Low AMH, endometriosis & tarlov cyst

[Love_the_mountains]

Hi all. Yesterday I found out from MRI results that I have endometriosis affecting multiple organs. This explains years of infertility struggles although I am blessed to have my 4 year old son in 2020 via natural conception (whilst awaiting ivf as per previous posts for low AMH and unexplained infertility at the time). I then fell pregnant again naturally in 2023 but sadly miscarried. Falling pregnant naturally twice gave me some hope that it may happen again but I’m now 38 and starting to give up that hope and feel deflated. I feel I need to make a decision as to whether I try ivf as a last shot (I can realistically afford one round) or accept that I’m lucky to have my dear son and move forward with my life without the pain of infertility consuming me any longer. I know only I can make that decision but posting on here to see if anyone has had any success stories and in a similar situation.

I had a very low AMH level at 32 which was 3.5pmol. I haven’t had this repeated but I’m now 38 so guessing it has dramatically decreased. My cycles are the same as they were back then (ranging from 20-30days with spotting prior to period due to the low AMH). The endometriosis is deep affecting my uterus, bowel and bladder. There is mention of adhesions on my left ovary also. But ovaries and fallopian tubes look normal.

I’m on the fence as to how I proceed. Part of me feels to accept my fate and I’m truly blessed, grateful and happy to have my son. Another part of me craves another child although I have a lot of fear pursuing that - cost of ivf, psychological trauma of it failing, complications etc

I’m not really sure what I’m looking for but anyone had low AMH and endometriosis and had success? What happens if I went down ivf route? Do you retrieve eggs first then have surgery before implantation? Just looking for some information to help me make a decision.

I also have the complication of a tarlov cyst on my spine. Anyone had that during pregnancy?

I may have a consultation with private ivf clinic but also apprehensive due to the cost.

Lots to process and think about but feel my decision is now or never.

Thank you in advance and best wishes and positivity to you all ☺️

[Jumpppy]

It's worth the small amount of money to do a consult and get their opinion. I would look for a clinic with an endo specialist who can advise on true liklihood of success. (Even if it would be impractical to use that clinic if you moved forward.)You should get the day 3 bloods and look at FSH rather than focusing on your AMH. For you FSH and your AFC (primordial count) may be a better indication for you.

As I am sure you know, question for you will really be are you "conceiving" regularly, but the endo messes with implantation or is something preventing conception...or both. If it's implantation issues IVF might not really be fruitful if the issues are endo related. An endo specialist will be able to work through these confounding variables.

GOOD LUCK!