Anyone else have Adrenal PCOS?

posted 7 days ago in TTC
Post # 2
Member
679 posts
Busy bee
  • Wedding: July 2012

I can’t speak to PCOS, but low AMH doesn’t mean you will never conceive. First, it’s a number that can fluctuate. My acupuncturist took someone with low AMH and brought it above 1 with treatment and supplements. Second, all it means is that your egg reserve is lower but it doesn’t mean you are going into menopause or don’t have eggs left. If you are still ovulating regularly and your cycles are normal, you shouldn’t have anything to worry about. Lower AMH is associated with lower egg retrieval numbers in IVF but a doctor will still work with you. My AMH was .84 and my RE was still open to IUIs since I was ovulating on my own. 

If you do pursue IVF, you may want to look into genetic testing since low AMH can indicate an egg quality issue, but even that may be overkill with your age. Are you working with an RE now? If not, I’d encourage you to book an appointment and likely they will be able to give you treatment optiosn and reassure you. I’d also ask for consistent bloodwork to see how your levels are tracking since one reading on one day can’t always tell the whole story about what’s going on. 

Post # 4
Member
679 posts
Busy bee
  • Wedding: July 2012

It would still make sense to go to an RE because they specialize in getting you pregnant. There may be treatment options they can recommend that aren’t IVF. They may want to try IUI with clomid and injectibles to help with egg quality and quantity. I did that on my last cycle and got 4 mature follicles. I had other issues preventing me from getting pregnant, but you should at least listen to what they have to say. And a clinic that jumps right to IVF without an explanation isn’t one I’d trust. I ended up getting a second opinion that led to us pursuing adoption as the first clinic just wanted me to do another round of IVF without more testing. 

Post # 6
Member
679 posts
Busy bee
  • Wedding: July 2012

I find it really odd that a fertility clinic has an OB but I’m not sure where you are located. I’m in the states and fertility clinics have RE’s and only see you until about 8-10 weeks of pregnancy. Their job is only to help maintain fertility and get patients pregnant. Personally I wouldn’t want to have fertility treatments done anywhere that didn’t specialize in fertility issues, but maybe your clinic will be different. I know the process varies quite a bit in each region so I can only tell you what my experiences were. 

Post # 7
Member
2631 posts
Sugar bee
  • Wedding: August 2017

View original reply
@Equine_Breeder:  I don’t have pcos but I can answer some of your questions.  Your LH is supposed to be low at CD3, but it will peak just prior to ovulation… most opk are positive when LH is > 25.  It’s most likely that the blood test was not timed to immediately prior to ovulation. It’s more of a problem if your CD3 LH is high.  As for AMH, you can still ovulate every month with low ovarian reserve. Has your vitamin D levels been rechecked? If your D is still low, it can make your AMH look lower than it actually is.  

Post # 8
Member
28 posts
Newbee

Agreed with the posters above it seems obvious to me that you need to see an RE and what kind of fertility clinic wouldn’t have one? 

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