Trouble TTC

AMH levels

I was reading through literature online and I am a bit confused.  My AMH level is 7.71.  A lot of the stuff online says that high, associated with pcos, but then doesn't really explain what it means?  Just wondering if anyone had any insight.  I don't see the RE until June 17th.  I have my sonohysterogram tomorrow and am NOT looking forward to it!

Thanks!
BabyFruit Ticker


Me: 28  DH: 27  Married: May 2011

August 2013: started TTC
Me: Abnormal cycles, no ovulation, diagnosed PCOS 5/13/14
DH: Super sperm, according to Dr.
Feb 6, 2014 - First cycle of Clomid 50mg, tested positive for O, BFN
March 8, 2014 - Second cycle of Clomid 50mg, tested negative for O
April 12, 2014 - Third cycle of Clomid 100mg, tested positive from O, BFN
May 14th - Fourth cycle of Clomid 100mg, tested positive from O, 1 Follicle 17mm, BFN
June 15th - First cycle of Letrozole, 2 follies, one on each side, 22mm and 20mm... BFP!!!!  Baby Boy due March 21, 2015



Re: AMH levels

  • The SHG isn't bad (or at least not for me). AMH is a measure of your ovarian reserve. For instance, mine was 1.2 at 32 and that is borderline low.
    Me: 34 | He: 40
    TTC since 08/2012
    DX: DOR




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  • jszy10jszy10 member
    I believe what Ronniesgirl said it correct, AMH is your ovarian reserve, so 7 is a great # I would think!?  Mine is a little above a 5, and my RE was happy with that.

    ME - 31, DH - 40

    Married 06/25/2011, TTC since 03/2012

    BFP #1 on 11/13/12 -- EDD 7/24/13 -- M/C (CP) on 11/21/12

    BFP #2 on  7/21/13 -- EDD 3/29/14 -- M/C (CP) on 7/31/13

    09/4/13 - 4/16/14 -- IUI #1 - 6 = BFNs :(

    7/13/14 -- IVF #1 w/ ICSI

    ER on 7/26/14 -- 20 R, 15 M, 11 F

    ET on 7/31/14 -- 1 transferred (4bb); 8 frosties!!!

    BFP #3 on 8/8/14 -- EDD 04/18/15

    BETA #1:  473,  BETA #2: 1009, BETA #3: 1975

    ** It's a BOY!!! **

    image

    image    image 

  • Just got the spiel from our RE on this yesterday...AMH is a hormone produced by the granulosa, or the tiny helper cells, that surround a developing egg in its follicles and provide for its biochemical needs all the way through fertilization and I think beyond for a short while. At any given time in our cycles, we have about the same number of follicles in the middle stages of development (starting to develop but still small), the stage during which those granulosa cells produce significant amounts of AMH. More ovarian reserve = more antral follicles = high AMH.

    The reason that high AMH could be a sign of something negative is that the number could be falsely high, meaning your ovarian reserve might not really be as high as it seems because the high numbers of antral follicles are just leftover cysts building up. It's hard to separate out the different causes but that's why they compare FSH (higher FSH signals lower ovarian reserve) and of course check for other signs of PCOS (polycystic ovaries, increased androgen hormones, hair growth or body fat distribution, etc.).

    After getting my AMH # of 6.2 (doctor just said it was "really good"), I rushed off to compare on the interwebs...it looks like that number for my age (29) is reasonable but not great. A 7.7 should be a good sign. :)

    January 3T Siggy Challenge - New Year's Resolutions
    image
    imageimage

    Me (29), DH (30) TTC actively 54 55+ cycles | All BFNs
    MFI (low everything) | Endo Stage 1 & Stenotic Cervix (treated) | PCO
    Married - July 2008 | Started TTC - Jan 2009RE Visit #1 - Mar 2014 
    IUI #1 ICI #1 - June | IUI #1.1 Laparoscopy - Aug
    IUIs #1.2, 2, 3 - Sept, Oct, Nov (Letrozole) - BFNs 
    IUI #4 - Dec (Bravelle) | IUI #5 - Dec/Jan (Bravelle) - 5 follies + TI - BFNs
    IUI #5.1 - Jan (Bravelle) Cancelled 
    Planning to start IVF in March!
    ***All Welcome***
  • KimL725KimL725 member
    I just went over this with my RE last week.  My AMH is 30 which is extremely high.  He said it's not a bad thing and is to be expected considering I don't ever ovulate and I have polycystic ovaries.  I mean it's not a good thing either but I think it's only a problem if it's too low.
    Me: 28 DH: 30 Married 3 years
    Stopped BC 7/13 Officially TTC 9/13
    First RE appt 3/28 Dx- non-IR PCOS
    No response from Clomid 50mg or Femara 5mg
    Clomid 100mg- BFP! Beta #1 15 DPO 169, Beta #2 17 DPO 340
    EDD: 4/15/15



  • @BunnyBerry‌ good explanation.

    I've always been so confused about this. I think my AMH was 1.9 and my FSH was 7.6 which my Dr said is really good since I'm 39 almost 40. My understanding AMH also helps determine how many eggs you will get for IVF. For me my Dr expects me to get about 6-8 I'm guessing because it's low.
    Fucking bump!!!!
  • jszy10jszy10 member
    My new RE had told me with an AMH of over 5, I had a very high likelihood of overstimming with injects for IUI.  She expects me to have great results for IVF prep based on that.

    Helpful info from everyone moving forward!

    ME - 31, DH - 40

    Married 06/25/2011, TTC since 03/2012

    BFP #1 on 11/13/12 -- EDD 7/24/13 -- M/C (CP) on 11/21/12

    BFP #2 on  7/21/13 -- EDD 3/29/14 -- M/C (CP) on 7/31/13

    09/4/13 - 4/16/14 -- IUI #1 - 6 = BFNs :(

    7/13/14 -- IVF #1 w/ ICSI

    ER on 7/26/14 -- 20 R, 15 M, 11 F

    ET on 7/31/14 -- 1 transferred (4bb); 8 frosties!!!

    BFP #3 on 8/8/14 -- EDD 04/18/15

    BETA #1:  473,  BETA #2: 1009, BETA #3: 1975

    ** It's a BOY!!! **

    image

    image    image 

  • TVLilyTVLily member
    My AMH was 117.7 pmol/L which my RE says is a huge indicator of my PCOS. He only wants to use injects if I can't respond to orals (which I'm 2 for 4 for responding too) because if the high risk of overstimming or if we do ivf. He explained if we did ivf I'd probably get a lot of eggs on retrieval but not any more "good eggs" then someone with a normal reserve.

    EDD 5/2/14, NMC 9/11/13
    EDD 10/15/14, CP 2/8/14

    IF Diagnosis: PCOS, MFI 

    Current Cycle: 5 mg Femara/1000mg Metformin + TI = BFP, EDD 4/23/15 Please be our RAINBOW

    image

    **ALL AL/IF Welcome**
    My Chart

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