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Clinic and advice with Low AMH

(15 Posts)
mountaingirl123 Wed 02-Jan-19 14:31:43

Hello,
This is my first post on here so apologies so sorry if this has already been extensively covered.
I would be really interested in your advice on highly recommended clinics in the Bristol, London, Oxford or around.
I'm a healthy 35 year old and live with a partner and we have been ttc for 8 months. I have had tests I have been told I have low AHM 1.9 and high FSH 15-19.
Really worried but I was told we were likely to conceive naturally however, I want to give it the best chance possible. So advice would be great on this front.
Also I would like to know if I should go straight into having eggs frozen and IVF sooner rather than later.
Many thanks in advance for any clinic or general advice.
Happy New Year and let it be a happy one for everyone!

Botanica Wed 02-Jan-19 15:24:23

I am quite surprised that they told you that you could expect to conceive naturally. Perhaps at 35 they expect egg quality would still be good, even though projected quantity is low.

Personally, with AMH at that level, although it's not the full picture, I wouldn't really want to wait too much longer and if it were me, I'd be looking to move to IVF sooner rather than later to maximise your chances with your own eggs, if that's what you are hoping for.

Best of luck with the next steps!

Botanica Wed 02-Jan-19 15:25:52

Also to add, I don't see the benefit of getting your eggs frozen.

If you did need to delay a pregnancy for any reason, you'd be better freezing embryos rather than eggs.

79andnotout Wed 02-Jan-19 16:27:52

Hi @mountaingirl123 - I agree with @Botanica. Those results would indicate to me to go straight to IVF. I think there are several clinics in london that specialise in low AMH - there should be some threads on here if you search.

The good news is your egg quality is likely to be pretty good as you are only 35, but as IVF is a numbers game and you are low on reserve, sounds to me very much like you need to crack on ASAP. This is the advice my sister was given with similar results and age to you.

Wesstywoo Wed 02-Jan-19 17:18:09

Hi @mountaingirl123 I also agree with the other posts, my AMH was 2.1 and I was told to move straight to IVF by 2 separate clinics as low AMH means that response to IVF drugs is likely to be poor. I was expected to produce "1 or 2" eggs. As it happens I produced 4. The AMH test is not an exact science and needs to be looked at in conjunction with AFC (and of course the only way to know how well you will respond is to actually have a round of IVF!). Unfortunately I'm not in any of the areas you list but I'm sure someone will be along with some recommendations. Best of luck to you xx

mountaingirl123 Wed 02-Jan-19 18:10:22

Many thanks for you message @Botanica.
Yes I'm pretty nervous about just waiting and seeing what happens without a second or third opinion.
looking to getting things moving forward as soon as possible.

mountaingirl123 Wed 02-Jan-19 18:15:12

Hi @Wesstywoo Thanks for your message and yes your right its not an exact science all came as quite a shock though that I'm still reeling from. I think I better look into IVF have no idea what it is really and getting the right place. Good luck with it all if you are still on this journey x

mountaingirl123 Wed 02-Jan-19 18:19:41

Yes looking into the London Low AMH level clinics here is the shortlist so far will probably choose say two to have a follow up consultation:
Lister in Chelsea.
Zita West
Dr Venkat at Harley street fertility clinic (http://www.hsfc.org.uk/)
argc
Create centre bristol
BCRM

mountaingirl123 Wed 02-Jan-19 18:20:46

@79andnotout Thanks for your thoughts on this, best wishes

Ilikeviognier Wed 02-Jan-19 20:26:41

OP- I disagree that it was a mistake to tell you that you will conceive naturally.

I had an amh of 2.8 and fsh of 12 at 34. I got pregnant 3 times following this result- twice naturally and once with ivf.

This result shows you that you need to crack on- yes- but not that your eggs are no good. Amh only tells you about numbers- you only need one good egg to conceive.

Ivf is a good idea- but continue to try naturally also.

Ilikeviognier Wed 02-Jan-19 20:28:22

OP- read this:

www.google.co.uk/amp/s/www.vox.com/platform/amp/science-and-health/2017/10/11/16453714/ovarian-reserve-test-science-results-fertility

79andnotout Wed 02-Jan-19 21:41:45

I definitely agree you should continue to try naturally, and age is the most important factor. But as you have been trying for 8 months already with no pregnancy, and assuming you have been timing things right and there's nothing wrong with your partner, then getting your ducks in a row for IVF is important to give you another option. AMH isn't a great marker for fertility, but is a key marker in IVF success, and also a good predictor of menopause, and time seems to be running out for you. But hopefully you will be like the previous poster and won't need it.

SpringLake Thu 03-Jan-19 18:33:13

Hi @mountaingirl123, I was in a similar boat as you, up to last month when I finally had an op to confirm infertility... now I'm just waiting for my IVF treatment planning appointment... then hopefully set to start!
With IVF clinics, it's a really good idea to consider how near they are (you'll need to do the journey a lot!) and how comfortable you are with the staff, in addition to the stats. Most have an open evening that you can pop along to (with no explanation) and just scope it out. They explain the process, show you the rooms and treat you kindly (after all you're a prospective private patient!)
Best of luck for 2019!

mountaingirl123 Thu 24-Jan-19 16:05:57

Hi guys, thanks again for the advice. Sorry for the slow reply. So have found it useful to get some more advice from other clinics and not just listen to one clinic to get a more rounded picture. I was left feeling like pretty down after the first consultation where she gave me all the bad news with seemingly no good news. Opting for the Lister who were more reassuring and positive with treatment starting in a month, ready for the long haul and still possiblily to conceiving naturally. But I’m the meantime eating well, cutting the stress, getting body prepped but getting on with life.

79andnotout Thu 24-Jan-19 19:02:26

@mountaingirl123 - good to hear you've found a good clinic and are taking positive steps with both natural and assisted. Best of luck!

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