AMH question

[Kyell2]

Hi ladies, hope you are all well.

Quick question

Just had AMH redone after 2 years.

I was 29.5 then and it’s gone up to 33.5 (I’m now 36)

2 questions:

Firstly how the blooming hell has it gone up, is it not supposed to go down? That’s what the nurse told me to expect.

Second Is it a bad thing that it’s high? It says I’m at risk of high response and that mild strategy is recommended. Is this the mild IVF I’ve heard people mention on here?

I was praying it was going to be 15-20 and now it’s higher and I’m thinking this is a bad thing (because everything in our fertility journey usually goes wrong!)

xx

[Em2405]

It’s not a bad thing at all, just means you have a slightly higher egg reserve and more like to respond better to the IVF medication. I wish my AMH had been that high. I was 28 with an AMH of 6. I needed a high amount of drugs to get 10 eggs so hopefully you won’t need such a high dose which usually means milder side effects.

A lots of people say AMH isn’t always reliable which is why my NHS clinic don’t bother testing it but you can pay to have it done privately.

Don’t worry too much about it, it won’t truly matter in the scheme of things but may influence what type of IVF you begin with. You may have a long protocol instead of short.

Good luck!! Keep us updated! Xx

[Kyell2 in reply to Em2405]

Ah ok, that makes sense (did some quick googling too). I thought it would mean a short protocol because that would be less drugs.

Thank you for the advice and I hope you are keeping well x

[Tigr]

Here also 36 with AMH of about 35 and pcos. They decided I should go for the normal amount of drugs for iui although I have 30 follicles/pcos cysts sitting around in my ovaries at the minute but I figured they will know what they are doing Good luck!

[Kyell2 in reply to Tigr]

Thank you so much for the response. I just had the normal IUI drugs too and then they wanted to redo my AMH before starting IVF.

No one has ever mentioned PCOS before but all our investigations were really around the male infertility.

I’ll ask them at the HIV bloods next week.

Hope you are well, have you had the IUI yet, if not good luck 🤞 x

[Tigr in reply to Kyell2]

Thanks a lot! I just did my first injection and feel brave as needles are really not my favourite toys. Did they not check your ovaries and if you ovulate and if tubes are fine before iui? If they did, you can be pretty sure you do not have a pcos fertility problem. This would usually come with irregular or no ovulations and "cysts"/follicles making your ovaries look like cheese. Is unlikely they did not check, so don't worry about this. They will see how you react to the drugs in the first few scans and can adjust it on the way, high AMH or not.

[Kyell2]

Yes I’ve had a HSG so I assume that would have picked up any issues then.

Well done on your first injection, the fear of the first one is the worst so it’ll be plain sailing from now on. Good luck!! x