Low AMH level of 6

Re: Low AMH level of 6

• gsancho member

  April 2014

  What is your FSH.  If that is normal, it may not be quite as much to worry about...but it sounds like your RE uses a different metric system, b/c I'm used to seeing the average or ideal number being above 1.  

  
  

  I asked some questions about AMH on the Infertility board and some people recommend taking DHEA or D3 supplements.  They won't work miracles, since AMH is hard to change, but they have been known to help some.

  
  

  Either way, from what I gather, a very low AMH doesn't mean some dire situation for you...but you just may need higher dosages of meds to produce more follicles.  I'm no expert on it, but that's what I gather so far.  

  
  

  The good news is your RE seems to be on top of it and will work on some options for different protocols for you.  Good luck!

  
  
  Me 33, DH 37 -- TTC since Jan'12 -- Low AMH (0.78) & endo, SA w/ low motility
  IUI's 1-3 = BFN, IVF converted to IUI 4/13 = BFN
  IVF 1.2: 8R 6M 4F -- 2 blastocysts frozen, FET 8/15 = BFP!!
  Beta #s = 445;1,098; 9,545  -- EDD 5/2 -- Team Pink!

  Camila Josephine arrived 4/30

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• pmpknbride member

  April 2014

  I'm pretty sure my RE said they consider a good AMH to be in the 1-2 range, so I would have thought 6 was quite good. I'd check in with your dr. again about what a 6 actually means.

  *** SIGGY WARNING ***

  
  

  Happily Married Since 10.2006  •  TTC since 07.2012

  HSG Good & SA mostly Normal  •  DX lean PCOS

  MAR - NOV 2013  •  5 Cycles Clomid + TI = 2 Late O's/BFN & 3 Big Fat FAILS

  DEC 2013 - FEB 2014  •  IUI #1-3  •  Femara 5mg + Trigger = 3 BFNs

  MAR 2014  •  IUI #4  •  Follistim + Trigger + Crinone = BFN

  APR 2014  •  Benched  •  BCPs to clear up Cysts
  

  
  

  MAY 2014  •  IUI #5  •  Follistim + Ganirelix + Trigger = BFP

  E.D.D. 2/18/2015

  6/11 +HPT • 6/13 BETA 447 • 6/16 BETA 1535

  6/23 U/S Adorable Little Bean • 6/30 U/S Beautiful Strong Heartbeat

  
  

  
  

  
  

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• dannyboybest member

  April 2014

  Yeah I not too sure but he told me it is a concern as I should be around 15-20. I am not too sure what my FSH levels are. Puregon, the injection that I am is a FSH injection. My RE put me on puregon because my follicules were not as large as they would have liked. 

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• [Deleted User] member

  April 2014

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• Lillovebug79 member

  April 2014

  I agree with PP that it depends on how your AMH is being measured, ng/ml or pmol/l. These give totally different scales. The pmol/ml the ranges are higher numbers, the ng/ml ranges are 1-3 for normal. I was confused about this too. The normal values seem to depend on how they are measuring it.

  
  
  
  ********Siggy/Ticker Warning***********
  
  
  
  

  Me (35) no known issues DH (37) MFI. TTC 21 months (24 cycles)
  Dx MFI with low to normal count, low motility, morphology 3%
  HSG normal, ultrasound and labs on me all normal. 

  1 cycle of Clomid 50mg and TI, unmonitored by OBGYN= BFN
  1 cycle of Clomid 50mg and IUI, unmonitored by OBGYN= BFN
  Started seeing an RE!!
  2 more cycles of clomid 50mg (great response), with IUI and Pregnyl trigger (4.8-8 mil good ones after wash) = all BFN
  1 cycle of clomid 50mg (3-7) followed by Follistim 75iu (7-11) + IUI = BFN
  December 2013 DH saw urologist and is taking Anastrozole, CoQ10, and L-Carnitine
  IUI #5 natural cycle (needed a med break) = BFN
  IUI #6 Follistim 75iu (CD3-10) + Pregnyl (CD11) + IUI (final count after wash 300K) = BFN
  IUI #7 Follistim 75iu (CD3-9) + Pregnyl (CD11) + IUI on 2/20 (post wash count 12.5 million)= BFN
  IUI cancelled (DH OOT) Clomid 50mg (CD3-7) 1 follicle +(not well timed) TI = BFN
  IUI #8 and last one!! Clomid 100mg (CD3-7) +OPK before US + IUI 4/17 (post wash 8.5 mil)= BFN

  Pre-IVF testing complete! SHG great and measurements taken! Labs for infectious diseases completed, FSH (5.4), TSH (1.6), Prolactin (11), AMH (2.6), Estradiol (40).
  

  Started BCP 5/29 and Lupron 6/11 prep for IVF #1! Started follistim 225u/day on 6/28. Monitoring on 7/2 >15 follicles measuring 11-14, E2 758. Monitoring on 7/5 all ready to go!! Great follicle sizes and lining is at 9. Tigger 7/5, ER 7/7 16R 9M 3F. Stimmed too fast in just 7 days. 7/10 3dt of 2 8-cell grade 2 & 4. 7/14 P4 >60.
  Holy crap BFP!!!
  Beta #1 (14dpo) 7/21 112 Beta #2 (16dpo) 7/23 286 a Beta #3 (18dpo) 7/25 761 Beta #4 (21dpo) 2631!!! Hold on tight little embies!!  First Ultrasound 8/7- 1 perfect little bean with a beating heart 117bpm!! EDD 3/30.
  Second ultrasound 9/2 Little bean measuring a few days ahead with a heart rate of 161!
  
  
  

  PAIF/SAIF/All Welcome!

  

  
  

  
  

  
  

  
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  March 15 Siggy Challenge: You had one job

  
  

  
  

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• Sami14vb member

  April 2014

  I am so sorry, but I hope it all works out for the best.  I know waiting until your appointment to find out what is going on is killer! I've been there.  I don't think doctors understand the agony you go through just waiting on an appointment!  Congratulations on you weight loss and working on your health goals.  Working on my health goals through diet, exercise, and especially Yoga is what helps me out the most when I'm stressing about hearing results.
  

  Me:30 (anovulatory and mild endometriosis)   DH: 33 No issues
  Married 7/15/12
  Began TTC 3/2013
  First appointment with RE 7/2013
  8/2013 benched w/ cyst
  9/2013 100mg clomid w/ menopur/cancelled due to 15+ foll.
  10/2013 25 mg. clomid w/trigger shot/2 foll. canceled IUI
  11/2013 benched w/cyst
  12/2013 25 mg. clomid w/trigger shot and IUI 3 foll. BFN
  1/2014 25 mg. clomid w/ trigger shot and IUI 2 foll. BFN
  2/2014 took off-too emotionally drained
  3/2014 25 mg. clomid w/ trigger shot and IUI 2 foll. BFN
  4/2014 injectibles w/ trigger and prog. inserts  2 foll. BFP!!! 
  4/21/14 Beta #1 715 (18 dpo)
  

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• heanderson member

  April 2014

  I think there are a couple different scales used based on the lab. I had a 0.82 which is considered low for my age of 32. First RE was all, "we will do one IUI then move to IVF!" But when I took the 150mg Clomid I produced like 4 mature follicles on day 12 (we triggered + IUI but nothing) so he calmed down a bit and said we can do 3 cycles before moving on. He said at that point we "need more control" in which case IVF is obviously total control. I saw a second opinion (I shop around buying a car so why not when 15,000 dollars is at steak?) and he was less concerned but wants me to do a Femara/Follistim cycle with trigger and IUI. Bigger chance of multiples but I'm sort of at the point where I'll take it. Besides, as long as I'm safe- I don't know any better. I'm currently in the TWW for this second cycle. Fingers and toes crossed!

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• ladyteach0505 member

  April 2014

  If it makes you feel any better the refund program my clinic does requires 1.2 or higher to participate. Sounds like your number is pretty good when you compare it to that.

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• cls78 member

  April 2014

  FINEdoubleLINE said:

  I was wondering about this too, because there seems to be a wide range of normal values. My AMH is 10, which my doctor was happy with. He said it was a bit high but he isn't concerned. I am ovulating and have no other indications of PCOS (bloodwork/ultrasounds). Of course I have been trying to research AMH levels, which just makes me worry more. I found this website: https://www.rmanj.com/2013/09/anti-mullerian-hormone-amh-testing-of-ovarian-reserve/ Which was helpful in explaining why there seems to be such variation between normal values. It states, "There are some inconsistencies to consider when interpreting AMH hormone levels. Since the AMH test has not been in routine use for many years, the levels considered to be “normal” are not yet clarified and agreed on by the experts. Also, not all current commercial assays give equivalent results." With that said, it may be hard for us to give you adequate feedback since we might be using different reference ranges. I usually ask for a print out of my tests results and keep them in a small file. It helps me keep information available when I need to reference it. I would wait until you see your RE again. Write down some questions and bring them with you. It sounds like your RE is working on options that are individualized to your needs. Good luck!

  
  I go to RMA. . My AMH came back at 12 and my RE was not concerned. I don't have PCOS either and I am 35, so I was surprised it came back at 12. OP make sure you find out how your lab measured your amh.

  TTC since May/June 2012 

  Sept 2013 testing:

  SA #1 Low motility (17%) 

  SA #2 Lower sperm count, but much higher motility
  

  CD 3 Bloodwork and ultrasound - Normal HSG - Clear tubes 

  Oct/Nov 2013 Cycle 1 with RE 50 mg Clomid + Ovidrel + IUI BFN  
  

  Nov/Dec 2013 Cycle 2 with RE 50 mg Clomid + Ovidrel + IUI BFN 
  

  Jan/Feb 2014 Cycle 3 with RE 50 mg Clomid + Ovidrel + IUI BFN 

  2/20/14 Follow up consult RE recommends IVF with ICSI 

  3/10/14 New patient consult with RMA NJ 
  

  3/11/14 AMH and other Bloodwork to prep for IVF with ICSI at RMA NJ
  

  3/28/14 Saline Sonogram - All good

  March/April 2014 IVF #1 Antagonist Protocol

  BCP/Bravelle/Menopur/Ganirelix

  4/16/14 ER 26 Retrieved!!!

  4/17/14 Fert Report 22 Mature 21 Fertilized w/ ICSI

  4/22/14 Report #2 15 BLASTS

  5/24/14 FET!!!  (Transferring 2 snowflakes)

  6/2/14 Beta #1 575!!!

  6/4/14 Beta #2 2060!!!

  6/11/14 1st Ultrasound...Saw 2 Gestational Sacs!!  Beta #3 34,312!!! 

  6/18/14 2nd Ultrasound...Heartbeats!! Baby A 112bpm Baby B 117bmp Beta #4 172,080!!!

  6/25/14 3rd Ultrasound...Heartbeats!! Baby A 150bpm Baby B 158bpm Beta #5 232,134!!! 

  7/3/14 4th Ultrasound...Heartbeats!! Baby A 173bpm Baby B 162bpm Beta #6 269,228!!!

  Graduated from RMA!!  First appt with OB 7/8/14

  
  

  
  

   

  
  

  
  

  
  

  
  
  
  

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• dannyboybest member

  April 2014

  Thank you so much ladies. I had another visit for blood work and ultrasound and found out the my FSH is 7.4 which they say is normal and my AMH is 6.4. I am trying to pick myself back up again and stay positive.

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