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I am almost 42 years old and I'm still ovulating. My AMH is 3.2 pmol/L, my AFC done on day 14 of my cycle is 8, my day 3 FSH is 6 IU/L (estradiol not measured). I also have an intramural submucous fibroid on the top of my uterus which I need to have removed. I was advised to do Modified Natural Cycle IVF or Mild Stimulation IVF because at my age egg quality is a concern? Do you agree or would you advise conventional IVF? With my DOR time is an issue (I wanted to roll the dice with an IUI ), but am I right in not trying to get pregnant until I've had my fibroid removed because it poses a threat to any potential baby? Thank you very much.
This information was published 4 years, 6 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.
This very much depends on the position and size of the fibroid and whether it needs removing, as time of the essence.
The drug stimulation may be Modified Natural Cycle or high dose FSH and that will require a personal discussion.
We would be happy to discuss this with you at our clinic in a 30 minute consultation following an ultrasound scan.