Low amh 1.3

[Scrumpy10]

This is my first time on this forum and I would love to know if anyone has experience of this.

I am just 41 been trying to conceive for 2 years. Finally this year we had some tests and husband has low motility. We went to see fertility clinic and I had scan and blood test last week. Amh was 1.3 and they said could only see 2 follicles on my scan. They were very candid about chance of success with my own eggs. Has anyone had experience of IVF success with low Amh and are there any better alternatives?

I have a low AMH however, I have been able to have IVF. I was seeing a fertility acupuncturist and she said she often sees women with incredibly low AMH levels - even as low as 0.1 who have become pregnant.
Some say AMH doesn't need to be the focus as you can absolutely still get pregnant even when it is very low.

Create (the IVF clinic) specialise in mild IVF which is supposed to be really good for ladies with low AMH. Maybe something to look into?

Thank you so much. I feel incredibly sad and wish we had followed up early 2020 now but just thought it takes time and didn't want to make a fuss because of the pandemic. I am looking in to acupuncture now. X

Yes, Create are who I went with for this reason. I also take 400mg of CoQ10 from Pharmanord (Gold) each day which has really improved my egg quality. This one was recommended in the book 'It Starts With The Egg' by Rebecca Fett.
So even though they can only retrieve a small number of eggs during an IVF cycle, the quality have been so much better this time around.
I know it's sad news, but you honestly do still have a chance. x

Thank you @OrangeLeavesFall I have now ordered some of the supplements. I am investigating mild ivf and checking the nearest clinics to me who offer it. My appointment last week was with Care and they were really pushing egg donation. Me and the husband have talked about this and feel that is not for us and we would rather adopt. I feel annoyed at myself for leaving it so late to get help and we have been together 9 years so should have started trying earlier but because my mum had me older I think I was blinkered into thinking everything would be fine.

I feel like there is so much I don't know. I had blood test at the start of the year with my GP and they said everything looked good but of course they don't test Amh.

I had a very low AMH in my late thirties, so low that I was told that no reputable IVF clinic would
take me on as my chances of conceiving were so low (this was 10 years ago though). I was absolutely devastated but started acupuncture for stress and to see if it would help with conception. I was sceptical but 2 months later I was pregnant. Straightforward pregnancy and healthy baby.

I thoroughly recommend acupuncture. Please don’t give up hope. Good luck

I am with Create and did my ivf cycle in May with low amh. I only really had 3 follicles doing much, although on the day they collected 7 eggs. 4 didn't do anything, so the original 3 were the ones to watch. All 3 fertilised and made top quality embryos. My first transfer ended in a chemical pregnancy but my second transfer was successful (found out yesterday).

There is hope, I'd recommend seeing what they have to say. My personal journey is very complex (recurrent losses) and I've found them to be very supportive. Best wishes x

I only had 3 follicles with last ivf. Was argc, they don’t even test amh and are more interested in fsh. Obviously my amh would have been super low with three follicles. Had short protocol. Am in third trimester. Don’t give up. They had confidence in me and said even women with one follicle were getting pregnant. I’m nearly 41

I also had weekly acupuncture and believe it helped . Did a low carb/ high protein diet and dh and I took all supplements in it starts with egg

@VenusStarr Thank you so much for sharing and congratulations. That is really lovely news. Wishing you well with the rest of your journey. X

Thank you @Scrumpy10 ❤️

@PossumGeorge thank you for giving me a little hope. I am am contacting the different clinics now the Aml results are 1.3 pmol so really in the diminished ovarian reserve category. It is a real shock to me. I start accupuncture next week.

@Loveintherain thank you so much for sharing. Congratulations and best wishes to you. X

@Scrumpy10
@OrangeLeavesFall
@Juno231
@PossumGeorge
@Loveintherain
Sorry to tag all but some recommendations would be great. We've just had a failed round of ICSI IVF with Bourn Hall Cambridge. I'm 42 with ok AMH. They collected 18 eggs, 6 fertilised but none made it to blastocyst. They transferred one compacted embryo. Waiting to hear why they think it didn't work. We have male factor issues but I suspect my egg quality wasn't great.
We are now Looking at other clinics. We sat through a Create webinar but then they bombarded us with emails, texts and calls, giving us a discount off initial consultation which is very off putting. ARGC looks best for the over 40s but the time and money seem prohibitive. We also have Care in Northampton nearby. Any thoughts?

@VenusStarr sorry wanted to tag you also as you might have a perspective.

@Lulu106

If you suspect egg quality being an issue..
I have had 2 cycles of IVF. My first one, the eggs all fertilised but were very low quality. I was taking CoQ10 but not a high enough quantity I don't think.

For my second round I took Pharmanord CoQ10 Gold (4 x 100mg tablets per day).
I recently had an egg retrieval and they said the 4 eggs I had were all top quality. The only other thing I did differently was have no alcohol or caffeine at all in the weeks leading up to my injections.

For my first IVF round, I still had the occasional coffee or glass of wine a few weeks before starting my injections but I didn't at all this time. So I'm not sure if all of it combined made a difference.

@Lulu106 I'm sorry about your round. I've only been to Create and we started as nhs patients, but now private, sorry you feel pestered by them.

I liked doing the mild ivf approach and I felt quite well on stims, I think the milder meds made it feel manageable. I ate 100g of protein every day during stims and I was taking 400g of ubiquinol (stopped at collection). The embryologist commented on my egg quality too.

I've got a friend at Bourn Hall and she's not found them to be flexible or helpful. A milder approach might be worth a try to get better quality eggs.

There is an infertility board, it might be worth posting over there too as lots of us are going ivf at various clinics xx

@VenusStarr thank you. We were just suspicious of a fertility clinic hustling for business. It felt odd. But clearly they've worked for you.

I suppose I was complacent about egg quality, as I felt I would produce eggs and just assumed some would be good quality.

Bourn Hall have been very disappointing. I don't expect us to have a second round with them. I just want to find a clinic that is right for us. Such a minefield.

@OrangeLeavesFall thank you! So helpful. I've got supplements on order.

Hi @Lulu106 I did quite a lot different. Had 4 mcs and then did ivf to try to find pgs normal.
Was with argc. I did look at create but I was put of by their marketing too, they were putting things like normal ivf takes one month or something and there’s took 2 weeks ( well most people I know don’t do long protocol) I just felt it was on some areas. Also I spoke to argc and they said as I had so few follicles that I needed max everything and it was a numbers game. I’m not sure really . I got 7 eggs and all fertilised and 2 blasts - one was normal. I wonder would I have just got the one normal from mild any way but who knows , may be not. My second ivf messed up and ended up fresh and I’m in third trimester. Some miracle.
I would say Argc are very focused and do lots of tests to maximise your output and get blasts , that can end up expensive as you have daily, twice daily bloods on week 2. Week 1 can be every day or every other day. I did feel they knew what they were doing though and I do feel I got the best results I could with my low amh and follies

Off and theirs!

In terms of diet etc dh and I took all supplements in it starts with the egg. Wheatgrass , melatonin and ubiquinol I felt were key ones. Avoided dhea as it messed up my cycle. I did a high protein low carb diet , no alcohol and no caffeine. Dh did no alcohol. Did that for a few months.

Thanks @Smiler79 You say they messed up and you got fresh. What does this mean? Sorry still getting used to the terminology. I think that our situation needs a focused approach. I'm mindful that my diet needs to be looked at. I like to think it's good but it could be improved.

Well I say messed up - basically I was really stressed and my body was trying to constantly ovulate , I was taking so much cetrotide to stop it. By the time I got to EC I already ovulated! So they converted to iui. It was a bizarre and very rare situation

@Lulu106 sorry to hear about your failed round. I am actually joining the Create Webinar next week so hoping they don't start bombarding us as I think that will really put my husband off them.

I had Amh tests, scan and consultation with Care. This was my first experience of looking into ivf and I just turned 41. My Amh was very low and so they went straight to pushing donor eggs as our option. It might be worth it for you if your amh is good and you have enough follicles. Also the nurse doing my blood test asked me why I left it so late. Only a small thing but I was already beating myself up at this point.

I have a consultation with Nurture next week as they are not too far from where I live and also do natural ivf. I am praying I can at least try that and focus on egg quality now instead of what feels like my small basket of eggs left.