Low/lower AMH and TTC2 thoughts...

[starryfish]

Okay....this is going to probably be a sputtering of emotions and words that might not make sense. 

Background: we conceived DD with our 2nd IUI cycle (3rd medicated cycle, we skipped IUI on 2nd cycle and did TI since we were OOT). DH had slightly low #s but we improved it to normal w/ meds. I have endo. 

We went back to the RE this month as DD is almost 1. My DH's numbers are excellent so that is a relief but I have gotten worse. My AMH used to be 4.5 two years ago and now is 1.06. During my ultrasound, she said I have a cyst that looks like endo on my left ovary and my right ovary is hiding behind my uterus (which is new). She thinks the endo has gotten worse (she didn't have my new AMH number yet). I go next week for HSG and then back for a follow up to talk all the results and plan. 

I guess I just didn't expect any of my numbers to get this much worse....I had always heard stories of people getting PG naturally after TTTC or improving, etc. I just wasn't expecting to get worse. Obviously I can't make an IUI vs. IVF call yet until we met with the Dr again, but OMG am I having all sorts of feelings over this. 

I don't know exactly what I am looking for here...but any stories with success with IUI with lower AMH levels would be great. We can get IUI covered under insurance but IVF is 100% out of pocket. Thank you!

[starburst]

My AMH also dropped quite a bit between when we TTC DS1 3 years ago and when we started TTC #2 this summer. It was 4 something back in 2014 and was cut in half at least, maybe more, I can't remember the exact numbers. It took 5 IUIs to get DS, and I just got a BFP this week after my 2nd IUI, so lower numbers doesn't necessarily mean you'll have a harder time TTC.

[scm1011]

Ugh, I'm sorry Starry. I don't have an experience or knowledge in this area, but I hope the follow up brings encouraging news.

[midwest07]

My AMH dropped from normal to around .90 in a couple of years (from age 33 to age 35) after having our first. I started working on some dietary changes and taking CoQ10 (there is a certain type that you should take which is better, I forget now). But we had frozen embryos and were fortunate that one worked and those changes became unnecessary. But I was making the changes in case we had to do IVF again, to better the chances of more/better eggs, and weren't going to try on our own or do IUIs so AMH was probably a little less of a factor. I did a post on this board several months ago about AMH, you might be able to find it.

My RE didn't think .90 was all that bad in the scheme of things, so try not to worry until you can have some more conversations about it.

I don't have experience with endo, so I hope you can get some answers about everything.

[donthasslethehoff]

starryfish, I have terrible, basically non-existant AMH levels (0.03) and I was able to get pregnant on my own twice, but unfortunately both ended in a m/c. In the grand scheme of things, I don't think your AMH level isn't terrible. Hopefully you get some answers in your follow up. Like someone else said, my RE had me take relatively high doses of CoQ10. It didn't really do anything for me, but there's evidence that it does help. It took a whole bunch of IUIs and then ultimately a few rounds of IVF for me to get pregnant.

[awkwardpenguin]

I'm late to this thread, but I wanted to share another story of success with low AMH and endo. I had an AMH of around .5 every time it was tested and in the end, got pregnant with DS with an IVI (intravaginal insemination, because we were using donor sperm). I did IVF twice before that with nothing making it to embryo, so I was completely shocked that my own eggs managed a pregnancy.