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  1. #1
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    Default 27 and low ovarian reserve

    Hi all

    I am 27 and have just found out that I have severely low ovarian reserve - my AMH is below 1.1. I am absolutely devastated. There is no way to know if I even have any eggs left, or if I do, how long I will still remain fertile. My IVF doctor has recommended I bypass natural, IUI and even basic IVF and go straight to ICSI. From here, I am so unsure whether we should should try implanting an embryo (that's hoping I even have any!), or freeze the viable embryos to use in a year or two.
    It is so confronting to be suddenly having to plan for the rest of my life when only months ago I was naively thinking we had years to plan when we wanted to start a family.
    I have so many unanswered questions about what is ahead of me.
    Are there any other ladies out there under 30 that have such disappointing results, and how are you planning on moving forward.
    I have already read so many books on the topic, and I am now aware of how perfectly aligned so many factors have to be to eventuate in a healthy pregnancy, and how many simply just don't happen.
    What if I endure rounds of IVF and have nothing to show?

  2. #2
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    I'm so sorry . Where are you located? There are a few low cost IVF clinics around which can make IVF a lot easier to manage, especially if you need to do a few cycles in order to conceive. If I were you, I would not delay trying to start a family as with AMH that low you may find it difficult to yield eggs (both numbers and quality). It would be a good idea to do a cycle asap, see how you respond.
    Best of luck x

  3. #3
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    Big hugs. This is a lot to digest isn't it? I am not under 30 so hope you don't mind me posting on your thread. At 33 I got the low reserve diagnosis (after 2 kids, trying for third).

    I'm sorry if this sounds really blunt but my strong view is that if you feel remotely ready for kids, then I would try with icsi straight away. That's what I did. I figured I would never regret the baby I got but might regret not giving it my best shot.

    At the end of the day though you need to do what feels right for you. Ivf can be emotionally draining and isn't for everyone.

  4. #4
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    hi sorry to hear about your news. I just wanted to share my story. my dh and me starred ttc 4 years ago . After a year and no luck we started going to fertility clinics. did the usual timed dtd and multiple iui's. Unfortunately not all tests were done. I changed clinic after a year or so and then when I was 33 found my amh was 1.3 and was told it is low . surprisingly my Dr still suggested we could try a couple of more cycles of iui. After one more failure I opted for ivf. first cycle retrieved 7 eggs 5 fertilised and 2 made it to day 5 . Dr told quality was very good. It was bfn. second cycle again 2 fertilised but only day 2 and average quality.bfn . third cycle again 2 made it to day 2 and average qual but I got a bfp. I now have a 3 month old dd. what I am trying to say is with 1.1 you still do have a chance but I would suggest an aggressive approach and to start soon.

    Sent from my GT-I9192 using The Bub Hub mobile app

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  6. #5
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    Default 27 and low ovarian reserve

    I am 28 and have just found out I have secondary infertility and low ovarian reserve too...so I can totally understand what an unexpected and horrible shock it is. We have been ttc for a few years and had many chemical pregnancies and running out of eggs when I am not even 30 didn't even occur to me to be a potential problem! My amh is 3 and FSH 15...I have endo and immune issues too so I had a lap last cycle to remove the endo...will have one more natural go post lap then IVF in October.

    My doctor did tell me that even though I have low quantity, my egg quality is likely to be ok as I am young. I hope so! I have been taking wheatgrass, coq10, royal jelly and having acupuncture to try and boost that quality. Not sure if it works...but hey will try anything (I will stop sups when commencing IVF though).I agree with pp that moving quickly is the best option.

    I wish you all the best on your journey...I know it is all a lot to take in, and so many big decisions to make. It must be incredibly daunting for you. When will you start treatment?
    Last edited by Patience86; 22-08-2015 at 20:03.

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    emmam88  (23-08-2015)

  8. #6
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    My story is quite positive. My amh wasn't quite so low, it was 7.1 but I was 29 and also pretty gutted. We went ahead with IVF, I was put on pretty high doses of meds due to low amh but ended up producing 12 eggs, all great quality so all fertilised (without icsi) and we got 9 blastocysts. We had one transferred and he's now my 21 month old boy. Then I got pregnant naturally and have a 9 week old.
    So my opinion is that while amh can be useful don't put too much emphasis on it. It doesn't indicate quality so being young you have a huge advantage.
    By the way I'm also not sure I really believe my value was that as I ended up with severe ohss due to high dose meds. I've also heard of people having it retested and it changes. Good luck, try not to get down, there are lots of other factors that can influence IVF so fingers crossed you get a good outcome.

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  10. #7
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    If you endure many rounds of IVF and don't have anything to show then at least you will know you've given it everything.

    My AMH was 11 at 31, which was lowish. I was single so really had to decide what was important to me. I realised having kids was something I really didn't want to miss out on. So then I had to decide to find a suitable guy within a year or go it alone. I opted to go it alone using donor sperm and now have 2 beautiful girls.

    Sounds like you're in a relationship? If I were you I would do an IVF/ICIS cycle and see how you respond. If you respond well I would implant straight away or freeze everything and cycle again straight away to see if you can baby bank.

    What clinic are what doctor are you with? You should aim for the best of the best in your city, doesn't sound like you have much time to waste.

    As for holding off on having kids, what are you waiting for? There's never a right time. My friend kept holding off, "just after this next trip... After someone's wedding... After Christmas..". Then her husband left her and she's now late 30s with little chance of kids.

    I say go for it with all guns blazing.

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  12. #8
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    Hi @emmam88 sorry to hear you have a low Amh at 27. That's tough news. My piece of advice would be ( like others have said) to get into some Ivf cycles and bank some
    Embryos. At least if you aren't quite ready now you'll have some embryos in the freezer on a year or two. Embryos are better quality when frozen- rather than just freezing eggs and then using hem later on. If that makes any sense. I would definitely try a few cycles and then go down the donor pathway. I'm also 27 and was also recommended looking at donor eggs. You just never imagine that at 27 this can happen to you. Big hugs.

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  14. #9
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    Thanks everyone for your stories, it is really great to hear that there still may be a chance. And my heart goes out to everyone here that is struggling with the process, like myself.
    My husband and I have been together for about 3 years, and we were married late last year. So I guess being less than a year into married life, we never really thought that we would be needing to start a family so soon. We are both very keen to start a family, and I definitely know that my maternal instinct has skyrocketed in the past couple of months. The only thing holding us back at this exact moment is our careers and our finances. We imagined that when we started a family we would be well established in our careers and in our finances. We are both professionals that work very hard, and I know that undertaking IVF will negatively affect my current work role. I recently changed jobs, so until I have a good year under my belt with my employer, my role will never feel safe.
    It is for this reason that we are contemplating freezing embryos rather than trying for a pregnancy. However, now I have read the stories of so many other couples undertaking IVF, it is possible to go through several rounds without a pregnancy. So that makes me wonder if we should just go for it now, and actually transfer any embryos we may be lucky enough to create. Or on the other hand, do I undertake a couple of cycles of IVF, try to bank some embryos, and then do another IVF cycle with the aim of a pregnancy? I worry that if we went straight for a pregnancy now, with no embryos banked, then if we tried again in a year or two, I many not have any eggs left to harvest...So many decisions!
    I am currently working with IVF Australia - does anyone have much experience with them? I have been with them for about 2 months, and have done 1 cycle monitoring with them. They appear very professional and everything runs smoothly, and the nurses are lovely.
    I am hoping (if we can gather the funding) to commence IVF within the next month or so...I kind of just want to get started already, just to see exactly what we are facing, and what the doctors are able to get from me.

  15. #10
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    So sorry to hear you are in this position. My AMH was less than 1 at age 30, but we were already doing IVF so it was an added factor, but not much else. It really is a blow finding out you may not have a huge window of time to start a family.
    The good news is, at your age you may not have a huge amount of eggs, but the quality should be good. That's what my FS told me.
    We got 7 mature eggs from our cycle, from which we got 4 blasties of excellent quality. 1 was put back (the crappiest one) which is now DD & we're off to have a FET in a few months.
    So don't lose hope!
    In your situation I would be thinking about going ahead with a cycle & banking the embryos.
    I've heard that the current thinking with low reserve is actually the opposite of what they used to do - instead of huge doses of the drugs, they are opting for smaller doses. I used Elonva, but topped up with only 125U of Gonal (max is 450 I think).
    Talk it through with your FS, but you don't really know how your going to respond until you get going with the meds.
    Don't be afraid to seek a second opinion if your not happy where you are. We did & it changed everything for us.
    Best of luck.

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