Low AMH and don't think I'm ovulating

Hi there I'm 27 with an AMH of 8.6 - have been testing ovulation with ClearBlue sticks and don't appear to have ovulated on my last period (I've only been checking this last month) - I always have a period but they're generally 4-5.5 weeks apart so are quite irregular. Had FSH/LH tests and these are within normal range (but I didn't test on any specific day of cycle). I know you will need to know more info to specifically advise, but based on this, what do you think would be my best option? IVF/IUI with/without drugs?

I have had an ultrasound scan already which came back as normal but are there other tests I should have prior to starting treatment (whether this is IVF/IUI)? I have heard of other scans which count follicles/test fallopian tubes - would these be required and if so do you need to have them on particular days of your cycle?

And finally - really sorry for so many questions - but we really want two children eventually if at all possible - would this affect the treatment options? Conscious that AMH will get lower and lower so not sure if IVF would be better/egg harvesting if that would be even possible?

Any help would be really appreciated!


Our Expert's Answer

This information was published 11 years, 8 months ago and was correct at the time of publication. It may not reflect our current practices or regulations.

Please note that all the answers we give are on a generic basis only, as we cannot provide more in-depth answers without access to your medical history. If you need a more detailed response, tailored to you, we would recommend a consultation with one of our Fertility Specialists for more comprehensive medical advice.

Less frequent periods suggest that you are not ovulating on a regular basis.  You should carry on testing for ovulation and if this is regular I would advise you to carry on trying for at least a year.  If you are not ovulating then you should see a fertility specialist who can advise you on the way to proceed.  It is likely that you can have straightforward induction of ovulation using clomid rather than more invasive IVF procedures.  

The scans you are referring to depend on the type of treatment you are going to have.  If you are having IUI your fertility specialist may recommend testing the patency of your tubes. This can be performed under ultrasound.  If however, you are having IVF then an antral follicle count early in your cycle may be performed to indicate how you will respond to the medication given.

Your chance of success will decrease as you get older - if your doctor advises IVF treatment and your embryo quality is good then the embryologists will freeze your excess embryos. These can be stored for up to 10 years and in many cases have helped couple have a second baby from the first IVF attempt.  You can freeze eggs but this is usually advised if you do not have a partner.