Depleted ovarian reserve- consultation tomorrow

[PowerUp]

Hi everyone.After 2 miscarriages DH and I have been going through various tests and last week I got the results of my ovarian reserve test. I'm 32.

AFC 21 - good
FSH- 9.8
AMH- 11.4

I haven't been able to speak to any professionals about what this means yet and my anxiety is really bad. I'm dreaming about it, waking on a morning thinking about it etc. DH can't make it to the consultation tomorrow so I'm going to have to explain everything second hand to him.

I keep yo yoing between thinking we will be advised to go straight to IVF and then thinking it's not that bad. I obviously don't know I'm not an expert but my mind is going haywire.

I'd appreciate any feedback- good or bad- and what you think may be the advice in this situation. Thank you.

[Chattycat78]

I don’t think j you need to panic. Your numbers are normal. I can’t see that you have low ovarian reserve from these numbers.

[PowerUp]

Thank you. From what I've read online it seems lower than average for my age. I'm wondering if it means reduced egg quality as well as quantity which could explain the recurrent miscarriages I have had. I appreciate your reply.

[Chattycat78]

Nope. Egg numbers have nothing to do with egg quality. There is no test available for egg quality.

[Chattycat78]

Egg quality can only really be measured by age. You’re young.

[PowerUp]

Thanks that's reassuring. Would egg freezing be a good option in these circumstances to preserve some eggs before my levels fall/ FSH increases?

[Chattycat78]

I’m not an expert but I would say no. I don’t think eggs have a very good thaw or fertilisation rate after the defrost has happened. Your best bet is to crack on ttc- which you’re doing anyway.

Could be worth seeing if you can find out if anything is causing the miscarriages but chances are it’s nothing specific and you have been unlucky if you ask me.

[PowerUp]

Have seen the consultant now. She said she wasn't concerned about the numbers, she said they are borderline but only give a snapshot and because of my age says the egg quality will be fine. She was very reassuring and said it doesn't indicate chances of conception either.

The final test result we are waiting for now is DHs sperm DNA fragmentation, hopefully that will be ok. We have had the testing for recurrent miscarriages and can't find a cause at this stage but haven't had karyotyping or NK cells as my consultant didn't seem to think they were necessary.

[PowerUp]

She also said freezing embryos is a much better option than freezing eggs. Embryos have a survival rate of 90% whereas eggs only have a rate of 60% so if we end up going down the IVF route we would try and do that if we could.

She has advised us to try 2 cycles of natural conception with aspirin and progesterone post ovulation followed by IUI with clomid for 2 cycles and depending on outcome reassess from there.

[user1497292248]

Hi!
I have similar egg reserve FSH 9.3 and AMH 14.7 and I don’t think it’s a problem.... I am seeing a consultant about ivf tho as I’ve had 2 miscarriages.
Can I ask why the aspirin and progesterone was suggested? I’ve heard of this before but just wondered why if there is nothing wrong they do this?!
Wishing u all the luck x

[PowerUp]

Hi I was told baby aspirin could aid implantation and the progesterone could help support a developing pregnancy in the early stages. It was prescribed to me at my first consultation with a "it can't hurt but it might help" mentality.

Have you had any information regarding your ovarian reserve?

[PowerUp]

Hi I was told baby aspirin could aid implantation and the progesterone could help support a developing pregnancy in the early stages. It was prescribed to me at my first consultation with a "it can't hurt but it might help" mentality.

Have you had any information regarding your ovarian reserve?

[user1497292248]

Ok, when I went for a “fertility investigation” I was put on thyroxine for an under active thyroid and was led to Believe it would help to conceive.... but it hasn’t yet! Last pregnancy was last August!! No not much info regarding my egg reserve just that it was normal for my age (36) I’m seeing a gynaecologist soon and started the process for potential ivf as how long do you wait?!!!

[physicskate]

User, most ccg won't fund ivf until you've been ttc 2 years. How late mh have you been trying.

A miscarriage last August is awful for you, but that doesn't seem long ago to warrant straight to ivf.

[user1497292248]

We’ve been trying for 2 years! 2 miscarriages and I’m coming up for 37, also I don’t expect nhs to fund it, we will be paying for it.