Low AMH and Pregnancy

by Lou Lou
(NY, NY)

I am 43 and have been diagnosed with low AMH. My FSH and Estrogen levels tested normal (2nd day) but my AMH is low. I was informed by my doctor that getting pregnant would require massive doses of hormone shots and would be "an uphill battle".

I have no interest in hormone shots or IVF. Is it crazy to try naturally? Is it possible to get pregnant with a combination of acupuncture, herbs, whole foods and supplements? My cycles are regular, I have been pregnant before (no children) and am in perfect health.

I look forward to your response.

Sincerely,
Lou Lou

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Low AMH and Pregnancy
by: Amelia Hirota

Hello Lou Lou,
Thanks for your question on low AMH. It's interesting that your Day 2 FSH and estrogen levels are normal, but your AMH is low. A low AMH indicates that there are not a lot of follicles participating in the recruitment process. That's why your doctor is saying that an IVF cycle would require the use of lots of stimulating drugs to pump out a decent number of follicles.

This is the view of the AMH test and fertility from a reproductive endocrinologist's point of view. Because IVF is a numbers game, doctors want lots of follicles to work with to increase their chances of success.

However, with nature, it's not a numbers game. You ovulate one follicle in a menstrual cycle and that follicle is the winner of the contest for that cycle. It's the biggest, best and most responsive follicle in the bunch. If it's good quality and has been nourished well during it's 1 year journey from its primordial state, then you have a chance. Of course, you need good sperm that can swim the distance, balanced hormones that are supporting a good cycle, a healthy uterus that can maintaing a pregnancy and an endocrine system that's communicating well.

It's not crazy to try naturally. You probably have a better chance naturally, than with lots of fertility drugs, as you won't be forcing your body to pump out a bunch of sub-par follicles. I believe that a combination of acupuncture, herbs, whole foods, nutritional supplements, lifestyle testing and some good diagnostic testing is the basis of a good program. Because of your age, I would recommend working with an acupuncturist, so that you're on a good program that's targeted to your needs.

I would be remiss if I didn't admit that 43 is a challenging age to get pregnant. If you were coming to me in the clinic, I would test you thoroughly from the get go, target your treatment protocols and push you hard for 6 months. I think that it's important for women to know that they've given it their all. However, I discourage my patients 42 and older from staying on this TTC path for 2 years or longer. After 6 months to a year, I usually sit my patients down and have a heart to heart with them to see where they are at. Some are ready to let go and others are not. After 6 months of pushing really hard, we start to work on letting go bit by bit. I hope that this is helpful to you Lou Lou.

Sending You Miracle Babydust,
Amelia Hirota, D.Ac.

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