Are these test results good or bad?

[PinataDonk]

I've just got the results of an ovarian reserve test and some hormone tests. The clinic said they were within normal ranges but I need a follow up appointment and I'm googling and keep getting contradictory information. I'm 32.

AMH 11.4
FSH 9.8
LH 10.1
Testosterone 1.1
Oest: 143

Thank you.

[PinataDonk]

From what I can see it looks like I have a low ovarian reserve. Would anyone agree?

[AniSL]

PinataDonk

I assume that 11.4 pmol/l?

It’s a little on the lower side but as a lot of people on here will tell you, it’s about getting that one good quality egg. Have you had an AFC? Just remember that hormone levels fluctuate so another test in a few months time may show something different.

A

[PinataDonk]

Yes that's right.

I had an AFC which was a good score, 21 in total.

[PinataDonk]

To be honest I was surprised at 11.4pmol as its a lot lower than I expected. Does anyone know what a normal range is for people by their age?

[AniSL]

I don’t know if there is a normal range by age and different consultants told us different things. My consultant told me the AMH levels need to be looked at with AFC but further with the length of the follicles too. They also need to be looked at in relation to all the other results. Try not to worry.

Did they specify lengths of follicles?

[AniSL]

Also forgot to mention that AFC is a better indicator or ovarian reserve, sometimes AMH levels can be affected by vitamin D deficiency. I wouldn’t worry too much, they may wish to repeat the bloods.

[PinataDonk]

Thank you so much for your replies. They never mentioned the length of the follicles to me.

[Chattycat78]

I definitely wouldn’t be worrying with these results unless there’s anything else going on. My amh was 2.8 at 34 - I ve pregnant 3 times and had 2 live births since then. Egg quality is far far more important (there’s no test for this other than age).

[Chattycat78]

“I’ve been pregnant”

[PinataDonk]

Thanks @Chattycat78 I've been reading a lot of your posts today

It looks as though everything else (tests for recurrent miscarriage) have come back clear so it's just these figures which are concerning me.

What's strange is that I have a high AFC of 21 in total and yes poor FSH and AMH. Do you know what's considered a better indicator of egg reserve?

I've read a few people saying some clinics won't even consider you for IVF if FSH is over 10 which is scaring me too.

[Chattycat78]

I think amh is meant to be the most accurate but tbh I have doubts about its accuracy to predict ones ability to conceive.

As for Ivf- yes that’s right- but do you need ivf? The reason for this cut off is because people with low ovarian reserve are likely to respond poorly to ivf drugs. Saying that- a poor response still doesn’t mean it can’t work, just that you don’t get many eggs.

[Chattycat78]

How long have you been trying for? 32 is still pretty young. It’s not like you’re 42.

[Osirus]

My AMH was 10 in 2015, when I was 33. I was told by my clinic that it was perfectly normal.

They collected 9 eggs and my treatment worked first time. Don’t worry about your AMH!

[PinataDonk]

Have been trying for only a year but had two miscarriages in this time. I suppose I always felt that "I can always try IVF if I need to" but it's looking as though that may not be a viable option.

When I had my antral follicle scan the doctor counted 21 and said it was excellent and indicated I would be a good responder, that's why I'm so confused with these figures.

Do you mind me asking what your AFC was when you had your tests done?

[Chattycat78]

My afc was pretty pants- it was around 6 which fitted in with the low amh and fsh of 12. Yours is a bit puzzling in that it doesn’t seem to match the amh result.

sorry about the miscarriages- I’d suggest you’ve just been unlucky but you’re clearly conceiving so I reckon you shouldn’t be worrying about amh.

I’d avoid ivf unless you actually need it, and it has no bearing on whether you miscarry or not , so it wouldn’t help in that way.

[Tigerlije]

I would like to have AMH like you mine is less then 1,1 and I am crying over it

[AniSL]

Your AFC is the best indicator of your egg reserve, although it does depend on the skill of the person doing the scan.

[PinataDonk]

@Tigerlije I'm sorry to hear that. This is a horrible process. Have you received any advise from a specialist for next steps?

[underthewestway]

I don’t know how reliable AMH is and in my trust they don’t do it as it’s not considered a good indicator. I’ve had it done privately twice. First time at age 38 it was 9.9; six months later at 39 it was 15.6 (same clinic - and I’d been told it couldn’t go up!). But my AFC was good and consistent. Six months after that I had IVF for the first time: 16 eggs collected, now 28 weeks pregnant after first transfer with 5 day 5 embryos in the freezer. So the 9.9 AMH result didn’t mean much where I was concerned.

[LifesTooShortt]

Thank you for all the replies it's reassuring. I'm seeing the consultant on Wednesday and looking forward to seeing what she recommends. By then we should have DH results back too.

I'm hoping I won't need to go straight to IVF but might get a chance to try IUI or natural conception for w couple of cycles first but will do whatever she recommends for the best chance of results.