Fertility Questions

Amh level

I just received my amh level which is 6.05 and I’m 29 years old. Are my levels high or low?

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Our Expert's Answer

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.

Your AMH level is in the low range. It can be perfectly normal, simply suggests lower follicular activity of your ovaries. Your fertility should not be lower however your response to IVF stimulation may be reduced. It is also possible that your fertility will decline over 30 faster than others. If you are not planning to conceive in the near future, it is advised to repeat AMH every 12 months and in case of decline, you may want to consider egg freezing.

Transvaginal Ultrasound Explained

Hi, I recently had a Transvaginal ultrasound and I can’t find any information online about the results. Can you please help:

The report says:

Normal uterus. Right ovary has approx volume of 23ml, containing 7 follicles, the largest of which is thin-walled, 26mm and contains a daughter cyst. The left ovary volume is 6.6ml and contains 11 follicles, the largest is 7mm. Bladder and kidneys are normal.

Thanks in advance!

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Our Expert's Answer

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 is a normal ultrasound scan report, shows good follicular activity in the ovaries (good egg reserve, good response to IVF stimulation). The thin walled follicle with the daughter cyst does not need attention: it may be a small follicular cyst which will be absorbed in the next 1-2 months.

Freezing eggs

I am on zoladex injection for chemical menapause, can I stay on it if I want to freeze eggs?

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Our Expert's Answer

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.

Yes, you can, it will not affect your stimulation. Only when egg reserve/follicular activity is assessed as low is advised to stop Zoladex first for 3 months as it may reduce response to stimulation.

Miss helen

Once pregnancy is confirmed through the clinic whats the procedure going forward do ususe track pregnancy with the midwives? Just a general query really x

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Our Expert's Answer

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.

Our fertility support midwives can always be contacted if you need support. Following your pregnancy test, we would book you in for a seven week scan and form 10 weeks, wew also offer the PreNatalSafe (NIPT) test. Our fertility support midwives are always on hand to provide advice and support whenever our patients needed it, not just afollowing a positive pregnancy test. 

Am I pregnant

I think I’m pregnant but I’m not sure because I don’t know when I was fertile or when I ovulated

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Our Expert's Answer

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.

You may wish to take a pregnancy test if you have not already done so.

Fertility after steroid use

Hello,

I am a competitive fitness model and I have been running steroids on and off for the last 7 years.

I always ran a post cycle therapy course and seemed to recover fine, but for the last couple of years I have been shut down for the whole duration due to work commitments, and I have just been going to a low trt dose of testosterone in between cycles.
I am now ready to completely come off as my partner and I want to try for a baby, but I am wondering the best way to go about it.
I know that it can take any time between 3 months to a year to recover and was just wondering the best options.
Obviously run hcg and hmg along with an anti estrogen and then switch over to clomid and nolvadex for a period of time, but how long would you recommend after being shut down for so long? How do I go about getting the sperm analysis and how long do you think I should wait until I have one done, as I know that this is going to take a while to get back up and running.

Thanks in advance for the help!

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Our Expert's Answer

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.

Thank you for contacting us. The advice we would offer would be to do a semen analysis and book an appointment with our male-factor fertility expert - Dr Muhammed Akhtar.

A blood test in the morning (9-10 am) will be reuiqred along with FSH/LH and Testosterone to be done before the appointment.

Please do not take medication yourself.

Nutrition phase before egg freezing cycle?

I am a 30 year old female and want to go through a cycle of social egg freezing. I am trying to decide what is the better strategy: doing it immediately over the holidays or delaying slightly to prop up my body health over the next 3 months. For context: I am living in France, which does not allow social freezing, but will get the procedure done in Germany (where I am from). I already did a cycle once last year January but only got 9 eggs. Having to go to Germany for the procedure means I have to take 2 weeks off work for this and this is usually tricky to find the timing (i have a very long hour high pressure job). It would hence be better for me personally to « get it done with » over the Christmas and New Years holidays, however, I have put my body under extreme stress in the last months (allnighters, little sleep, eating sugar and smoking under stress, going trough jet lag four times a months at least etc) and I know stress and poor diet can effect egg quality. Would you recommend me to thus delay the procedure and spend at least 3 months to eat healthy, try to sleep more etc, or do you think given my relatively young age it would still be ok to get the retrieval done now? Many thanks for your insights :)

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Our Expert's Answer

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.

I am really sorry for my late response but I hope it may still be useful for you. If you have decided to go for treatment I suppose this is what is possible in your busy life. If you have decided to delay your treatment then well done, it sounds as your very hectic, stressful life may not be the best for your fertility.

The key with egg collection that we have no reliable information about the real potential of the eggs. Therefore it is advised to maximise healthy lifestyle (definitely no smoking) for three months before egg collection.

Healthy and first iui

2 follicles on the right progesterone level was 29.20 and I’ve been cramping and I’m healthy have no fertility issues

Could I be pregnant ?

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Our Expert's Answer

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.

Since your question you have most probably found out if you were or are pregnant. If so then congratulations!

If not then don`t worry. When having IUI, you are most probable to be more aware of any chnages and/or signs of your body such as cramps. Stomach cramps can come from your uterus, your bladder, your ovaries or your bowels and sometimes it is difficult to differentiate.

Please discuss your concerns with your clinic as closer monitoring, small adjustments of your treatment can maximise your chances.

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