Treating women with a low AMH level

Treating women with poor ovarian reserve (as defined by a low AMH level and a low antral follicle count ) can be extremely difficult. A lot of these patients don't know what they should do because they get so much conflicting advice.Should they be trying IVF with their own eggs ? with aggressive superovulation ? or with minimal stimulation ? Or should they continue trying in their own bedroom ? or should they use donor eggs? Does it make sense to spend so much money on an IVF cycle if the success rate is going to be so poor? However, it ’s hard to accept that you will need to use donor eggs, because it’s not easy to come to terms with the fact that your baby will not carry your own DNA.This is why so many older women start obsessing about their AMH level. They track it religiously, and will try anything to get it to improve. They also go from one doctor to another , trying to find someone who will tell them what they want to hear.The reality is that we don't actually treat an AMH number – we treat patients. In one sense, it doesn't matter whether your absolute number is 0.6 or 1.0 - we know that if the AMH is low, this means you have poor ovarian reserve and will most probably have a poor ovarian response to superovulation, which is why your chances of getting pregnant with IVF w ill be lesser as compared to someone with a normal AMH. However, the chance is not zero, and this doesn't mean that you should not attempt IVF with your own eggs. After...
Source: Dr.Malpani's Blog - Category: Reproduction Medicine Tags: low amh low AMH levels poor egg quality Poor ovarian reserve Source Type: blogs