Finally found out my AMH

FraggleChic · June 2011

Not because my doctors bothered to call me with my lab results but because I went to outpatient records and requested all of my charts pertaining to my infertility visits.

It's no wonder they can't figure out what's wrong with me! On one page the nurse wrote that my HSG was normal and on the next page the doctor wrote that I had some sort of filling defect so I needed a hysteroscopy. Another doctor wrote that it was acceptable to switch to Femara since I had been unsuccessful with Clomid for 6+ months (I took it four cycles.) Just all sorts of discombobulated. Have I mentioned that I hate military hospitals?

So I was negative for the CF mutation and my AMH was .87, which according to Dr. Google is on the low end of normal. Is that right?

tootlebug · June 2011

,87 is low, what is your antral follicle count? the AFC is just as important...

the AMH isnt the end-all be-all either. women with AMHs of .06 or whatever still get pregnant. harder, yes. impossible, no.

FraggleChic · June 2011

I've never had an antral follicle count done. Guess that's something else I need to talk to my doctors about.

tootlebug · June 2011

it's done on CD3 along with your FSH and E2. AFC is just as important as AMH bc it tells you how many working follicles you have. it can fluctuate but not a ton, just like the AMH.

Mrs.McIrish · June 2011

Here's a chart of AMH by age. Not sure how old you are but 0.87 isn't very good ( I assuming you are low 30's). I'm sorry you are getting crappy care at the military hospital.

https://www.centerforhumanreprod.com/pdf/AMH%20Update.pdf

FraggleChic · June 2011

Mrs.McIrish:
Here's a chart of AMH by age. Not sure how old you are but 0.87 isn't very good ( I assuming you are low 30's). I'm sorry you are getting crappy care at the military hospital.

https://www.centerforhumanreprod.com/pdf/AMH%20Update.pdf

I'm 27. So according to that chart I have the fertility of a 40 year old?

Mrs.McIrish · June 2011

FraggleChic:
Mrs.McIrish:

Here's a chart of AMH by age. Not sure how old you are but 0.87 isn't very good ( I assuming you are low 30's). I'm sorry you are getting crappy care at the military hospital.

https://www.centerforhumanreprod.com/pdf/AMH%20Update.pdf

I'm 27. So according to that chart I have the fertility of a 40 year old?

I would definitely ask your RE about that as that's what the chart is saying. Was your FSH/E2 normal?

kknapik · June 2011

I am 30 and my AMH is 0.67. Since it is so low we are doing IVF with CGH. This past cycle I did produce 17 eggs but only 2 came back chromosomally normal and only one made it to Day5. The blasts the looked absolutely perfect on Day5 ended up being "complex abnormal." The best looking blast had 5 trisomies! My RE said that if we would have transfered embryos based on looks, that I 100% would have had a miscarriage if the embryos implanted. I just found out on Wednesday that this cycle ended in a chemical. According to my RE, AMH tells you the "age" of your ovaries. Yes I responded well, but the quality of my eggs were equivelent to someone in their late 40's. We are hoping to start another IVF with CGH in late July.

FraggleChic · July 2011

Mrs.McIrish:
FraggleChic:
Mrs.McIrish:

Here's a chart of AMH by age. Not sure how old you are but 0.87 isn't very good ( I assuming you are low 30's). I'm sorry you are getting crappy care at the military hospital.

https://www.centerforhumanreprod.com/pdf/AMH%20Update.pdf

I'm 27. So according to that chart I have the fertility of a 40 year old?

I would definitely ask your RE about that as that's what the chart is saying. Was your FSH/E2 normal?

The doctors, up to this point, have been refusing to do CD3 testing on me because the "only test women over 30" and I'm "young" and it would be "abnormal" for me to have anything like that wrong. Just goes to show that while it would be extremely rare, obvious there are exceptions to the rule. Seeing how testing my AMH should have been one of the first things they did when I became a patient last September (and I have repeatedly asked for more tests) I think it might be time my husband and I visit Patient Advocacy.

Alliebooberz · July 2011

FraggleChic:
it might be time my husband and I visit Patient Advocacy.

This.

Edwina.McDunnough · July 2011

AMH is an indicator or response and reserve ONLY, egg quality is related to age or external factors for the most part.

Please don't compare yourself to a 40 year old because age-related aneuploidy is not something you are battling, and though .87 is not ideal, it is nowhere near bad. There have been plenty of younger women on the board with AMH of .5 or lower getting pregnant considerably easier than AMA ladies.

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

No doubt your care needs to be customized, but low-normal is not an indication of a problem per se. Also note that once you're cycling and have a history of medication and protocols your AMH really doesn't mean a whole lot. It's just a starting point to get an idea of your overall ovarian reserve and it's not the end of the story.

tootlebug · July 2011

ds ment.

wow, i cant believe they have never tested your CD3 hormones. fyi, even if your FSH and E2 come back "normal" it really doesnt mean anything when you only have it tested once. FSH can fluctuate greatly.

...just so you know, my RE is in total opposition with a PP's RE. when i mentioned donor eggs to him he said "you are 32 years old, you do NOT need donor eggs". My age, coupled with my history im sure is what prompted him to say this. - i conceived my son on the first TTC cycle three years ago. then we TTC for #2 in january 2011 and i got pg and m/c, then 4 cycles later i had a chemical. my miscarriages are most likely due to my DOR and most likely the eggs themselves...but my RE seems to think that we just have to find the good eggs and he is confident they still exist. And fyi, when i conceived my son 3 years ago, i had an AFC of 9. Now, i have an AFC of 8-9, which is low for AFC. My AMH currently is .34....when i was 29, it probably wasnt a whole lot higher.

...you are only 27....i would be REALLY surprised if you cant get pregnant with your own eggs. you can always still get pregnant naturally too....PP is right, a lot of women with low AMHs can still get pregnant relatively easy. some more than others. most REs and studies say that age is the factor to look for in terms of egg quality.

FraggleChic · July 2011

Thank you for your input ladies. I need to step away from Dr. Google, I think. I guess I will have to wait until next Friday to have all my questions answered.

STL34 · July 2011

Edwina.McDunnough:

AMH is an indicator or response and reserve ONLY, egg quality is related to age or external factors for the most part.

Please don't compare yourself to a 40 year old because age-related aneuploidy is not something you are battling, and though .87 is not ideal, it is nowhere near bad. There have been plenty of younger women on the board with AMH of .5 or lower getting pregnant considerably easier than AMA ladies.

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

No doubt your care needs to be customized, but low-normal is not an indication of a problem per se. Also note that once you're cycling and have a history of medication and protocols your AMH really doesn't mean a whole lot. It's just a starting point to get an idea of your overall ovarian reserve and it's not the end of the story.

This completely. I'm 33 with a really low AMH. My clinic definitely believes that AMH is an indication of quantity and not quality. They believe quality is based on age and protocol of stimulation. Good luck!

mm29 · July 2011

STL34:
Edwina.McDunnough:

AMH is an indicator or response and reserve ONLY, egg quality is related to age or external factors for the most part.

Please don't compare yourself to a 40 year old because age-related aneuploidy is not something you are battling, and though .87 is not ideal, it is nowhere near bad. There have been plenty of younger women on the board with AMH of .5 or lower getting pregnant considerably easier than AMA ladies.

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

No doubt your care needs to be customized, but low-normal is not an indication of a problem per se. Also note that once you're cycling and have a history of medication and protocols your AMH really doesn't mean a whole lot. It's just a starting point to get an idea of your overall ovarian reserve and it's not the end of the story.

This completely. I'm 33 with a really low AMH. My clinic definitely believes that AMH is an indication of quantity and not quality. They believe quality is based on age and protocol of stimulation. Good luck

This! I'm 30 and my AMH is very low as well. GL!

Finally found out my AMH

Re: Finally found out my AMH

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