AMH increased - Stims or Endo surgery?

Hello lovelies,

I hope you are all keeping well.

I spoke to some of you last month, as I underwent a Laparoscopy and Hysterscopy, due to my left ovary being stuck to my bowel and suspected Endo - which was confirmed (quite mild) and removed during the Lap.

After waiting a cycle, I then started Mild stims, for a dummy cycle. Prior to stims, I was producing on average 5 follies - always small, but on occasion I’d have 2 large. This month I have only 3, but x2 of those are 18mm (both on right ovary - not much happening on my left!).

I had a repeat AMH blood test, as my Consultant was suspicious about the effects that Endo has on AMH tests. My AMH has increased from 0.6 Pmol to 1.2 Pmol. I’m trying to figure out if this increase is true and due to the endo surgery, or a red herring from the stims.

I’ve written to the consultant but not heard back yet, so wondering if any of you have had experience with this?

Thank you 💕 X

[IvfStruggler]

I have seen women whose AMH went down significantly after endo surgery and not really where it has gone up. But there are quite a lot of women who mention that their AMH has increased in subsequent tests without undergoing surgery. Apparently AMH does fluctuate during your cycle and it turns out not the 'ovary measuring tool' that they initially thought it was. My AMH was relatively low when I started IVF more than 3 years ago and for me it has only gone down. However my results in terms of my eggs collected and embryos created has only gone up and got significantly better on the same protocol. I had always been so obsessed about my low AMH and in hindsight feel I didn't need to be so upset with my initial test results. 2x 18mm follicles on mild stims sounds good. Good luck! X

[Hidden in reply to IvfStruggler]

Ah thank you so much for your response. That’s really interesting - I was concerned about a decrease as I figured surgery on your ovaries could impact them physically and therefore the reserve. So that was a big risk. I did mention to the surgeon that I was worried about that. It’s so interesting all of this (once you take away the emotional and human side).

Good advice - and thank you for sharing about your experience, that sounds like a great outcome, despite amh. It does make me wonder why the NHS dismissed me based on amh, as it doesn’t seem to be an indication of your probability of achieving pregnancy. I just hope now that after 2 years of TT , that egg quality isn’t the issue, but time will tell!

Thank you for the msg, and best of luck to you xx