TTC, low AMH Help 😀

[KatieKatie111]

Hi all,

This is my first post on here so getting the hang of it 😀

I have been TTC since July 2022. After no success after 6 months using ovulation tests (showing I was ovulating each month) I went with my gut and I got some fertility bloods done in Jan 23 and was told all was ok. Still no success so in May 23, I went to a consultant to see if I could try anything else, he suggested a laparoscopy to see if tubes blocked, thyroid or endo. Got this done and he actually found endometriosis in my pouch of Douglas and he did endometriosis excision there and then. I never had any symptoms of endometriosis so this was a shock. Following cycle I got pregnant but it was short lived and I had a chemical pregnancy at 5 weeks. 3 cycles later I went to a fertility consultant who suggested I have a Folicle tracking scan, I got one today CD9 (he couldn’t do it CD10-12) and it measured 12mm. He said there was nothing he could do this cycle as it should get to 18/20mm but it won’t. He basically said I have zero chance this cycle. Is it not too early for him to have written this cycle off? As I will still ovulate?

I had my AMH done in Jan 23 and it was 10.20 nothing flagged as an issue and I didn’t realise it was low. Then todays results showed it was now 5.7 (apparently surgery for endo removal can make it lower). So as a 32 year old, I now have classed ‘low’ egg reserve, roughly same level as someone who is a lot older. I was also told today that IVF is only a 33% success rate for risking €7k - words of the consultant not mine. Naturally I am very upset now and don’t know what to do next? Anyone have similar stories or hope?
Finally, he has prescribed me (for my next cycle, well x4 months) Letrozole tablets and Gonasi. Any advise or stories would be really appreciated!

AMH just gives an indication of ovarian reserve, it's not a great marker and is variable, AFC is a better indication especially when it comes to the likely number of eggs you'd get in a collection cycle. Follicles grow during a cycle, my cycles are over 30 days so I wouldn't be anywhere near ovulation at CD9.

The one in three chance is per transfer, when people do IVF the aim is to stimulate the ovaries to produce multiple follicles, these are drained to collect eggs, these are then fertilized and grown to day 5. The embryos can be biopsied to check if there are 23 pairs of chromosomes, if this is the case then the chance of a pregnancy is 50-70%. If the embryos are untested the chance of a pregnancy is 1 in 3. People need to aim to go through three transfers given these statistics. There are packages that you can go for, I went for a 2 cycle package so I got to have a collection cycle and then frozen transfers until I ran of embryos and then another collection and the same again. The contract ends with a live birth. I did have to pay for the medications though. This worked out a lot cheaper than paying per cycle.