Another question: I am 36 and my AMH is 5 ng/ml (or 35 pmol/L).
Does this sound like PCOS or borderline PCOS? Different doctors have - again - given me different opinions on this.
I have no other symptoms. I have done two rounds of ICSI on really high protocol and I was ok (apart from the usual crazy moods!).
I am getting around 14 eggs a month, but only half are mature, my periods are regular, perhaps some months I don't ovulate, but I thought this was normal.
If I have borderline PCOS, what kind of protocol is normally recommended?
Hey. I can't really say anything cause doctors are the ones who need to give diagnosis 🙈
I have polycystic ovaries but not the syndrome. My amh levels are 30.15 and with my both rounds I got many follicles but very few eggs. I've been both times on short protocol. But I've seen ladies getting 20+ eggs so is really very individual. Find a doctor you trust and go with their opinions and views hun xxx
I was diagnosed when i was 16 at first and was confirmed from my consultant. He said some women have mild polycystic ovaries. I would skip like one period a year and won't always ovulate 😍
I'm doing well hun thank you. Looking forward to my follow up on the 11th 🙈🙈🙈🙈
Yes, higher AMH usually means that there is a risk of over stimulation with IVF drugs. They told me a short protocol means that you take the injections over a shorter period so usually 10-14 days before egg collection to avoid this. For me it also means that they won’t do a fresh transfer after EC as they said they want my body to recover from the drugs and so I’m freezing any embryos and then waiting for my next period after that before doing a FET.
I think the idea is that short protocol means they may not collect as many eggs but they are aiming for quality over quantity so that you have a better chance of success.
1-4 ng/ml is considered normal range. In PCOS the AMH is usually significantly high, like 10 times than normal range like the PP says her is 30.15 ng/ml. Your count doesn't justify the presence of PCOS really. Pre-PCOS or boderline PCOS I doubt if there's a grey area in this detection.... either you have it or you don't. You mentioned your periods are regular that means at leat one mature follicle is ovulating each cycle. What medication are you on to handle the PCOS? ICSI is redundant in this case I feel... egg quality might be an issue but then it might not be the maor inhibitor. Short protocol usually proves to be more effective with a high AMH I don't know the details though as in why. Maybe you can talk to the doc about it and they'll be able to give you more insight into the short protocol effectivenes.
Thanks so much for your useful reply. Just one question: I thought you could have your period and still not ovulate? I definitely didn't ovulate last month, but I still had my period? xx
Yes unfortunately having a period does not mean you have ovulated. They are called anovulatory periods. This is my issue, I have PCOS. AMH is not one of the diagnostic criteria for PCOS I have posted a link to an easy to follow PCOS guide from the Royal College of Obstetrics and Gynaecology.
I definitely think you should speak to your doctor. I haven't started my first cycle yet but I am on a short protocol but I have diagnosed PCOS. It sounds like you have had two unsuccessful cycles? so it sounds like you could be asking for what changes or tailoring you should be making or they should be making to your protocols.
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