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Hi, I am 31 and been trying to conceive for 5 years. I have had one cancelled IVF as my AMH levels are very low - around 1, and the follicles were too small. My sister kindly donated an egg, she has two children, but her AMH levels were also low. One good quality egg was produced, however it didn't implant. I am unsure what to do now. Is there any chance of a natural pregnancy? Should I take DHEA to increase my chances? And will clear blue ovulation kits work if my AMH is so low? Is there anything else I can do? My husband’s sperm is good.

Our Expert's Answer

This information was published 5 years, 2 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.

At your age with a very low AMH you may still have a chance to conceive naturally but after 5 years of trying it is less likely. DHEA will not do you any harm but it is unlikely to greatly increase your egg number. Egg donation is your best option but you need a reasonable number of eggs to give you a good chance of conceiving. I would suggest that you try egg donation again but use another donor with a good egg reserve to give you the best chance.