Advice on AMH levels

Hi All. I’m looking for some advice or info on AMH levels. After suffering from a chemical miscarriage in 2020, a MMC at 11+2 in Jan 2022 and an ectopic in Dec 2022, I have been referred for fertility investigation. I have already been advised that we won’t qualify for NHS funded IVF as hubby has a son already so natural conception will be our only hope as I can’t afford to self fund.

I have recently had blood screening for thrombophilia (results still pending) and yesterday I got a letter to say that my AMH level was 3.7 and that this will be discussed at my next appointment (not until October). I have no idea what this figure means but after a quick google I’m worried that this might be too high for my age (37) and could indicate PCOS. During a post surgery ultrasound I was advised that there is a large cyst on my ovary and several lesions in my uterus, likely fibroids. I am having an MRI tomorrow to get a better view of the fibroids situation.

Has anyone got any experience that they would be willing to share about AMH levels and links to cysts/ fibroids etc? I’m grateful to the NHS consultants who are trying to help me but none of this was explained and I can’t bare waiting until Oct for my next appointment. Sorry for long post and thanks in advance.

love and hugs to all xx

[Solly-44]

Hi,

Firstly I’m so sorry for your losses, it sounds like you’ve had a really rough road so far 💜. Do you know what measurement units were used for your AMH? In the UK i understand pmol/l is commonly used which would put you in the lower range, but another measurement used is ng/ml which puts you in the higher range so it’s hard to say without knowing that xx

[Hidden in reply to Solly-44]

Hi Solly-44

Thanks so much for reaching out. The letter I received didn’t actually specify the measurement, just the number so it’s very unhelpful! I think I might need to get back in touch and push for further clarification. Thanks again and best wishes for your journey xx

[Skittles11 in reply to Hidden]

It's confusing when they don't put the units it's measured in! But if you are in UK it's usually in Pmol/L I believe x

[McQueeny]

agree with skittles, if it’s in Pmol/l it’s not high, mine was 25 at age 38 x

[Hidden in reply to McQueeny]

Thanks for your reply xx

[Gerbear22]

Hi there.Sorry to hear about your losses.I agree with the other posters that your Amh is low.Mine was 7.6pmol/l at age 39 and I was told that I had low ovarian reserve.However I am currently 37 weeks pregnant with our rainbow baby.My best friend had an Amh just slightly higher than yours at 4.6pmol/l and she ended up getting 6 embryos and transfered two and had twins on first transfer.Wishing you all the best.x

[Hidden in reply to Gerbear22]

Thank you for the info. Congratulations on your beautiful Rainbow Baby xx

[Clayhugs]

hi Hockey. Agree with others here, it sounds like low/diminished ovarian reserve. Means you might not yield a lot of eggs per cycle. My amh was 3.4 at age 34 and I got 4 eggs out. unfortunately none made it to transfer but there’s a lot of success stories out there for low amh. We have male factor infertility aswell so that impacts our chances too.

I’m sorry you’ve had such a tough time. Sending lots of luck for your future and your scan tomorrow. ❤️

[Hidden in reply to Clayhugs]

Thanks Clayhugs. I don’t think IVF will be an option for us due to the cost so I’m hoping that I might fall pregnant again naturally but with better success in future. Lots of love xx

[Clayhugs in reply to Hidden]

a lot of what I’ve read says that amh doesn’t make a huge difference for natural trying as you still release one egg a month, it’s more a determiner of how well you’ll respond to ivf. Masses of luck x

[Eloquentia]

Hi! I am very sorry for your losses! I have PCOS and at the age of 37, my AMH was 57.89 pmol/L. Hopefully you don't have it!

[Hidden in reply to Eloquentia]

Thanks for sharing xx

[Buttontin]

Hi, Sorry you are going through this! I just wanted to offer a bit of hope! Last year I was told my Amh was 1.3 very low at age 41 and that would mean my chances of conceiving were very low even with IVF, I was devastated! I was told this in a very blunt letter which didn’t help! We were going to start in IVF in Jan ( we couldn’t not try) But then I got a positive test in Dec on my 4th round of clomid, having failed in the first three months I thought clomid wasn’t working! I’m now 24 weeks pregnant! So please take the AMH as a guide but know that it doesn’t mean it can’t happen, as they say….. You only need the one egg! Good luck

[Hidden in reply to Buttontin]

Thanks so much. That’s a lovely story. Congrats on your happy news xx

[Mlove12]

Hi Hockey,

My AMH is 4.6 at age 28, so very very low. But I just wanted to give you a bit of a success story, after two failed rounds of IVF, we have recently found ourself naturally pregnant and am now 7.5 weeks. So it can definitely happen⭐️hope it works out for you and your partner x

[Hidden in reply to Mlove12]

Thanks so much! Congrats on your pregnancy. Wishing you all the best xx

[Penguinw21]

Hi HockeySo sorry to hear of your heartbreaking journey so far. Totally understand that you can't afford to self fund IVF but I have positive info I wanted to share.

My AMH was 1.5 back in Feb 2023 when it was first tested and it was a very negative conversation where I was told it would be a "miracle" to have a baby naturally. As a healthy 33 year old that was horrible.

We consulted DR google and I've now been taking Impryl for once a day every day since this appointment, and at a second test only 8 weeks later, my AMH had gone from 1.5 to 3.9.

Don't get me wrong that's still exceptionally low but it's been a positive that increases our chances of it happening naturally. Just wanted to share incase you wanted to give Impryl a try and yeah it's not cheap at around £400 for 12 months supply but might be worth a shot.

Best of luck on the TTC journey for you my love 💝 xx

[Hidden in reply to Penguinw21]

Thank you! I will look into this! Wishing you the best of luck xx

[Penguinw21 in reply to Hidden]

Just wanted to also mention COq10 ubiquinol which is apparently great for the egg quality and apparently that can help 👍 fingers crossed for you on your journey 🤞🤞

[Hidden in reply to Penguinw21]

Thank you. I have just started taking this so fingers crossed! x

[DinaG1971]

Hello Check inhibin B the third day of the cycle is the one that tells you about the quality of eggs. How old is husband. Also, Sperm quality is important factor!