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  1. #1
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    Default Finding the right Doctor / low AMH

    Hello

    I was recently talking with my partner about the future and babies and he told me he was thinking we should wait around 5 years to start a family, and that he wanted about three children... I am only 29, but I started doing the maths and thought I had better get my fertility checked out because my mum went through menopause very early.

    AMH results back and they are very low at 4.8 So I am trying not to worry too much and be grateful that I looked into this sooner rather than later, but it's all a bit scary given that I wasn't even thinking about trying to have babies yet and now I could face potential infertility.

    I have a referral to go and see Dr Gavin Sacks at IVF Australia but I couldn't get in to see him before I go away for a month, so I wasn't going to be able to get in until mid-August. I spoke to IVF Australia and they have given me an earlier appointment with Dr Michele Kwik... does anyone have experience with her or Dr Sacks? I think Dr Sacks is very experienced but I am sure Dr Kwik is also good... I am just not sure if I should wait or go earlier... Maybe this whole low AMH thing is not that complex?

    I was hoping I could just freeze some embies for a later stage because my partner and I have only been together for 2 years we just aren't ready. Unfortunately I suspect it just isn't that straight forward

    Would love to hear about similar experiences as well.

    x

  2. #2
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    I'm sorry you find yourself in this position Paigegirl, but a good thing you decided to check your fertility status. Freezing some embryos for a later date when you feel ready to have a family sounds like a good idea. While AMH is only a guide to the number of eggs you have, it can also decline quickly as I discovered.

    Would you also consider seeing someone at Genea? I was with IVFA for 2 years (with Sacks) and my experience at Genea has been better in all areas of patient care, but that's just my personal opinion. Our FS was Devora Leiberman and she was fantastic.

    Good luck with whatever you decide

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    paigegirl  (14-06-2013)

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    My AMH is 5 and last cycle I produced a great result (7 blastocysts).

    With freezing embryos though to be honest I would need at least 20 frozen to be comfortable. That's a lot of cycles! I mean theoretically 1:4 should work, but I would want a great supply.

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    Sorry to hear you are having to consider these difficult issues Paigegirl. From what I understand AMH is a guide for egg reserve but it is still unknown as to what it really means for fertility. I have a similar AMH to yours but my issue is egg quality due to my age. I haven't had a problem getting good numbers of eggs. Be guided by your FS and stay true to what you feel is right for you because no one will be able to give you an exact answer to your question. I too am with Dr Leiberman, only just changed to her. She specialises in low AMH and age related fertility issues and I find her very progressive in trying anything that might help. She is away though until mid July so that might make it hard to see her before you go away.

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    Thanks Starf1sh and Kheeki - that's good to know about Dr Liberman. I will have a think about that. Are the costs of the two clinics comparable Starf1sh?

    Sorry to hear about the egg quality issue Kheeki
    . It's funny before this I would never have thought those issues would start before 40 (probably naive, I know but I just thought it got harder- not almost impossible!)

    That definitely makes me feel a bit better about the AMH though. Wise enough that's great about your outcome! If I had rates like that then maybe it wouldn't be so difficult to build up my insurance bank You're right about the numbers of embryos needed though to feel comfortable- I am a cautious person and a bit of a control freak over this sort of thing so I'd want to have as many as I could. Although obviously we all have very little control over the outcomes so I guess I'll need to be trying to get over that!

    I realise there's a lot more research I need to do on this, thanks for your support

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    Urgh I hate saying this but I will point it out anyway. What happens if you and your partner break up? You would have all these stored embryos he probably wouldn't let you use and might not be able to produce any more eggs.

    I think you need to set a date with him to TTC, maybe end of 2014? If he's not ready then there's a good chance he might never be ready. I just don't want you to never have the opportunity to have children.

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    Don't worry the thought had crossed my mind!! He's actually open to try earlier so that's most likely what we'll end up doing. But I'm worried that say in a year - 18 months it might already be too late, and then it certainly is likely to be too late for subsequent children.

    Plus I'd kind of like him to propose of his own volition, rather than feel pressured into it because he comes from a Catholic family and we have to have babies right now. Bloody biological clock putting on the pressure!! Guess it's just lucky that I feel he's definitely right one or this would be far worse.

    Oh god, now thinking about having babies in the next two years and feeling panicky!! I have too much to do!! Hah -the idea of having babies freaks me out, the idea of not having babies freaks me out even more. I think I need a time out

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    Paigegirl, just wanted to wish you luck on your journey. I'm with Dr. L as well, and can thoroughly recommend her, and Genea. You can get an idea of costs for the various clinics on their web sites.

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    paigegirl  (14-06-2013)

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    I was single when I found out I had low AMH so I've gone it alone. Seemed easier than finding Mr Righf super quick!

    Glad he's the one and also that he's open to having kids soon .

    By all means cycle away and baby bank, I'm just saying don't wait too long to use them. Some clinics don't let you do a fresh cycle while you have frosties, it might be something to look into.

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    Really? That is interesting! I will have to ask when I go for my consult!

    I imagine going it alone would have definitely taken strength!! So is that what you are planning to do? Baby bank embryos or are you going to try having them now?


 

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