Low AMH and high prolactin after Hertility test - what can I do?

[Lookingforhope26]

Been TTC for 7 months aged 33 after miscarriage in January. Did a Hertility test to get answers - unfortunately bad news and crying my eyes out. Low AMH 7.44 pmol/L and high prolactin 871 mIU/L - been in tears since results. Where do I go from here for help? I am desperate for children with my partner, will that ever be possible?

Hello. Sorry to hear the results have upset you and that it’s been so tricky to conceive so far. You need to immediately book a GP appointment to discuss the high prolactin. Lots of different reasons for that that need to be looked into and can hopefully be treated. AMH is a marker of egg reserve and ideally you’d want a better number but it’s no indication of egg quality. They don’t use it in the NHS because it’s not super helpful to say whether you can get pregnant. You might still be able to get pregnant naturally or they might be able to retrieve the eggs you do have for IVF. Wishing you the best of luck

It looks like your prolactin is only marginally raised and might turn out to be nothing. Definitely need a repeat though.

Also want to add - since my miscarriage I’ve had persistent pains in the right side of my vulva - aches and throbs - not mentioned to anyone yet, worried my Gp will just brush it off as she seems to do everything else.

Hey, I wouldn't worry too much about the slightly raised prolactin. On my first blood test, mine was over 900, but it was likely higher because I'd been to the gym
beforehand. I was then told not to exercise for 3 days before having my bloods taken. The second time, it was only slightly above the NHS reference range.

AMH is really only useful if you end up needing IVF, as it gives an indication of how many eggs they may be able to retrieve. It doesn't tell you whether you'll be able to conceive naturally.

I'd ask for your LH, FSH, oestrogen, thyroid, and, most importantly, progesterone levels to be checked, as progesterone confirms whether you've ovulated. I'd also recommend a sperm analysis for your partner, as male factor infertility is more common than people realise.

Until you've had those tests, those results alone don't really tell you much about your overall fertility. Hope that helps! 🤍

I hadn’t exercised and just woken up when did test. I know my thyroid is normal and haven’t had any issues with that.