Low amh

[Mac425]

Looking to see if anyone has been in a similar situation and what were the options/outcomes.

I had two miscarriages last year and after fertility testing I found out I had a low amh of 1.1. I'm 34. Fertility clinic has said to wait six months after second miscarriage. I'm not sure what 1.1 means and what it should be.

Hi @Mac425 im sorry to hear about your miscarriages. I also had 2 miscarriages last year and had some private tests done. I’m 35 and my AMH was 3.3 which I was told was also low for my age. I had mine retested 6 months later and it was slightly higher at 4.9, which the consultant said is still on the low side for my age, but I was pleased it had at least increased a bit! I think my lower result may have been because i was tested about a month after my miscarriage. What did they say about your options? Good luck to you x

I'm afraid 1.1 (if pmol) is very low for your age. I had 0.8pmol at 34 and they classed it as "severely diminished ovarian reserve". This is a useful table re AMH.

www.manchesterfertility.com/blog/what-your-amh-levels-mean-understanding-and-interpreting-your-amh-test-result/#

However, it has no effect on miscarriages/fertility on its own. It just gives an indication of the number of eggs you have left, so it means you have less eggs left than most women your age.

It is a useful indication of how you will respond to IVF when you need to produce lots of eggs each cycle, but for as long as you're still ovulating normally there's no more or less chance of you getting pregnant than a woman with lots of eggs. As of course it only takes one!

Of course there may be other fertility issues at play but what I'm trying to say is the AMH level itself doesn't mean anything on its own. The only thing to be aware of is you will probably start menopause earlier than women with bigger egg reserves.

I'm 36 now though and still appear to be ovulating regularly so it's not quite as doom and gloom as it might seem.

@RCP87 @Rosiestraws
Thank you for your replies and for all the info. I will have a look at the link.

The fertility clinc didn't say much about chances with IVF. I've been told I have to wait six months before progressing with them.

Since my second miscarriage I don't think I'm ovulating and my cycles have been very irregular. I've just started acupuncture to see if that helps?

Did you ladies have regular cycles?

Hi @Mac425 my cycles have tended to be pretty regular but over the last few months they’ve varied a bit more and can be as short as 24 days or up to 32 days, sometimes with a bit of bleeding before my period starts. one of the reasons we’ve decided to go ahead with IVF is because I’m not convinced that my hormones are doing the right thing. Hopefully the acupuncture will help. I’m doing that too. And can also totally recommend reflexology which I find super relaxing amidst all the stresses of fertility issues. Are you taking co-enzyme Cq10 for egg quality? My doctor recommended 1000mg per day, it’s expensive!

I'm interested by your story as AMH is an indicator of egg reserve, not egg quality. And despite your very low AMH you have managed to get pregnant twice, which I think is pretty surprising. Have you had a scan and did they tell you your AFC? I'd be inclined to ask more questions of your clinic with both your pregnancies sadly ending in miscarriage. It doesn't sound like you have a problem getting pregnant, but rather staying pregnant, which I don't think a low AMH would be contributing to (although could be wrong). You can manage the getting pregnant bit, which is what people with low AMH usually need IVF for? I hope this doesn't sound insensitive - just suggesting asking more questions might be worthwhile to make sure you're getting the right treatment.

Just FYI for pp - the menopause thing isn't necessarily true. Some people just naturally have a lower AMH but it doesn't deplete quickly, so they have menopause at a standard age. Others it does drop quicker than normal, but this is less common. The only way to test this is recurrent AMH testing every year or so and track the changes.

@RCP87 Thanks for getting back to me. I tried coq10 one month my period went on for about ten days. I usually only bleed for 3/4 so I felt it didn't agree with me.

@MGee123 Thanks for your message. Not had any tests done or scans for any more information. However, the doctor put a referral in for recurrent miscarriages and my appointment is a week one Monday. Hopefully get some more info. I also have a three year old child without any issues.

The fertility clinic just gave me the results and wanted to check for premature ovarian failure. However I got pregnant just after that. I went back to them after the miscarriage and they said to wait six months.