Very low AMH, age 34, period 5 days late - any ideas?!

[Rosiestraws]

Hi everyone. I'm brand new here so please forgive me (or let me know!) if I do something wrong. Would be grateful for any advice/experiences/input?

Long story a bit less long (!) I've always wanted to have children but my partner has been unsure about trying. We went for fertility tests when I was 31 (to see if we could even have children as if not that might have taken the discussion elsewhere) and I had a AMH pmol of 1.4 at this time (his sperm was above average for everything rather ironically). I understood it was very low but was also on the pill at this time and didn't really get enough information about it all at the time and thought it could just be because of the pill use. I have not been on the pill since then.

The relationship is complicated as obviously I want to have children now and he is unsure so eventually I recently decided to try and pursue egg freezing (in case we split up) and have now found out my AMH is 0.8pmol (so it seems about 0.11ngmol) and I had only 4 follicles. I understand this is critically reduced ovarian reserve for my age and I am devastated. I was planning on still pursing egg freezing at least for one cycle although I know the outlook isn't great.

My periods are a bit irregular in the sense of length etc but they always come every month and usually are only a day or so either way. Now it was (according to my app) meant to come on 31 Jan and now it is 5 Feb nothing. I did two pregnancy tests a few days ago, 1st Feb & 2nd Feb (negative) but nothing in the last couple of days as thinking I should wait until it's been a full week. I'm now on day 34 of my cycle and never gone beyond day 30 before.

I feel my ovulation pains and rather strangely I felt it around the usual time I expected and then also around a week later (hoping this may have been implantation pain!) and I have slightly tender breasts atm. I feel pretty sure I ovulated and had sex twice since my last period. No other symtoms though.. I know the more likely explanation is just stress but I can't stop hoping this could be it. The biggest fear is that it's the beginning of perimenopause/menopause.. :(

If I'm not pregnant, does anyone have experience with such low AMH and getting pregnant naturally? I've been told because I'm "only" 34 that the eggs are still younger and so there's more hope..

Thanks in advance for any replies x

@Rosiestraws I am 35 and my AMH is 3.5 (in Oct 2020). Due to this I am starting IVF this month. I have an almost 2 year daughter, and conceived her naturally in June 2018. When we asked my consultant about the chances of conceiving naturally with my AMH he said it was possible but unlikely. He said it might of been when I conceived my daughter my AMH was much higher and has dropped considerably (but we don't know what it was 2 years ago). Or we could of just been lucky. So there is always the chance!

@Rosiestraws it's definitely possible so I would keep testing. I'm 34 with an AMH of 2.1, last May I got pregnant naturally after 10 months of trying, unfortunately it ended as an early miscarriage. I've been told by my consultant that my chances of conceiving naturally are 5% each month. Which is obviously not likely but not impossible. We're about to start out first round of IVF with a Natural Modified cycle, hoping to get 2 eggs. Hoping this does become a positive test for you but if not keep going with the egg banking for sure xx

Side note - do you know what your FSH is? If you're worried about menopause that can give you some piece of mind if it's not too high.

Thanks for the replies. Despite my best hopes, no, I wasn't pregnant, period arrived 6 days late!

Thanks for the suggestion re FSH - raised it with the nurse on my consultation today and fortunately I'm at a good time to test so getting that done tomorrow.

@Rosiestraws sorry to hear that, it's so hard when your body does that. I'm in the same boat, currently 5 days late with negative tests. Really want it to just hurry up now! Good luck with the FSH test x