confused about amh

[ADHDPCOS]

Just had our first consult via video call. We have been told that my AMH is low and we will need IVF with ICSI and possibly donor eggs as I will need high doses of meds and may not respond well.

I’m 40 in April, my AMH is 3.4 and on my antral follicle count I had 14 on my right ovary and 1 on my left ( the left has always been a bit shit). I do have insulin resistance but they can’t really decide if I actually have PCOS or not as now I’m on metformin I’m actually ovulating naturally. Corpus Luteum was confirmed on the left ovary at the same scan.

I can’t understand having a low AMH but a good number of follicles nor can I understand the poor responder thing as some research I have seen says 3.4 is a good number for response and stimulating anything over 3.5 increases the risk of OHSS.

We have been ‘trying’ for 7 years and I feel have wasted time because no matter what I try getting my BMI below 30 has been impossible. I finally managed to lose 4st using semaglutide and got it below 35 but have come off it to start treatment and have put on 7lb in 2 weeks. They at least haven’t said its all just cause I’m too fat and will treat me if I can get below 35 again which is a positive I suppose.

Does anyone have any insight into the AMH thing?

Sorry for the word vomit.

[Tnthketnf]

There are different units to report AMH results more commonly pmol/L, ng/mL. With the first used more often. So if an AMH result is 3.5 pmol/L that's equal to 0. 49 ng/mL.

3.5 ng/mL is equal to 25. 00 pmol/L

Is it possible different units being used in your result and what you looked up?

[Skittles11 in reply to Tnthketnf]

I agree. Best to clarify the unit that your AMH was measured in as it would indicate vastly different things if it was pmol versus ng/ml.

[Estherlovescats]

Hey i was told at 37 with an amh of 3.4pmol ivf was the only way. It was wrong 2 failed cycles later after loosing 40lbs to qualify got pregnant naturally with the help of mira ovulation tracker and fertilily conception cups. Also had coq10 and dhea tho you need dhea-s and testosterone bloods for that. Also sometimes keto a personal trainer and mediterranean diet. Amh only tells us the egg count not quality of the egg. Fsh tells us more on that. If no other issues we have better chances naturally cumulatively over a year. Perhaps see if others can recommend things to help with pcos first. Remember ivf is a business and its a pet hate of mine these doctors perpetuating a lie that low amh means ivf is required.

[beckystevens46 in reply to Estherlovescats]

Brilliant answer !! Try the alternative fertility supporters too! They have amazing success stories with people who’ve failed ivf time and time again and got pregnant naturally adding in the holistic and changing your mind set. I know it sounds woo woo but our minds are massive pregnancy blockers. Being told negative things by doctors is criminal! Support is what you need ! X

[Loveelou in reply to Estherlovescats]

This is a great story! Do you mind telling me what weight and height you were before you lost weight? I think this may have been my issue but of course I was rushed to IVF which was going to be private anyway because of the NHS postcode lottery.

[Estherlovescats in reply to Loveelou]

Hi i was 5 ft 4 and 14 stone 11. Took me 2 years to get that down to 12 stone with the help of a military style personal trainer. X