Low AMH and High FSH

by Deana
(Lexington, Kentucky, USA)

Hi Amelia,
I’m 38 with a history of stage 4 endometriosis, removal of my right ovary due to a chocolate cyst and fibroids. I had a myomectomy last year to remove six fibroids and none were in the uterine cavity. I have had a total of five abdominal surgeries in my lifetime, starting with the removal of my appendix and a bowel obstruction when I was six years old.

I’m trying to conceive with donor sperm and my RE said that my best choice, due to all of the adhesions, is to do IVF. I have a long history of ovarian cysts and was on the pill for a few years in hopes of protecting my remaining ovary. I have been off the pill for over a year now and I have been to the doctor regarding ovarian cysts throughout that time. I also have FSH of 12 and very low AMH of less than 0.16.

I’ve been getting acupuncture for over a year and take the herbal supplement Nourish Ren and Chong throughout my entire cycle, a prenatal vit and CoQ10 600mg daily. I was tracking my BBT for over a year, and although I have a bi-phasic chart my GYN did a day 21 progesterone test and it was a 3. My temperatures before ovulation, averages around 97.26 and after ovulation, it averages 97.80 for about 11 days and my cycle averages 26 days.

I have had two attempts at IVF, but could not start because the ovary had leftover follicules on day 3. My RE doesn’t want to suppress me with birth control pills because he is concerned that my ovary may not bounce back the way he needs it to, due to the low AMH. I have to wait to see how the ovary looks on my next cycle.

I asked my RE what was the indication of me having leftover follicules and he said it wasn’t a good thing and that it probably meant that I have high FSH because I should not have follicles this early in my cycle.

I don’t know what else to do. I’m starting to doubt my acupuncturist and feel as though I may have wasted over a year going to her, because I’m not sure if things have improved. Is there any advice you can give me? I'm starting to feel discouraged.

Thank you.

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Low AMH and High FSH
by: Amelia Hirota, D.Ac.

Hi Deanna,
You've done a really good job summarizing what you've been doing. Thank you for that. It makes it so much easier for me to advise you.

I think that you've had estrogen dominance for most of your reproductive years. The endometriosis, chocolate cyst and fibroids all point to estrogen dominance as the causative factor. Estrogen dominance is one of the most common causes of many of these growths in the pelvic cavity. To learn all about estrogen dominance and hormones, I recommend that you view my webinar on hormones.

So, now you have a low AMH and a "high" FSH and you're going through IVF. Well, I don't think your Day 3 FSH of 12 is that high. I do not think that it should be a hindrance to you conceiving with IVF. The low AMH is more of a concern, since AMH is a direct measurement of the number of follicles being recruited. To learn about the egg recruitment process in depth, I recommend that you view my webinar on eggs. It's fascinating and very informative.

I commend you on preparing your body for IVF with acupuncture, the Nourish Ren and Chong formula, your pre-natal and Co-Q-10. However, while this is all good, you might need more targeted treatments and protocols to address your hormonal imbalance. I'm sure that everything that you've been doing has been helpful. However, the fact that you have follicles left over from the previous cycle on Day 3, we know that the hormones are still imbalanced.

Quite possibly all you need is some targeted treatments and nutritional supplements that address your particular hormonal imbalances. You probably already have a good foundation with your treatments the past year, which will make it easier to balance the hormones now.

It's not just a matter of bringing the FSH down or increasing the AMH. The hormones have to be in balance, so that the healthy and timely recruitment of follicles is occurring. That's why I think the hormone and egg webinars would be very helpful to you.

I realize that you're already in the midst of doing IVF cycles, but sometimes it's for the best to take some time off and come back to the IVF cycles at a later date. There's no point in pursuing more cycles if the eggs are not in line to stimulate.

I think that it would be a good idea to do a full salivary hormone panel to check the status of your hormones throughout your cycle. Then I would recommend working with an acupuncturist that has a thorough understanding of hormones and how to address hormonal imbalances with nutritional supplements and herbs.

Sending Babydust Your Way,
Amelia Hirota, D.Ac.

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