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Low AMH but normal FSH?

I am 35 years old and I have two children, one is 19 years old and one is 19 months old. I conceived both naturally. This time round we have been trying for a year but no success yet, I have charted and used OPK sticks and both indicate I ovulate monthly. However after receiving my low AMH result the doctor I received them from stated we should go straight for IVF with a three month course of DHEA first. Is this really necessary yet or are there other options? It feels quite drastic based on my other results and there are no firm answers on Google. Thank you very much.

Our Expert's Answer

This information was published 7 years, 11 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.

If your partner’s semen analysis is normal you could try for another year as you still have a reasonable chance for normal conception. To increase the chance of success or if your partner’s semen analysis is abnormal then IVF is your best option.  With a low AMH the chances of success with IVF are lower but if you take DHEA it can help the quality of the eggs and ovarian response.