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Anyone's RE use AMH test instead of FSH for ovarian reserve?

Tiko99Tiko99 member
in Trouble TTC
I just got back from a an appointment with my new RE. He doesn't use the FSH test any more because the AMH test apparently is more accurate in determining ovarian reserve. I was seeing one of the top RE specialists in Orange County, so I'm shocked that his office does not conduct the AMH, they still use the FSH. 

Has anyone had this test as opposed to the FSH. Has anyone had both? My FSH came back at a 6 last year so I thought my ovarian reserve was good for my age, but now I'm freaking out that maybe it's low. 

Me: 33, DH: 32

TTC: 2 years
Fertility blood tests all normal
Tilted uterus
3 day ultrasound 17 follicles
HSG: 11/13/13- tubes open
DH SA: SUPER sperm (145 million, 84% motility, 22% morphology)
All infection disease and immunity blood tests NORMAL
FIRST IUI May 2014: 100 mg Clomid days 5-9, third ultrasound CD 13 revealed four follicles 27, 24 and 20 and 13mm. Trigger shot May 28 with IUI May 29 and 30 (fingers crossed) - BFN started spotting 11DPO :(

IUI #2 B2B 6/23 and 6/24, three mature eggs and 130 million sperm! FX this is the month!  BFN 7/8

3rd cycle benched due to cysts - TI with OPK tests -  BFN

3rd mediated cycle: Clomid+Trigger+TI  (three follies left side, one on right as usual....what the hell right ovary get it together and produce some damn follicles!) 7DPO progesterone level 43 with NO suppositories YAY for a natural strong ovulation. Beta canceled started spotting 13DPO - Third time is not a CHARM! 14 day cycle WTF! Everything looks normal - RE wants to start injectables next cycle so this cycle I'm benched

Officially benched until March....but still plan on trying the baking soda douche due to my excessive and thick CM

JANUARY SIGGY CHALLENGE...This is so me!

image


Love this man....he was so before his time in his thoughts and ideas about the world....been obsessed about him lately bringing it back to the early 90s.

image

Never thought I would like long hair....

image

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Re: Anyone's RE use AMH test instead of FSH for ovarian reserve?

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    Tiko99Tiko99 member
    DaydreamSam said:
    My RE runs both tests but puts more stock in the AMH, although I now don't see how it is more reliable as my AMH rose over the last year and that is supposed to be impossible. I've read studies that suggest that your AMH can rise based on environment (happier, healthier eggs) which makes sense because over the last year I have been taking supplements to improve egg quality. 
    Well this makes me feel so much better! If you don't mind me asking,,,,what supplements are you on? I used to take a ton of supplements, but stopped once TTGP, but now only take CoQ10, prenatal and DHA.

    Thanks!

    Me: 33, DH: 32

    TTC: 2 years
    Fertility blood tests all normal
    Tilted uterus
    3 day ultrasound 17 follicles
    HSG: 11/13/13- tubes open
    DH SA: SUPER sperm (145 million, 84% motility, 22% morphology)
    All infection disease and immunity blood tests NORMAL
    FIRST IUI May 2014: 100 mg Clomid days 5-9, third ultrasound CD 13 revealed four follicles 27, 24 and 20 and 13mm. Trigger shot May 28 with IUI May 29 and 30 (fingers crossed) - BFN started spotting 11DPO :(

    IUI #2 B2B 6/23 and 6/24, three mature eggs and 130 million sperm! FX this is the month!  BFN 7/8

    3rd cycle benched due to cysts - TI with OPK tests -  BFN

    3rd mediated cycle: Clomid+Trigger+TI  (three follies left side, one on right as usual....what the hell right ovary get it together and produce some damn follicles!) 7DPO progesterone level 43 with NO suppositories YAY for a natural strong ovulation. Beta canceled started spotting 13DPO - Third time is not a CHARM! 14 day cycle WTF! Everything looks normal - RE wants to start injectables next cycle so this cycle I'm benched

    Officially benched until March....but still plan on trying the baking soda douche due to my excessive and thick CM

    JANUARY SIGGY CHALLENGE...This is so me!

    image


    Love this man....he was so before his time in his thoughts and ideas about the world....been obsessed about him lately bringing it back to the early 90s.

    image

    Never thought I would like long hair....

    image

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    BunnyBerryBunnyBerry member
    Our RE checked both. I don't know why doctors have to be so extreme - it can only help an endocrinologist to have a full hormone picture, I imagine.
    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 2009 | RE 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***
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    lebradfordlebradford member
    Mine just does FSH (and I'm comfortable with that), but I was reading that AMH is more accurate.

    Honestly, my thought is, as long as my FSH looks good, I'm not that worried about it. If my numbers indicated a possible low ovarian reserve, then I'd push for more testing.
    **siggy warning**  **everyone welcome**

    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
    DS- 11.07.02
    DSS- 6.26.04
    Married- 6.29.13
    TTC Again- Sept. 2013
    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
    Test Results/Diagnosis- HSG & SA totally normal
    DX: 3/2014 Prolactinoma/Hyperprolactinemia- Started cabergoline 2/2014
    5/2014 Possible mild PCOS in addition to hyperprolactinemia??
    7/2014 Adding probable tubal factor to the diagnosis list
    9/2014 And now adding hypothyroid to the list- Started synthroid 9/2014
    Cycles 1-4 - Sept.-March- All Anovulatory 
    IUI #1 March/April-  Clomid 50mg + Clomid 100mg +Trigger + IUI #1 = BFN
     IUI #2 April/May-Clomid 100mg + Clomid 150mg + Trigger + IUI #2 + Endometrin=BFN
    IUI #3- June- Follistim 75iu + Trigger + IUI #3  Benched due to a 40 mm cyst. :-(
    IUI #3- July- Follistim 75iu + Trigger + IUI #3 + Endometrin = BFP! on 7/25/14
    Slowly rising betas - Ectopic suspected on 8/8/14 & confirmed on 8/11/14
    Methotrexate on 8/12/14 -HCG negative on 9/2/14
    IVF #1- November- Antagonist protocol: 11/1: start stims, 200iu of Follistim; 11/12 ER 17R/14M/14F; 11/17 5 day transfer of two blasts, 2 blasts and 2 expanding morulas frozen; 11/22 BFP!! (On FRER at 5dp5dt)
    Betas: 9dp5dt 205, 11dp5dt 497, 14dp5dt 1,709
    u/s at 5w0d- 1 sac; u/s at 6w0d 1 baby with heartbeat, another sac without a heartbeat
    image


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    Pintobean39Pintobean39 member
    My RE uses both to get a clearer picture.
    Fucking bump!!!!
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    ronniesgirl1981ronniesgirl1981 member
    My RE uses both tests. My story is rather unique: AFC 21, FSH very good, and most recent AMH is .51. My RE thinks this is indicative of early ovarian demise after two IVF cycles were my response sucked. FWIW, my AMH dropped from 1.2 to .51 in less than a year despite Vitamin D supplementation and 40 lb weight loss. My team thinks that AMH is such a new test and that there is a lot more to be learned about it. For instance, I also have sub clinical hyperthyroidism. I asked if there could be a link and was told that no studies suggest a link, but that doesn't mean there isn't one.
    Me: 34 | He: 40
    TTC since 08/2012
    DX: DOR




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    ritacitaritacita member
    My RE only drew AMH. I honestly didn't even know there was another test to check ovarian reserve!
    ME 28, DH 28
    09/2007 Married
    11/2007 TTC
    03/2010 SA dx = low morphology
    03/2014 RE dx Unexplained Infertility DH numbers are all up and look wonderful.
    08/2014 IUI#1 Clomid +Gonal-F+Ovidrel = BFN
    09/2014 IUI #2 Clomid+Gonal-F+Ovidrel = BFN
    10/2014 WFT apt. moving to IVF in Feb. 2015 FX!
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    dancersposedancerspose member
    I believe mine did both, but definitely seemed more interested in the AMH, she really didn't even talk about FSH much.
    Me: 31 (PCOS) possible right tube issues DH: 36 (SA normal) 
    Started dating in 2006, Married 2012 
    TTC since November 2013 
    First RE visit due to irregular periods: June 2014
    Lap/Hysto to remove polyps, cyst and tube blockage 11/6
    Cycle 1 (Dec. 2014) TI with Clomid, Trigger, & Progesterone CX due to no response
    Impatiently Waiting CD1 to try again with Fermara Back on the bench due to giant cyst,
    who know I'd ovulate on my own after a cancelled cycle and end up with a mega cyst :(
    All Welcome
     
    image
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    lisa89760lisa89760 member
    Mine has only done FSH right now...but I'm guessing they will probably do AMH soon.  He keeps saying he isn't too worried because of my age and my FSH levels.  
    Me (29), DH (32)
    Aug 2011  - Married
    Jan 2013   - Started TTC
    Jan 2014   - OB started some testing 
                         - HSG - Normal
                         - Ultrasound - Normal
                         - SA - Normal, but tested positive for Ureaplasma
                         - Both of us on antibiotics to treat ureaplasma
                         - Blood work - progesterone: 15.9, TSH: 0.89, FT4: 1.2, Prolactin: 33.4 
    Feb 2014   - Endometrial Biopsy - Normal
    Mar 2014   - Prolactin: 22.9, referred to RE
    Apr 2014   - First RE appointment, put on medication for high prolactin levels 
                      - Clomid (50 mg) 1 follicle, Trigger shot - BFN
                      - Second SA - All Normal, borderline morph (5%) 
    May 2014   - Clomid (100mg) 2 follicles, Trigger shot - BFN
                      - blood work: Estradiol: 32.7, FSH: 5.3, Prolactin: 14.1
    June 2014  - IUI #1, Clomid (150 mg), 3 follicles, Trigger shot - BFN 
    July 2014   - IUI #2, Clomid (150 mg), 4 follicles, Trigger shot - BFN
    Aug 2014   - IUI #3, Femara 2.5, 3 follicles, Trigger shot (first time done by DH!!) - BFN
                      - Hysteroscopy - Normal
    Sept 2014 - IUI #4 Femara 2.5, 1 follicle, possibility of another one, Trigger shot - BFN
                       -Progesterone test 4 DPIUI - 7.8...started crinone.
    Oct 2014 - IUI #5 Follistim 150 3 possibly 4 follicles - Trigger Shot - BFN
    Oct/Nov 2014 - Follistim 150 with TI & Trigger shot - ???

    **October Siggy Challenge**

    I don't even know what he is supposed to be!
    image


    **EVERYONE WELCOME!! :)**

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    rachelkellerrachelkeller member
    I am still new at this, and to be honest, I have not asked nearly the amount of questions that I should have been asking all along, but as far as I know, my RE has only checked my AMH. My "high" AMH has had a big impact on my current cycle with Follistim because of the high risk of hyper-stimulating.
    Me: 26  DH: 31
    Married 10/15/11
    Started TTC 8/2012
    8/12-8/13 - TTC Naturally

    8/2013 - PCOS/anovulation diagnosis
    8/2013 - Metformin + Clomid, no reaction (Not insulin resistant, but tried Metformin to see if it would make a difference.)
    9 & 10/2013 - Femara, no reaction
    12/2013 - Referred to RE
    8-9/2014 - Follistim + Ovidril + TI= BFN
    10/2014 - Follistim + Ovidril + TI=???  

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