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  1. #1
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    Default A question for those with low AMH

    Hi ladies

    I hope this afternoon finds you all well.

    We are on our 2nd stim IVF cycle and I think we are on our way to another fail - I am only 8dp5dt but have started to bleed but not too full on yet but this can't be good anyway

    I'm just getting so confused over everything, the reason why we originally saw our FS last year was because after finishing breastfeeding in 2009 I didn't get a period back despite being regular before having our DS. He decided to check our AMH as a first port of call and found it to be 4.9, he suggested IVF straight away as I am only 31 years old. We were started on Gonal F 375 for 14 days and got 19 eggs. Only 1 to blasty, no frosties and BFN. I requested AMH to be retested as I thought I should not of gotten so many eggs, this time it came in at 5.4, this cycle was on 300 Gonal F for 14 days in the hope of better eggs and do HA ICSI. I got 24 eggs this time with 16 suitable for fertilisation and 13 fertilised. 1 to blasty and no frosties again! My question is does anyone else with 'low AMH' get such a big haul of eggs? I just wonder if perhaps this isn't our problem and we've been rushed into IVF without looking inot other issues ~ why my period didn't come back? Why when it was clomid induced in 2010 it always came on 21 days? Could this be luteal phase defect?

    Has anyone else had this? I'm just so confused. When the FS did our transfer he said perhaps we were 'more complicated' then he initally thought...I don't want to be complicated!!

    Thanks for any help you can offer
    xox

  2. #2
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    Hi im 27 years old and have been diagnosed with low amh, i think its around 4 apparantly and i only got 5 eggs and one made it to fertilaztion.

    Like you im am unsure about my doctor and how he rushed me into ivf. i really would like more answers, i ovulate every month, husbands swimmers are not to bad but still was told this was def the reason why, if your unsure get a second opinion.

    As for this egg timer test, its only new and they still dont know exactly what it means, they didnt even have it a few years ago.

    Good luck , hope u get more replies

  3. The Following User Says Thank You to hubba For This Useful Post:

    Buttercup80  (07-02-2012)

  4. #3
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    buttercup, my AMH was diagnosed to be 6.1 then 6.7 within a year. Depending on FSH doses, I get a range of 5 to 11 eggs for my cycles. I think you respond extremely well. We were told IVF was our best bet due to DH's MFI and then my AMH. Some FS associate low AMH with poor quality eggs while some dont. You are still really young I would say your chances are good. Some FS believe your eggs are as old as your age and even if you have low AMH, you still can get quality eggs.

    When I get 11 eggs, my fert rate is always not very good, 40-60%. When I get fewer eggs, fert rate improves tremendously. However on day 5, I only have two blasts to transfer, never had frosties too. And so far BFNs for all my last 3 cycles, currently in my 2ww of 4th cycle. I am also wondering if egg quality is an issue for us as I am 38 even though we started IVF due to DH's issues.

    I personally feel that you can probably try a lower FSH dose, get fewer eggs and see if this can boost the quality instead. I took a risk and did that for this cycle. Results remain to be seen.

    Sorry cant help you with luteal phase defect, I only read that it should be at least 14 days or something may be wrong. I also ovulate monthly and I still have my AF monthly though only 1.5 days. I know of a friend who after having her DS no longer had her AF. She got her hormones tested and doc said her day 3 FSH level was menopausal range. She does not want to try IVF.

    like you i also wonder if there is anything more complicated going on. It is clear that you can make lots of eggs. If you look at the AMH range for your age, it is on the low side. For my age, my AMH should be 15. I think finding the answer to why your AF doesnt come is important. It may give you some answers?

    Hope this helps.

  5. The Following User Says Thank You to Mom2TwoDSs For This Useful Post:

    Buttercup80  (13-02-2012)

  6. #4
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    Hi buttercup,

    You do respond very well to gonal! I agree with pp that maybe you should try a lower dosage as I have been told and also researched that the more eggs you get the quality seems to be less.

    My amh is at 11.7 I think and I'm 28.. My fs would only put me on 200gonal and this upcoming cycle will increase to 220 I think he said..

    Also maybe research dhea- I've been on it 3 months now and by the time we cycle will be 4. Apparently has a good reputation to improve egg quality. Some of the bubhubbers speak so highly of it. But each to their own.

    I'm also on royal jelly and high dose q10 to see if it work!

    My first cycle I got 9 eggs with 5 being split basically, one immature so only 3 to play with. From that we got 100% fert rate but only one to blasty!

    Best of luck!!

  7. #5
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    Thank you so much for all your thoughtful answers ladies. It has really helped me solidify what I was thinking. I am off to a City Fertility Sunnybank seminar on Wednesday night and will have lots of questions about my cycle (or lack of) and what their processes are. The FS I'm with at the moment has at no point done any bloods for me (he has taken my GPs blood results and said they were fine) my problem with this is my GP is of cause not a specialist and ordered all the tests to be done (not on any particular day in my cycle) so I don't think they will mean anything until I can have a cycle induced and have hormone tests from that point. Well thats what I think anyway and hopefully a new FS will agree to start back at the basics for me.

    Also a BIG toMum2OneDS! I am so very happy for you!! May it be an uneventful 9 months

    Hubba good luck with the rest of your TWW, I hope you get that BFP and jessesgirl good luck with your upcoming cycle!

    Thanks again ladies


 

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