Ovarian reserve test

[Thomasina76]

Can anyone tell me if these results are good/bad/ok. I am 40, TTC for 1 year, no known issues with either DH or I following investigations. We each have kids from previous relationships. DH is 46. My results were:

AMH - 8.6
FSH - 6.7
Oestradiol - 356
Antral follicle count - 14

thanks!

[ellesbellesxxx]

Hi,
I can't comment on all of these but in my experience..
FSH: under 10 is good!
AMH: at the age of 40, the average Amh ranges from 0.7 to 21.2 (according to my clinic)... mine was 6.3 in December when I was 31 so again, good!!
Antral follicles again, good number...I had 6 in December although got this up to 10 just before IVF this summer. Q10 supplement

[ellesbellesxxx]

They look good to me but obv I am not an expert ;)

[Metaphase]

Hi Thomasina. Have you had any advice from the doctor who ordered the tests?
The reason I ask is I have just had the same battery of tests done (age 39), with the similar results you describe and have been advised to proceed asap to IVF.
Hopefully you are having some follow up where you can discuss your options.
All the best.

[Chattycat78]

I would say those results are good for age 40. I had much poorer results than that age 34!

meta I'm Surprised you've been told you need ivf if you had similar results to be honest. I was told I needed ivf with an fsh of 12 and an amh of 2.8 (at 34). However saying that, the ivf worked first time and I got pregnant again 8 months later naturally. For this reason I would treat ovarian reserve tests cautiously. All they tell you is how many eggs you have - NOT if any of those eggs are good enough quality to make a baby. Quality is only determined by age.

[Chattycat78]

Just realised my post makes no sense- I mean I got pregnant again 8 months after my ivf baby was born...

[Metaphase]

Hi Chatty...I think the advice also took into account 2yrs of trying and only a miscarriage to show for it. And a short follicular phase. So I think not only are my eggs low in numbers they seem to be low in quality. Agree that the utility of reserve tests is still being worked out though.

[Thomasina76]

wow, thanks all! Very helpful!

Yes, we have had advice from 3 different clinics now, all of were to keep trying naturally or with IUIs until end of the year at which point we shoudl think about IVF. This is based on us trying for a year with no success BUT all tests (hycosy, SA etc being normal (SA excellent in fact) and us having 2 kids each already. I think IVF was based on age, as in if we want to do something then we need to do it sooner rather than later. Very frustrating as nothing seems to be wrong but we still haven't managed to get pregnant. Must be down to either egg quality.

[Raeside]

Hi Thomasina

I'm 42 with an AMH of 8.8 and an antral follicle count of 11 (5 one side, 6 the other). Not sure what my FSH is but they weren't concerned about it. I've a 3.5yr old DS and a 2.5yr history of MMC (requiring eventual ERPC) and a further early miscarriage. Not a sniff of a +ve test this whole year.

I was strongly advised that if I were very committed to a second child then IVF was the route to take because obvs was 40 when I started trying and am now nearing 42.5yrs! Bloody ancient.

I've done nearly a year of CoQ10, evening primrose oil, baby aspirin, Vit D, Zita West pre-conception pills and extra Folic acid. I'm hoping this shows up in increased egg quality after my first ever run at IVF next week.

Sounds v similar to your story inasmuch as numbers are ok but it's likely quality is the issue. In that case you and your partner just need to decide whether to keep trying or go full science.

Good luck!!