POSITIVE DIGI CLEARBLUE PREGNANT 2-3!!!! :):) 
    Beta 1 8/01= 408!!!!!!!!!! at 9dp5dt FET
    Beta 2 8/03 = 1014!!!!!!!!!! at 11dp5dt FET
    8/05/2015 AM POSITIVE DIGI CLEARBLUE PREGNANT 3+!!!! :):) 
    First Ultrasound: 8/20!!!!!! TWINS!!!!!!!!!!!!!!!!!  Genetics says BOTH BOYS!!!!!!!!!
    Second Ultrasound: 9/03!!!!!!!!!!










     










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  • imageefhoping2010:
    I am sorry you are dealing with low AMH, it is one of a few tests that can show fertility issues, is your FSH high as well, it is usually a combination of results that shows real trouble.  Our issue is DH and his azoo though I have low AMH too, but we can only use IVF/ICSI because of DH so I am sorry I cannot be of more help, I hope your appointment next month gives you answers and a plan :)

    Thanks for sharing! I called my doctor back to clarify my results and the nurse said the AMH test came back negative, meaning <0.16.. Oddly enough my other tests came back normal so maybe it's not the end of the world. I think I just need to step away from google, wait for DH's test and meet with my RE next month. It's so hard not to let this process overwhelm you :)

    Me 38, DH 34 Missed M/C 10/08 at 10 weeks DD born 8/09, TTC#2 since Jan 2011 Baby Birthday Ticker Ticker
  • My AMH was slightly decreased.  It is not enough for my RE to suspect a problem per se, but it signals to him that (along with my age and normal FSH range) we should act more quickly and aggressively. Ultimately we are dealing with MFI, which gives us options of IVF or IUI depending on how subsequent SAs go.

    Baby Birthday Ticker Ticker 
    Love, luck, and prayers to my BFPB Dr. SnowflakeBride

  • Hi, I have low amh although not as low as yours, .75 at age 31, so i am not sure how helpful my experience will be to you. We were trying on our own before moving forward with IUI when we finally got pregnant after 18 mos of trying. Just found out this week it was a blighted ovum however, but I don't think that really has a lot to do with the fact that I have low amh. Best of luck to you!
    TTC baby #2 since July 2011, DX: low AMH
    BFP 1/21/13, blighted ovum m/c 2/12/13
    Baby Birthday Ticker Ticker
  • I have low AMH with still in the range of "normal", but highish FSH. I'm only 24. DH's SA and all of our other tests have been normal, so like pp said, our RE just would just like us to act quickly and more aggressively since time really isn't on our side. Basically, things will only go down from here as I get older, as far as my numbers go. We have one IUI(with oral meds)under our belts and IUI #2 will be next week. Our fingers are crossed that it will be all the help we need since everything else is fine.

    If IUI's don't work I'm not sure what the next plan of action will be.

    image
     
    A + Life

    Anniversary
    Baby Birthday Ticker Ticker

    Me:24 DH:27
    TTC #2 since August 2011

    DX: Low AMH 1.79 Mildly elevated FSH 9.9

    1 month of Letrozole, 3 IUI's with Letrozole, All BFN. 1 canceled IVF cycle, BFN.


    May 2013 IVF w/ICSI #1.5: Start BCP 5/8 2 pills a day. Suppression Ultrasound 5/29. Begin Dexamethasone & Lupron Microdose 5/31. Started Gonal F and Menopur 6/2.


    ER 6/12 13R,9M,8F.


    5DT CANCELLED due to moderate OHSS


    5DT UNcancelled due to embryos not being capable of cryopreservation


    Transfered 2 "poor quality" embryo's on 6/17

    No frozen embryos.


    Beta #1 6/25 6. Chemical Pregnancy confirmed. Beta #2 6/28 -1
    Done trying

  • Thanks for sharing everyone! Guess I'll just have to wait and see what my doctor recommends and hope the rest of the testing comes out normal.
    Me 38, DH 34 Missed M/C 10/08 at 10 weeks DD born 8/09, TTC#2 since Jan 2011 Baby Birthday Ticker Ticker
  • I had the same AMH results 0.16. All my other numbers were in normal range and DH's SA was great. Two RE's recommended IVF, so that's what we did. They both said I could get pregnant again on my own I had 4 BFP's in about a year, but there would be a high chance I'd get those BFP's with abnormal eggs and miscarry again. With IVF, they hopefully pick out the best quality embryos to put back. I'm just 5w3d today, so I know another loss could still be in store for us, but I'm feeling a little hopeful. Good luck to you! I'm sure your RE will have a good plan!
    TTC #1 since 6/08. Cycle #6 - BFP 12/22/08, EDD 9/3/09, DD 8/14/09 at 37w1d
    Baby Birthday Ticker Ticker
    TTC #2 since 6/11
    me=36 - low AMH, DH=38
    BFP #2 - 8/31/11, EDD 5/10/12, M/C 9/23/11
    BFP #3 - 3/4/12, EDD 11/14/12, CP 3/11/12
    BFP #4 - 5/9/12, EDD 1/19/13, CP 5/11/12
    BFP #5 - 8/22/12, EDD 5/5/13, CP 8/24/12
    IVF#1 - January 2013 - EPP/Antagonist - 7R, 3M, 2F, 3dt of 2 8-cell embies
    BFP #6 - 2/3/13, EDD 10/15/13, DS 9/18/13 at 36w1d
    Lilypie First Birthday tickers
  • I also have low amh as part of my dx - .68 when it was tested last month.  We also have MFI and I have endo, lpd, etc etc etc however like you, we have had one natural pregnancy and achieved our daughter through IUI and Clomid.  We are trying for third and I was told on the phone due to my amh level we would have to be more aggressive, but I won't find out what that means until the end of March after I have another surgery and my DH does another semen analysis.  Good luck to you.  
    *My Loves, My Life, My Littles*

    02/18/11, 05/24/12 and 12/03/13



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