TTC 12 months - Low AMH, time for IVF?

[SamWalks]

Hi all,

just wanted some advice and to speak to people out side my family and possibly been through something similar.

My husband and I have been TTC for over a year currently in the TWW and already feeling disheartened.

I had fertility tests in December - everything was normal for both DH and I, the only thing they picked out was my AMH (11pmol). I am 35, so this freaked me out a bit, but thought let me try for the full year before making a decision regarding fertility such as IVF.

I was tested again by NHS as we reached the 12 month mark. My AMH dropped to 8.8pmol. This is in the space of 4 months. The doctor doing my scan saw 10 follicles, drop from 15 in December. This time however I was told my right ovary is high and difficult to reach for IVF.

Now just to add I am a vaper, former smoker (feel soo awful that I have ruined my fertility with this) have completely stopped now. I recently found out vaping can impact implantation. Wondering if I should wait and try a bit longer or go straight to IVF. Or should I just go for it? Privileged enough to be able to afford this privately.

Anyone with similar issues?

While you continue trying, why not get on the fertility referral pathway through the NHS as a back up. Would you be eligible for IVF in your area? The fertility unit may make other suggestions/ do other investigations first which may work.

Suggest also getting your partner to do a sperm analysis.

Personally I would go privately straight away with low AMH and because you can afford it.

There may be other things they suggest first before IVF, e.g monitored cycles, medication to increase follicles, progesterone etc.

I waited 6 months after private fertility tests before going back to clinic. Two monitored cycles later and I’m 6 months pregnant.

@Isitisit what does a monitored cycle involve?

I'd stop vaping before putting myself through painful and expensive IVF.

@sirensong Starts off with letrizole day 2 of your period or similar meds to mature your follicles (hopefully make you release two rather than one), then a trigger injection to make you ovulate round day 14, then progesterone.

Scans on day 1, then roughly day 6-7 and day 12 to monitor effect of meds and see how your follicles develop.

That is the process that my doc did anyway. I think some may have a slightly different process.