Low AMH 3.66 and high FSH 11.5

[Zarkha]

I’m 39 years old and trying to conceive baby number 2. Been trying for 2 years, no success so I decided to do a blood test to check my AMH and FSH.

The above are the results. It says I have low egg reserve.

I am absolutely devastated, feels like crying.

I have an appointment on Monday to speak to my GP.

Has anyone gone through this and had a successful pregnancy?

[Pnw2020]

Hi

Sorry to hear you are upset. FSH can vary each month and it is not an absolute indicator of fertility. Yes your AMH is perhaps lower than average for age but it could also have been low when you conceived your child and you didn't know.

As you already have a baby, you could ask the GP to be referred for secondary infertility tests on the NHS but they will probably do more bloods first - usually day 3 and day 21. They may then refer you to an NHS clinic for investigations only as in most, if not all areas, you wouldn't qualify for IVF already having a child.

If you think you might consider IVF, it might be worth having a look to private fertility clinics as waiting times should be minimal. I did a female fertility test that involved bloods and an internal scan. This included:

A detailed 3D Saline Infusion Sonogram (SIS) to assess the uterus

Antral Follicle Count (AFC) to determine your egg reserve

HyCoSy procedure to check if your fallopian tubes are open or not.

It was around £500 so not cheap but I was impatient and knew the NHS wait would be long ( during the pandemic ).

Also your partner should get tested as things can changed on the male side as well so you could do a couples fertility assessment or your partner should be tested via the GP.

We eventually ended up having IVF at age 39/40 - my AMH was a little higher than yours but it dropped a fair bit in a year. I am now 34 weeks pregnant so it can work even with 'old eggs'.

I hope that helps.

[pink_lemon]

Hi Zarkha, the above post is very thorough, so I will just say my AMH was measured at 37 at 1.9, FSH somewhat lower than yours. Did HyCosY to start with. Got pregnant twice naturally twice after that. Both MMCs unfortunately, went to IVF - this was a whole year later so results would have probably been lower than initially. No baby yet but quite close to it having everything crossed at the moment for our baby to come out healthy. Turned 40 in the meantime. There are people who had a baby with even lower AMH. Just do your tests, go see a specialist, get more info and try what feels right. 🤞🍀

[HollyLI]

My AMH was much lower ..like 0.2 or lower .. I have a beautiful baby girl now, just had to stick it out 10 rounds 2 years with pgt testing (very important) and what made difference when second doc had me take COQ10 and DHEA

[Marisa32]

My AMH was non-existent at 40 and I didn't respond to IVF stims due to my low egg reserve. I did manage to conceive naturally at 41, after about a year and half of ttc. While ttc, I got 2 chemicals and one blighted ovum before hitting a good egg. If everything else is in working order, low AMH should not prevent you from getting pregnant. It just takes many cycles and IVF often doesn't help.

[Zarkha]

Thank you so much everyone. I have a Gyno appointment tomorrow. We’ll see what they say.

[Zarkha]

Hello ladies

So I have been told by a private gyno the chances for me to be pregnant now will be best through ivf. I have been told my amh is quite low for my age, I am 39 years old. An alternative to ivf could be iui. I am so devastated as ivf is so expensive but I do want to have kids 😞.