AMH 2.3 now what ?

[babycometrue]

Just received the results. I was hoping for something better but now i face the reality. Is there any point starting expensive IVF ( when we dont even have money for one) . I will be 45 in 3 mo time. Anyone any idea , clue, advice ..Please

[Running79]

Hi

Unfortunately the odds are really stacked against us older ladies for success in the first place - I’m 41 and as you will know I’ve used a donor egg.

Your AMH is very low so you will not have a big reserve and the majority of your eggs will be no good, so it’s a case of finding that lucky one!

I think from previous posts your partner has a low sperm count, may have got that wrong?!

Personally if I were you, and finances are strapped - I’d go for a donor egg straight away

[babycometrue in reply to Running79]

Yes very low sperm count for many years. That donor egg will the baby look like me ?

[babycometrue in reply to Running79]

Hi Running79, I was given these two options( which one to choose , My FSH is 7.31. Cetrotide Regime ( batching- 1st period: start NET, stop NET , Scan. Then 2 period Start stimulation ..start /stop Cetrotide,EC, embryo freeze.

2. Mild Stimulation Regime (MSR) with norethisterone (NET)( 1st period start Net, start Progynova, stop Progynova , 2 period start stimul., Clomid injections, start antibiotics, start indomethacin , stop stimul, EC , Embryo freeze.

[Running79 in reply to babycometrue]

If anything the second option would probably be better for you!

With donor egg, you get to choose the features, like hair colour, eye colour build etc

My sister was our donor so the child will have my family features as well.

[babycometrue in reply to Running79]

thank you and sorry for late reply. Been on PC and phone all day working on IVF clinic choice. Why second option is it because Progynova and Clomid are stronger ?

[Running79 in reply to babycometrue]

I think option 2 is better because if the mild stimulation - Progynova just helps with your uterine lining to thicken

[babycometrue in reply to Running79]

10.2 mm thickness this year March. Last year September 6mm .Not sure if thickness fluctuate within one cycle but I was taking supplements every day

[Running79 in reply to babycometrue]

I’m not sure what supplements do for the lining, the only one I used was L’arginine, which assists with blood flow

[babycometrue in reply to Running79]

Shall I buy this L arginine hmmmmm I’m taking so many now?

[Running79 in reply to babycometrue]

I used it up until I had a transfer then stopped the day before.

It’s entirely up to you - you might be better off reading the book ‘it starts with the egg’

[babycometrue in reply to Running79]

Shopping it now ☺️

[babycometrue in reply to Running79]

What mg?

[Running79 in reply to babycometrue]

I took 4000mg a day

[babycometrue in reply to Running79]

If i may ask are you taking it for your lining and how thick it is?

[Running79 in reply to babycometrue]

Yes I was taking it for my lining, but I don’t know how thick it was when I had my transfer, my linings always been in excess of 8mm I’m 15 weeks + 5 so don’t take it anymore

[babycometrue in reply to Running79]

Oh thank you for reply just to ask this larginine that has AKG in title is no good. Which one you buy?

[Running79 in reply to babycometrue]

I bought mine from Natures Best

[Marisa32]

At 45, it's an uphill battle. Can you do one cycle abroad with own eggs just to give it a try and then switch to donor if possible. Some clinics even do a combo IVF with own eggs and donor eggs simultaneously, so you don't waste more time/money.

[babycometrue in reply to Marisa32]

Can you pls send me some info which clinic does that combo, pls

[Marisa32 in reply to babycometrue]

I haven't used the combo but some ladies on here did. Not sure which country it was. Maybe if you make a post with that question someone can give you info. It was called tandem cycle I think or something. Perhaps in Greece?

[Luna_79 in reply to babycometrue]

Hey there, I’ll dm you a clinic in Cyprus that does this - we were due to go out in Nov for a combined cycle, it was my last hope of trying with my own eggs. Unfortunately for us due to covid we decided in the end after much deliberation to go straight to donar in the UK. We bought 10 eggs, 7 fertilized and all got amazing grades 1 5AA transferred and 6 in thr freezer. I got a BFP at the weekend and whilst we still have a long way to go, I know that I wouldn’t have got those results with my eggs. Yes if you choose the donar they won’t have your genes but you can choose characteristics. From the moment we knew we had embryos and from the minute out little embie was onboard , I just think of it in the same way i did previous transfers. If you do choose donar you will nurture them and have a bond through the pregnancy. For us it came down to we wanted a family and which option gave us the best opportunity if that happening. Please reach out if ever you want to chat x

[PollyT20 in reply to Luna_79]

Hey Luna, would you be able to message me the name of the clinic too pls. 44 and have to make the decision, try with own eggs or donor. Thank you

[Luna_79 in reply to PollyT20]

Of course - I’ve sent x

[Miracle43 in reply to Luna_79]

Hi Luna, Congratulations on your BPF.

Please could you also message me the Uk clinic you have used xx

[Luna_79 in reply to Miracle43]

Of course x

[Saira21 in reply to Luna_79]

Could you message about the clinic please , looking for DE contemplating where to do greece,spain or cyprus - was it anonymous

TIA

[Luna_79 in reply to Saira21]

Have sent you a text x

[babycometrue in reply to Luna_79]

..you made me smile saying :embie.Thank you

[Luna_79 in reply to babycometrue]

💕

[Star241 in reply to Luna_79]

Please can you send details of your clinic x

[Hidden in reply to Luna_79]

Hey Luna. Congratulations with your BFP! That’s really encouraging - your feelings about DE (a likelihood for me). Sorry for jumping on the bandwagon, but would you mind msg’ing me your clinic as well please? Thank you 🌺🌺

[babycometrue]

By the way these plans are not tailored for me as the consultanta hasnt received my doc(due to some issues in their system) and was about to postpone the appointment. So I attached my doc and he saw and start talking ....AMH 10 is good, 5-10 reassuring, so I am with 2.3 so no chance .😐Now if I book second appoitment another 150£ I have to have more knowledge and also be able to say yes or no to his proposed plan. .Please anyone some help...It gives me panic attacks just the thinking

[Purpledoggy in reply to babycometrue]

So, I think it is really tough to give you 2 complex options when you have never tried IVF. How could you possibly choose?! I think another consultation to discuss the 2 protocols, why they would work for you, and which would be best for you, would be 150 very well spent. They should also give you an idea of your chance of success to help you make an informed decision. I’m sorry you have been left feeling like you don’t know how to proceed, and if they don’t up their game I would honestly look elsewhere xx

[babycometrue in reply to Purpledoggy]

Our video started 5 min later and he wanted to cancel 10 min earlier. Cheeky .Plus i didnt know what to ask. Fail

[Purpledoggy in reply to babycometrue]

If you don’t get a good feeling from them, move on. IVF is hard enough without feeling like they don’t care. Xx

[Jolinkomo in reply to Purpledoggy]

Also AMH is a guide. Not enough. Antral follicle count will show how much potential. Fertility is complex. Oftentimes the protocol used and how they prepare embryos contribute to the outcome. Seek second opinion if you can.

[Miracle43 in reply to babycometrue]

Hi there, I’m also 44, I know exactly what you mean about the panic attacks. They consume you.

It’s overwhelming.

I met my husband later in life, we decided we try for a baby, I naively thought if I was having regular periods and ovulating there’s a chance I’d fall pregnant... it might just take a little longer.

I was 41 and fell pregnant naturally, unfortunately it ended in miscarriage. After trying for another 6 months we were referred to IVF.

I had my amh results 2 years ago when it was 3.6. When the consultant explained it was very low,.. in not the most compassionate way.. I was devastated to say the least.

His last words were bluntly put that would I need a donor egg if I was ever to become pregnant... I had never really heard of a donor egg. I left the appointment traumatised.

What I have come to realise is that amh is an indicator, a guide on your egg reserve.

It does not give an indicator on quality.

Everyone is different.

It is low, but for our age is what is should be. If we were 10years younger then it would be low.

We can’t increase our amh but there are things we can that can do to increase the quality.

As said previously the majority of eggs are age are chromosome abnormal, although it only take one.

I know ladies with lower amh who have conceived although they are younger.

For me, I needed to try ivf so I knew that I had tried everything I could.

All I can advise is to take a step at a time.

Understand the results, the processes and make a decision there. Don’t rush into anything because of the panic.

X

[JoyfulStar]

Hi there,

The only thing I can advise is that for us over 40s a multi cycle package is definitely the way to go. It looks like the difference between the 2 protocols is the level of stimulation.

If you do the second consultation why not ask what the pros and cons of each approach will be?

Ask which of the 2 approaches has had the most success for women with similar profiles to you.

Also ask whether they will be willing to switch between both options if say you get a poor response from option 2.

Experience has taught me that the same cycles can yield different results. Also sometimes it is good to make tweaks to cycles if you encounter bumps along the way.

Finally, going abroad is a great option if you are on a tight budget but be aware that you will have to put a lot of work in to make the logistics work especially if you are using a donor.

I hope you get the answers you are looking for and all the best with your journey 🙏🏾

[letro112]

just my 2 cents worth .. my SIL got pregnant at 47 with her own eggs .. little girl is perfect and 3 years old now .. my own experience just found out my AMH has increased from 4 to 7 pmol .. however have had 3 collections .. first got 5 eggs and 2 blasts, second - no response, third no-response but decided to ER our 1 and only follicle - no egg in it!! I am 35 after having day 3 bloods done it looks like having immune treatments with steroids it has knocked my testosterone out so will be cycling again with my own eggs when things balance out again. We cycled in Gennet in Prague as it is very affordable and allows us do multiple cycles ... equally on our last ER had i of cycled here in Ireland it would have cost up 7K ... instead it cost us €1300 so it def is a no brainer to cycle abroad ... equally these fertility packages that are offered if you think you only want 1 child then they maybe worth it .. however we are hoping for 2 so we would rather spend the money embryo banking than potentially spending 15K and only getting to do 1 cycle .. best of luck

[Aquarius_hope in reply to letro112]

Hello Letro112

Thank you so much for sharing your experiences too xx

Please can I ask you if it would be possible to get more information about your SIL? I am also 47 so would love to know what protocol she was on and which hospital she went to.

Thank you 🙏🏻 xxx

[letro112 in reply to Aquarius_hope]

Hi she actually got pregnant naturally .. but I was trying to show that even at 47 she obviously had a great quality egg .. so there is every possibility you would too

[Aquarius_hope in reply to letro112]

Aww, thank you! That’s great to know 😊😊

[Sweethear in reply to letro112]

Hi letro112, please can you please send me the info of the clinic you are using in Prague ?

[letro112 in reply to Sweethear]

I attend gennet in Prague IVF cycle including ICSI and blast culture is 2500e .. there are extras you can get too .. but certainly makes it very affordable

[Sweethear in reply to letro112]

Thank you very much I will check them out

[Star241]

Hello - I am in similar situation my AMH is 2.9, my clinic seem very uninterested and actually quite rude to me when I asked what my options were I got very frustrated but then I called another clinic who said hmm we don’t really go by AMH but follicle count so one suggestion is to say what about checking my follicles then? I just want a realistic view if it is not worthwhile based and maybe 2 different views then I think just need to see where to connect for example the donor route keep me posted as I am interested to hear how it goes for you x

[Spates]

Have you thought of donated embryos?

[Aquarius_hope]

Good morning ladies,

I just wanted to say that I feel for you all. I’m 47.. had 4x failed ivf cycles with my own eggs.. but still live in hope that a little miracle can occur….

A lady in her 40’s at my clinic was told that she would never be able to get pregnant with her own eggs (I don’t know what her AMH level was but the Consultant told her that her ovarian reserve was so low that it was impossible). Despite the advice, this lady continued to do ivf with her own eggs, and got pregnant with the fourth cycle! Even the consultant couldn’t believe it! By the way, she now has a happy and healthy 2 year old

I think what I’m trying to say is… everyone is different and you just don’t know until you try.

Yes, you have less chance of getting pregnant if you are older, if your AMH level is low, if your partners sperm count is low, etc… but there is still a chance.. and you just don’t if you’re going to be one of the lucky ones until you give it a go…

I hope that’s helpful xx

Good luck to you all!! It’s such a difficult journey hey … but we are all here to support each other 🤗🤗

[jengi]

I’m sorry to hear your AMH is low. I can empathise, I found out at 38 mine was 1.4. I had to give it a go with my own eggs but we were not successful. Although learning that my egg quality was also very poor did help me to move onto the next step of donor eggs.

I didn’t start counselling until after our first failed cycle with my eggs but I wish I started after getting the AMH result. I found that news really hard to deal with.

I’m sure you know donor eggs will increase your chances of success but there is no guarantee either. It is also very expensive. There is no right or wrong decision. Listen to your gut. I know it’s a fine balance between finances and emotion. For us, we couldn’t keep chucking money at my eggs and emotionally I was so broken so moving to donor was our logical next step.

If I can be any use as a sounding board please don’t hesitate to private message me. Wishing you every bit of luck Xx

[Pittuck23]

Hey, I’m so sorry to hear about your situation however I wanted my experience.I started the fertility process at 32, found I had very low AMH levels and was pushed to ivf. I was told before I started to take DHEA tablets 3 times a day for 3 months prior to my treatment starting. I did as the consultant said. I went into egg collection- 4 collected, 1 died 3 5 day blastos manifested. I had my 1st fresh transfer which resulted in my 4 year old daughter and I froze the other 2. I started again last July, the 2nd embryo didn’t work and the third and last embryo resulted in my 2 week old son. I’m now 37 years old, and am heading into early menopause. Please don’t think because of age it cannot work for you. I had one round of ivf and out of the three embryos I have two beautiful babies.

Good luck with everything and sending you hugs xx

[Hidden in reply to Pittuck23]

Hey there. That’s very encouraging - thank you for sharing. I hope this is not too sensitive to ask, but was what your AMH (if known) at your 2 pregnancies? I am “undetectable” at 0.6 pmol/L and losing hope 😥,Lulu 🌺

[Pittuck23 in reply to Hidden]

Hey, with my second it was an FET so didn’t need to test my AMH, my first wasn’t quite undetectable I think (from memory) it was around 2, which is why I was pushed to IVF. I’ve now found out that my mum went through early menopause so I’m now going through that process myself at 37. Sorry I couldn’t be more decisive. I wish you all the best in your journey xx

[Hidden in reply to Pittuck23]

Thank you 🌺Thank you for sharing your journey - it really really fills me with hope!! X

[marthasmum]

After a natural pregnancy late 30s I miscarried at 13 wks fast forward couple of years cos we got married and put ttc on hold. Then after trying again we struggled. Went for all the tests to be told my amh was ridiculously low 0.07 or something. Our local and highly recommended clinic were useless left us fortnight thinking adoption our only option. Only that a friend had had donor egg ivf we then questioned things further and after much digging and questioning local clinics and clinics abroad I made for me the very easy decision of ivf with donor eggs in Gennet Prague. This was successful first attempt and I became a mum at almost 43. Our requests were brown hair hazel / brown eyes but her hairs golden and her skin looks Sunkissed but who cares she looks like her dad nothing like me but is a mini me in all her mannerisms. She is our world and it’s amazing and the best decision I ever made. Good luck and best wishes for whatever you decide lovelies ❤️

[Kmcdon]

Check out my post on research into using donor eggs - obviously you don’t pick the genes but growing in you switches on or off certain genes. Also it is your blood which grows the baby. Good luck with your journey. I’m 44, have an average amh but have had 4 failed cycles. I’m due to go to a clinic in Spain next month for treatment with a donor egg.

[NurseMiaMia]

My AMH is low. 0.69. Ended up retrieving 13 eggs, 9 matured and 9 fertilized with ICSI. One fresh transfer at day 5. 5 remained to be frozen. There is hope with low AMH! Good luck!

[babycometrue in reply to NurseMiaMia]

For women of 44-45 is fresh transfer any good?

[NurseMiaMia in reply to babycometrue]

I’m not sure. I’ve heard stories where fresh fails and FET is more successful the next round. But as you know, it always depends on a number of factors as it can go both ways. I’m 33. I wanted two embryos transferred but doctor only recommended one since guidelines say anyone less than 35 years old should only get 1 embryo transferred at a time.

[Mitco]

Hi, it's my first time posting on here, but all the conversations on here have been more helpful that my doctors. I am 40, turning 41 in August. I felt compelled to respond to you as last week I also got the news that my AMH was 2.3. We have gone through one round of IVF with ICSI as my husband has low sperm morphology. I had a high dose of Menopur and they eventually removed 3 eggs. Only 2 could be inseminated, then only 1 could be returned. It was supposed to be a high grade egg, but sadly I did not get pregnant. My FSH is about 9.2 (which excluded me from the NHS funded).

In our meeting following the failed IVF the doctor discussed the option of a natural cycle. I asked about further tests and so she agreed I could do the AMH test. To be honest I thought it would be low, but was not prepared for it being that low.

My doctor rang me to tell me, but didn't go into any discussion about what that meant for me, and just asked 'what do you want to do next?' Yes, I should have asked her more questions, but I was in a state of shock.I didn't know how to respond - as I did not understand what my options were. We have paid for 2 cycles, so just said that I wanted to go through with the next IVF. I wish I had prepared a list of questions while awaiting the results. In my head I thought that the normal IVF would be better than the natural cycle - but I don't know that it is. This cycle she has included Ovaleap alongside a lower dose of Menopur in my protocol (I just paid £2,200 for my drugs, the last cycle was £1,700). I have no idea if this will change anything as she never discussed this with me, so I feel very stupid not knowing. The doctor has never spoken to me about donor eggs, but I am guessing that would be my next option? I am keen to discover what your journey will be. Also about whether to try this overseas.

[ki50]

Wow that’s amazing, gives me hope! Just started my first short protocol. Amh is 2.3 and have no idea what to expect but this at least keeps the hope alive that it can happen!

[Jolinkomo]

I recommend doing at least one cycle with your eggs. The number is not the best clinically but many have conceived with that.

I had my first child naturally at 41 with AMH lower than that.

While you are thinking of IVF, you may also consider seeing a Chinese fertility expert for husband sperm quality and quantity. There are many good results in this.

Whether you decide to go for IVF with your egg or not, stay positive. Everything will turn out well

[Jolinkomo]

Also regarding whether the child will look like you. If you choose donor route, You can specify your features.

MicroRNA produced by the lining of your womb are transferred from you to the foetus and are responsible for deciding which genes and traits are switched on genetically.

Even if you used your egg, the baby may not look anyway line you as gene trait selection is complex. He or she may look like your husband's long distance relative or take all his features.

I believe that the moment you conceive, you will bond with your child. A lot happens during pregnancy. Some women who didn't want to get pregnant bond in pregnancy and change their mind .

[Katiejrodriguez]

I know we have an age gap, but I was 34 and my AMH was .892, I cried a bunch and didn’t think it was possible, but my doctor still had hope we could get some viable embryos so we moved forward. We ended up retrieving 14 eggs, 10 mature, 7 fertilized with ICSI, and 1 made it to day 5 and 2 more made it to day 6, we did a fresh transfer with the day 5 and we have an almost 7mo healthy baby girl. It was a ton of money and I know it doesn’t always work out like it did for us, but wanted to share that I don’t think low AMH is always going to stop you.

[UnicornKisses]

I was 36 but mine was .4 & I’m currently wrestling my 6 month old!

[Hidden in reply to UnicornKisses]

Hey there. Would you mind DM’ing me the clinic that you used please hun? I’ve seen your story and your situation seems so similar to mine! Thank you xLulu 🌺

[Kiri23]

I found out my AMH was 2.2, joined this forum and someone else posted their experience with low AMH and just recently finding out they were pregnant. This gave me hope. I then went through a cycle and I was successful. My AMH has since gone up slightly to 4.02, not sure how but I’m going to try again. There is hope but like with everything, there’s a risk. I personally was prepared to take the risk as I couldn’t live with the what if I had tried etc. When I found out that my AMH was low, nhs consultant really put us down. Went privately and I had hope, realistic hope. I would go for a consultation with a clinic and take it from there. Least then you know all the facts. Wishing you lots of luck in your journey x

[BBHH1]

Sorry to hear. If money was not a problem you could try your own eggs but knowing the chance to get a good embryo/baby is really really low with both parents being older and with low sperm/egg reserve.

Being honest, I think you should do donor embryos. It would not be nice to have tries from your own take you the opportunity of you to be a parent in other ways…

[Ell493]

Your AMH is actually not bad for your age. But there are other numbers that matter as well, like FSH. If you had the money for 4 rounds you might be able to get a good egg, but that doesn't sound like an option.

I understand your struggle and heartache over it. We started our IVF journey last year when I was 46. We opted to use donor eggs right from the get go. My AMH is really good and I could easily afford many rounds, but the odds are still bad. Even though my AMH and FSH are good my eggs are old and that's the biggest issue. I don't want to put my body though all that and I don't want to keep traveling and being away from my family. So we used a donor and I gave myself one shot at my own eggs.

I produced 5 eggs, two made it to 5 days and then passed away. So now that dream is over. Ironically our donor only made 2 five day embryos which are frozen. They are not good quality so we are also adopting an embryo. I'm excited to hold a baby in my arms. I don't care if it's not genetically mine. I will be very grateful for the child regardless of where it came from.

It's an emotional process of letting your dreams go and embracing new dreams. It took a lot of time for me to accept the baby wouldn't be related to me. It's okay to feel bad about it. In the end it's about how badly you want that child. Good luck xxx

[babycometrue]

Why google says only 4mg

[Gemz29]

Please read my posts & never give up. Amh 3.8 over 3 years ago so god knows what it is now..... but after all the nurses & doctors not believing in me I’m now nearly 20 weeks pregnant with our little miracle 💙 xx

[babycometrue in reply to Gemz29]

I will read. I am reading every day.... all day

[babycometrue]

IVF clinic Harley street not the most expensive but another good one for women this morning :I should make you aware that if you are looking into options to try to conceive, our clinical policy is that for women aged 45 and over, treatment is carried out with IVF using donor eggs. The reason for our age cap is that we want to give you the best chance of having a healthy and successful pregnancy, and unfortunately we have never achieved a successful live birth for a patient using her own eggs over the age of 44. As we reach the early 40s, the quality of our eggs takes such a steep decline and most pregnancies unfortunately result in miscarriage, so using a donor egg option we can explore success rates in the 50-55% range, compared with the <1% range using own eggs.