Our clinic got my AMH blood test results back sooner than expected. The instant I saw the subject line: Results, I knew it wasn’t ideal.
My nurse started it off like this:
“Hi Lindsey. I received your AMH result and it is a little lower than we would have liked to see – this may explain why you having such difficulty becoming pregnant. It is basically telling us that you have a decreased ovarian reserve (which means that you don’t have as many eggs as someone else your age). It doesn’t mean that you can’t have a baby. Based on the findings Dr. H has recommended that we increase your dose of medications to try and get the most from your ovaries.”
You know that moment when you read something you don’t really want to be reading, so you literally don’t digest any of it? Yeah, that was me. Hmmm, kinda makes me wonder if this is what happened with my Mom before… anyway…
I wrote her back and asked, “Does this mean I have diminished ovarian reserve?!?!”
She responded with yes. Clearly Lindsey. Re-read the paragraph!
My AMH measured 14.99 pmol/l. The chart below shows that I’m at the high end of low fertility.
|Ovarian Fertility Potential||pmol/l||ng/ml|
|Optimal Fertility||28.6 – 48.5||4.0 – 6.8|
|Satisfactory Fertility||15.7 – 28.6||2.2 – 4.0|
|Low Fertility||2.2 – 15.7||0.3 – 2.2|
|Very Low/Undetectable||0.0 – 2.2||0.0 – 0.3|
|Higher levels, can be associated with PCOS||> 48.5||> 6.8|
I have the eggs of the 36-37 year old, when I only JUST turned 29.
However, there are still many positives to focus on:
- I am only 29. We still have time to get pregnant
- I’m only low, it could be A LOT worse
- IVF will help us and that’s where we are headed
When I start stimming, I’ll be on Puregon and Repronex. After finding out these results, Dr. H increased my Puregon from 150 IU to 225 IU to start.
The irony of the situation is that my parents are SO RELIEVED that we have a diagnosis and are now fully supporting our journey to IVF. Was that really all you needed? I could have made up a diagnosis if I knew that! 😐
So, here I am: I officially have diminished ovarian reserve. Our (in)fertility is female factor.
Not sure if I enjoy being labelled. Unexplained was more mysterious. 😉
UPDATE (2014/10/22): After our 1st IVF cycle, it’s obvious due to the numbers of follicles produced (29 retrieved) that my AMH result was NOT a good indication of my ovarian reserve. Right now, we are back to unexplained with slight male factor (low-ish morphology).