Dr Phil Boyle explains how to treat low AMH and reduced ovarian reserve with a case presentation and review of data from his practice. For more information see Neofertility.ie
Great video thanks for sharing! Do you think spironolactone causes a decreased AMH and a poor responder outcome to egg retrieval? I’m 35, healthy, tested .9 AMH (while on spironolactone), FSH 7.6, had only 5-6 follicles during stimulation and doctor retrieved 2 eggs. I am devastated and shocked. Do you think spironolactone has caused this poor outcome? Thanks!
I am not aware that Spironolactone affects AMH. Natural conception is likely a better option for you. Try the fertility app at www.chartneo.com and work with a provider listed there.
Yes with HCG 2,500iu on days 3, 5 and 7 after mucus peak. Try tracking with www.ChartNeo.com to record your cycle markers, blood results and medical treatment.
I have seen successful pregnancy with undetectable AMH - there is no lower limit for natural conception. If the monthly cycle has stopped or female age is 45+, there is little chance of success.
We treat Low AMH all the time. It depends on the individual but I commonly use Letrozole with HCG and low dose naltrexone 3 to 4.5mg nightly.... Treatment is a process over time and with NeoFertility needs a fertility chart with ultrasound follicle tracking in a specialised fertility clinic.
Age 30, low AMH=3pmol/ml, vitamin D mild deficient and had two miscarriage due to trisomy. We have done kyrotype and a lot of blood test, all come back normal. Should we keep trying to conceives naturally or go for IVF? and reason ? Sincerely waitting for you to reply. Thanks
Hi Ethan. I recommend you work with a doctor providing RRM, Restorative Reproductive Medicine. If you download the app at www.chartneo.com and look under "learn " (tab on left of app) you will find a list of doctors and teachers to help you further. Your chances of success are much higher with natural conception at this point.
Hi im 29 my amh is 12.2 pmol/l my doctor said thats really low but my fsh and ultrasound scan were all normal And my cycles r 29 days.. my doc also told me its hard to conceive with an amh this low
AMH is a little low for your age but will not stop you conceiving. I suggest you track your cycle with www.chartNeo.com and work with a Fertility Provider or doctor listed there.
You are correct. Low AMH means a reduced ovarian reserve. Advancing age is the single biggest factor to predict egg quality. Natural conception with low AMH usually confirms the eggs are good.....But IVF clinics struggle to get success with low AMH as they need multiple follicles to get the best chance of obtaining a good embryo.
AMH is only one aspect to consider for your fertility. IVF clinics recommend donor eggs with very low AMH - but natural conception is often still possible - even if AMH is undetectable. I suggest you track your cycle with www.chartneo.com and work with one of the fertility providers listed there.
Hi Dr. Boyle, thank you for this video it’s gives me hope. I had a mmc eight weeks ago. For pregnant first month of trying. Went to see gynacologist as concerned I have endometriosis while he could not see anything on an ultrasound he said my afc is only 7. Will I be successful in conceiving again ? Do I need treatment?
Hi Sarah, All you need is one follicle. Try our app at www.chartneo.com and work with one of the providers listed at left hand tab under "Learn". Best wishes!
Age is the single biggest predictor of success when trying to conceive. I recommend you work with a doctor providing RRM, Restorative Reproductive Medicine. If you download the app at www.chartneo.com and you will find a map of doctors and teachers to help you further.
I recommend you download the app at www.chartneo.com and you will find a map of teachers to help track your cycle and assess your fertility potential - even before trying to conceive. Your blood results are good.
Hi Dr. Boyle. I am 34 years old. 1.5 years ago (at age 32), my amh was very high at 4.9 ng/ml. I had it rechecked a week ago and it is 2.08 ng/ml. I am devastated and panicking. Does this mean I will enter menopause early? Is there any way it could be inaccurate? I took two morning after pills two months ago, could that still be effecting things? I am so scared. I am single and not ready to have a baby right now but terrified I am quickly running out of time. I can’t understand how it fell so low, so fast. My FSH is 5 IU/ML
AMH levels can fluctuate a lot. I have seen AMH of 1.3pmol/l increase up to 10pmol/l over a period of 3 years..... so don't panic. I don't recommend repeated AMH tests if you are not trying to conceive. The single biggest predictor of fertility is advancing female age as outlined here www.neofertility.ie/single-post/2016/09/20/Fertility-treatment-age-40-plus ...... From 35 years old fertility is declining, so keep that in mind.
Why do they fluctuate? Based on online resources, vitamin d levels, birth control pills are the main reason. Are there any other reason? Please let me know ...🙏🏻🙏🏻🙇🏼♀️🙇🏼♀️
Antral follicles produce AMH. The number of antral follicles decline in pregnancy and after taking birth control pills. Stress can also diminish the antral follicle number. AMH levels can increase over time and are a poor predictor of capacity to conceive naturally.
Hello Dr Boyle, I am 39 years old with endometriosis and fibroids, my Amh levels are extremely low. Not sure what to do. I’m here in New York and my only option is IVF, which is not my choice and very expensive. I menstruate regularly it’s heavy and painful but regular. Is there any chance I can conceive?
Hi doctor. Thank you for the video. I am 29 years old. My AMH level is 0,020. My menstruation stop 6 months. After i went to hospital. Doctor gave me birth control pills. After that my period had come. Now i really want to natural pregnancy. How can i boost my Amh level? How can i become normal period without any pills? I take 5000 vitamin D everyday.Help me pls.
Hi Nomin, It sounds like you are very close to menopause. You are in the menopause if there has been no bleed for 12 months. In that case we cannot help you to conceive naturally. An induced bleed from the hormonal birth control is not related to ovulation. I suggest you work with a doctor trained in RRM - Restorative Reproductive Medicine. See list of Providers and doctors hers neofertility.azurewebsites.net/ProviderMap?portal=True (Doctors marked with red cross.)
You need to look at the units of AMH - if ng/ml multiply x 7.14 to convert to pmol/l. I usually work in pmol/l. Yes you can conceive with almost undetectable AMH, especially if you still have a menstrual cycle. If cycles have stopped, conception is unlikely. In my experience natural conception is better than IVF for low AMH. But you need to see a doctor who can balance your cycle correctly.
1.76 x 7.14 = 12.5 pmol/l - absolutely , yes you can conceive with this AMH. AMH can be temporarily after a time of not ovulating post pregnancy and breastfeeding or after taking the oral contraceptive pill for several years. You should be ovulating for 6 to 12 months before testing AMH levels.
Doctor my age is 34 and my amh is 0.01 ng/ml and fsh 199 Mlu/ml ,but ultrasound shows I have multiple cyst , and also have one cyst around 30mm big and bez of cyst my periods stops since 5 months , is that treatable?, can I conceive ? Also on 2017 I was diagnosed with pcod I don’t know what’s going?Please help me.
Yes it is possible to restore ovulation for about 50% with your clinical picture. Your doctor needs to prescribe ethinyl estradiol 20 mcg daily to down-regulate FSH and try and restore ovulation - If you do not start ovulating within 4 cycles, natural conception with your own eggs is then unlikely. see pubmed.ncbi.nlm.nih.gov/10920090/
You need to look at units used for AMH - if it is ng/ml , multiply x 7.14 to convert to pmol/l. Clinically if you have a monthly cycle you can still conceive naturally.
AMH is low for your age. I suspect an autoimmune factor is affecting your egg reserve. I recommend Vitamin D3, - 4000iu daily, Omega 3 (EPA 700mg daily) , Diet - avoid dairy, eggs and fast sugars and LDN 3 to 4.5mg nightly..... In addition I would track your fertility cycle with www.ChartNeo.com and work with a doctor practicing Restorative Reproduction - through www.iirrm.org Best wishes.
Sir, my AMH is 0.66 and day 2 FSH 19 on day 2 of cycle. I'm 28 years old and have regular 29 day cycles every month. What do you recommend sir? Trying for last 2.5 years. Would like to try naturally itself.
Hi Susan, I recommend you work with a doctor providing RRM, Restorative Reproductive Medicine. If you download the app at www.chartneo.com and look under "learn " (tab on left of app) you will find a list of doctors and teachers to help you further.
Phil I really feel positive after listening to you. I am 41 i have been told i have low Amh. And no point of ivf. But I really want to conceive. I still ovulate and have menstrual cycles. Please can I contact you. Will there be help for me.
Sir my age is 22 and my periods have stopped when I was 19 years and I was told I have hypothyroid and later pcod I have reduced 7 kg weight but no period s recently got checked amh is
Sadly you have entered the menopause and conceiving with your own eggs is not possible now. It is a shock for you and takes time to get used to. I am sorry I cannot help medically.
I don't know for certain why it happened. Donor is possible - but baby will have another woman's genetic lineage. That can be challenging for all concerned. Adoption and fostering are worth considering too.
If you have a monthly cycle we can usually improve the quality of ovulation and help you to conceive, even with very low AMH. As female age advances, live birth rates will fall as outlined at www.neofertility.ie/single-post/2016/09/20/Fertility-treatment-age-40-plus
Yes. AMH is low for your age. I suspect an autoimmune factor is affecting your egg reserve. I recommend Vitamin D3, - 4000iu daily, Omega 3 (EPA 700mg daily) , Diet - avoid dairy, eggs and fast sugars and LDN 3 to 4.5mg nightly..... In addition I would track your fertility cycle with www.ChartNeo.com and work with a doctor practicing Restorative Reproduction - through www.iirrm.org Best wishes.
Yes you can. I recommend you work with a doctor providing RRM, Restorative Reproductive Medicine. If you download the app at www.chartneo.com and you will find a map of doctors and teachers to help you further.
Sir pls tell about clear advice for me,my egg can growth,rupture bt not concive?,all test i can taken,there is no issue,seman also normal,my amh level is 0.16 sir its very low,my dr said go for ivf,bt i cant intrested,my age is 30,can i get natural pregnancy pls tell about sir,i was scared,pls give ur suggestion
Yes you can conceive naturally. I suggest you try to get LDN 4.5mg nightly ldnresearchtrust.org/ and work with Restorative Reproductive Medicine (RRM) - www.iirrm.org
Great video thanks for sharing! Do you think spironolactone causes a decreased AMH and a poor responder outcome to egg retrieval? I’m 35, healthy, tested .9 AMH (while on spironolactone), FSH 7.6, had only 5-6 follicles during stimulation and doctor retrieved 2 eggs. I am devastated and shocked. Do you think spironolactone has caused this poor outcome? Thanks!
I am not aware that Spironolactone affects AMH. Natural conception is likely a better option for you. Try the fertility app at www.chartneo.com and work with a provider listed there.
I have a short follicular phase. How can I lengthen it? Thanks.
Yes with HCG 2,500iu on days 3, 5 and 7 after mucus peak. Try tracking with www.ChartNeo.com to record your cycle markers, blood results and medical treatment.
Hi! sir what is the actual range of amh to concive.?
I have seen successful pregnancy with undetectable AMH - there is no lower limit for natural conception. If the monthly cycle has stopped or female age is 45+, there is little chance of success.
What are the precations should taken after an embryo transfer for a successful ivf ......thankyou
. Sir when a oocyte morphology is not good what should be the medication??
What do you suggest for 40 years old with low amh 0.36 any chance to get pregnant naturaly because ivf can't afford it any supplements thanks
We treat Low AMH all the time. It depends on the individual but I commonly use Letrozole with HCG and low dose naltrexone 3 to 4.5mg nightly.... Treatment is a process over time and with NeoFertility needs a fertility chart with ultrasound follicle tracking in a specialised fertility clinic.
Age 30, low AMH=3pmol/ml, vitamin D mild deficient and had two miscarriage due to trisomy. We have done kyrotype and a lot of blood test, all come back normal. Should we keep trying to conceives naturally or go for IVF? and reason ? Sincerely waitting for you to reply. Thanks
Hi Ethan. I recommend you work with a doctor providing RRM, Restorative Reproductive Medicine. If you download the app at www.chartneo.com and look under "learn " (tab on left of app) you will find a list of doctors and teachers to help you further. Your chances of success are much higher with natural conception at this point.
Hi im 29 my amh is 12.2 pmol/l my doctor said thats really low but my fsh and ultrasound scan were all normal And my cycles r 29 days.. my doc also told me its hard to conceive with an amh this low
AMH is a little low for your age but will not stop you conceiving. I suggest you track your cycle with www.chartNeo.com and work with a Fertility Provider or doctor listed there.
What is the normal AMH levels for a 35 year old in pmol
This is good info about low AMH natalist.com/blogs/learn/whats-a-good-amh-at-every-age multiply by 7,14 to convert to pmol
Sir, my amh 0.58 ng/ml ,age 36 years, can I conceive naturally preganancy
How do you know low amh is meaning bad eggs there’s isn’t any study for bad eggs ?
You are correct. Low AMH means a reduced ovarian reserve. Advancing age is the single biggest factor to predict egg quality. Natural conception with low AMH usually confirms the eggs are good.....But IVF clinics struggle to get success with low AMH as they need multiple follicles to get the best chance of obtaining a good embryo.
hello doctor plese suggest me my amh is 0.01 can i consive ivf
AMH is only one aspect to consider for your fertility. IVF clinics recommend donor eggs with very low AMH - but natural conception is often still possible - even if AMH is undetectable. I suggest you track your cycle with www.chartneo.com and work with one of the fertility providers listed there.
Hi Dr. Boyle, thank you for this video it’s gives me hope. I had a mmc eight weeks ago. For pregnant first month of trying. Went to see gynacologist as concerned I have endometriosis while he could not see anything on an ultrasound he said my afc is only 7. Will I be successful in conceiving again ? Do I need treatment?
Hi Sarah, All you need is one follicle. Try our app at www.chartneo.com and work with one of the providers listed at left hand tab under "Learn". Best wishes!
Thank you for your reply. I’m confused about providers what is their role ? I’m based in Cork
Sir ..im 29 .. i have endometriosis i might do labroscopy ...my amh is 0.87 .. what should i take supplements and try to concieve naturally
Age is the single biggest predictor of success when trying to conceive. I recommend you work with a doctor providing RRM, Restorative Reproductive Medicine. If you download the app at www.chartneo.com and you will find a map of doctors and teachers to help you further.
I'm 33 with irregular cycles my amh is 9.01ng/mL, fsh is 4.3, prolactin 10 would I be able to get pregnant with these numbers?
I recommend you download the app at www.chartneo.com and you will find a map of teachers to help track your cycle and assess your fertility potential - even before trying to conceive. Your blood results are good.
Hi Dr. Boyle. I am 34 years old. 1.5 years ago (at age 32), my amh was very high at 4.9 ng/ml. I had it rechecked a week ago and it is 2.08 ng/ml. I am devastated and panicking. Does this mean I will enter menopause early? Is there any way it could be inaccurate? I took two morning after pills two months ago, could that still be effecting things? I am so scared. I am single and not ready to have a baby right now but terrified I am quickly running out of time. I can’t understand how it fell so low, so fast. My FSH is 5 IU/ML
AMH levels can fluctuate a lot. I have seen AMH of 1.3pmol/l increase up to 10pmol/l over a period of 3 years..... so don't panic. I don't recommend repeated AMH tests if you are not trying to conceive. The single biggest predictor of fertility is advancing female age as outlined here www.neofertility.ie/single-post/2016/09/20/Fertility-treatment-age-40-plus ...... From 35 years old fertility is declining, so keep that in mind.
Why do they fluctuate? Based on online resources, vitamin d levels, birth control pills are the main reason. Are there any other reason? Please let me know ...🙏🏻🙏🏻🙇🏼♀️🙇🏼♀️
updated link on advanced female age neofertility.ie/what-can-neo-treat/
Antral follicles produce AMH. The number of antral follicles decline in pregnancy and after taking birth control pills. Stress can also diminish the antral follicle number. AMH levels can increase over time and are a poor predictor of capacity to conceive naturally.
Wat about premature ovarian failure patients
If you still have a monthly cycle we can work with you to encourage ovulation. I discourage starting fertility treatment at female age of 45 and more.
Hello Dr Boyle,
I am 39 years old with endometriosis and fibroids, my Amh levels are extremely low. Not sure what to do. I’m here in New York and my only option is IVF, which is not my choice and very expensive. I menstruate regularly it’s heavy and painful but regular. Is there any chance I can conceive?
In New York - try Gianna Care www.chsli.org/gianna-center . They provide Restorative Reproductive Medicine.
0.5 amh how many eggs would there be pls ??
All you need is one! If you have a monthly cycle, you can conceive successfully even with very low AMH.
Hi doctor. Thank you for the video. I am 29 years old. My AMH level is 0,020. My menstruation stop 6 months. After i went to hospital. Doctor gave me birth control pills. After that my period had come. Now i really want to natural pregnancy. How can i boost my Amh level? How can i become normal period without any pills? I take 5000 vitamin D everyday.Help me pls.
Hi Nomin, It sounds like you are very close to menopause. You are in the menopause if there has been no bleed for 12 months. In that case we cannot help you to conceive naturally. An induced bleed from the hormonal birth control is not related to ovulation. I suggest you work with a doctor trained in RRM - Restorative Reproductive Medicine. See list of Providers and doctors hers neofertility.azurewebsites.net/ProviderMap?portal=True (Doctors marked with red cross.)
I am 31 yrs old , weight 89 kg and my AMH is .0.56 can i concieve naturally.
You need to look at the units of AMH - if ng/ml multiply x 7.14 to convert to pmol/l. I usually work in pmol/l. Yes you can conceive with almost undetectable AMH, especially if you still have a menstrual cycle. If cycles have stopped, conception is unlikely. In my experience natural conception is better than IVF for low AMH. But you need to see a doctor who can balance your cycle correctly.
Iam 28 and my amh is 1.76ng/ml.my gynaecologist advice me for ivf bt can I get pregnant naturally?
1.76 x 7.14 = 12.5 pmol/l - absolutely , yes you can conceive with this AMH. AMH can be temporarily after a time of not ovulating post pregnancy and breastfeeding or after taking the oral contraceptive pill for several years. You should be ovulating for 6 to 12 months before testing AMH levels.
Doctor my age is 34 and my amh is 0.01 ng/ml and fsh 199 Mlu/ml ,but ultrasound shows I have multiple cyst , and also have one cyst around 30mm big and bez of cyst my periods stops since 5 months , is that treatable?, can I conceive ? Also on 2017 I was diagnosed with pcod I don’t know what’s going?Please help me.
Yes it is possible to restore ovulation for about 50% with your clinical picture. Your doctor needs to prescribe ethinyl estradiol 20 mcg daily to down-regulate FSH and try and restore ovulation - If you do not start ovulating within 4 cycles, natural conception with your own eggs is then unlikely. see pubmed.ncbi.nlm.nih.gov/10920090/
@@PhilBoyle thank you for such positive words. Can you suggest some diet? Also I’m not having periods what should I do for this please help me.
@@PhilBoyle is that oral contraceptives?
Yes - the same active medication from the oral contraceptive pill may actually help you ovulate ..... diet - minimal dairy, eggs and sugars.
@@PhilBoyle thank you 🙏🏼
Sir i am 32 and i have 0.19 amh i am going to opt ivf...but they said i need donor...can i conceive with my own egg ?
You need to look at units used for AMH - if it is ng/ml , multiply x 7.14 to convert to pmol/l. Clinically if you have a monthly cycle you can still conceive naturally.
Hi sir my amh is 1.06,and fsh is 4.91,my age is 28 , can I conceive normally.. And am using DHEA and ova care capsules..
Yes you can. I suggest tracking your cycle with www.chartneo.com and work with a doctor who can provide restorative reproductive medical treatment.
@@PhilBoyle Thank you sir... Thank u so much...
You are welcome Mallu.
Sir my age is 33.my amh is 0.44 .My periods are regular.may I conceive.i m great botheration.and tell me how it can be treated.plz help sir.....
AMH is low for your age. I suspect an autoimmune factor is affecting your egg reserve. I recommend Vitamin D3, - 4000iu daily, Omega 3 (EPA 700mg daily) , Diet - avoid dairy, eggs and fast sugars and LDN 3 to 4.5mg nightly..... In addition I would track your fertility cycle with www.ChartNeo.com and work with a doctor practicing Restorative Reproduction - through www.iirrm.org Best wishes.
My amh level is 7.94 I want to now it’s value in ni/ml
My age is 35 can I conceive naturally
AMH of 1 ng/ml = 7.17 pmol/l - simply multiply x 7.14 to convert from ng to pmol.
Yes. I suggest you track your cycle with www.chartneo.com and work with a provider listed on the app who can direct you further.
Sir, my AMH is 0.66 and day 2 FSH 19 on day 2 of cycle. I'm 28 years old and have regular 29 day cycles every month. What do you recommend sir? Trying for last 2.5 years. Would like to try naturally itself.
Hi Susan, I recommend you work with a doctor providing RRM, Restorative Reproductive Medicine. If you download the app at www.chartneo.com and look under "learn " (tab on left of app) you will find a list of doctors and teachers to help you further.
Phil I really feel positive after listening to you. I am 41 i have been told i have low Amh. And no point of ivf. But I really want to conceive. I still ovulate and have menstrual cycles. Please can I contact you. Will there be help for me.
If you go to the website www.neofertility.ie , it is possible to send a message to our practice and I can recommend treatment for you.
Sir my age is 22 and my periods have stopped when I was 19 years and I was told I have hypothyroid and later pcod I have reduced 7 kg weight but no period s recently got checked amh is
Sadly you have entered the menopause and conceiving with your own eggs is not possible now. It is a shock for you and takes time to get used to. I am sorry I cannot help medically.
@@PhilBoyle sir why this happend to me...can I conceive with donor egg
I don't know for certain why it happened. Donor is possible - but baby will have another woman's genetic lineage. That can be challenging for all concerned. Adoption and fostering are worth considering too.
I was told my amh was 0.099 which they said is nothing lefted and I an 42 any hope for me
If you have a monthly cycle we can usually improve the quality of ovulation and help you to conceive, even with very low AMH. As female age advances, live birth rates will fall as outlined at www.neofertility.ie/single-post/2016/09/20/Fertility-treatment-age-40-plus
I am 32 yrs...my amh is ,1.32...m i able to conceive naturally?
Yes. AMH is low for your age. I suspect an autoimmune factor is affecting your egg reserve. I recommend Vitamin D3, - 4000iu daily, Omega 3 (EPA 700mg daily) , Diet - avoid dairy, eggs and fast sugars and LDN 3 to 4.5mg nightly..... In addition I would track your fertility cycle with www.ChartNeo.com and work with a doctor practicing Restorative Reproduction - through www.iirrm.org Best wishes.
I am 30 yrs...my amh is ,2.97...m i able to conceive naturally sir?
Yes you can. I recommend you work with a doctor providing RRM, Restorative Reproductive Medicine. If you download the app at www.chartneo.com and you will find a map of doctors and teachers to help you further.
@@PhilBoyle Thank you sir
Sir pls tell about clear advice for me,my egg can growth,rupture bt not concive?,all test i can taken,there is no issue,seman also normal,my amh level is 0.16 sir its very low,my dr said go for ivf,bt i cant intrested,my age is 30,can i get natural pregnancy pls tell about sir,i was scared,pls give ur suggestion
Yes you can conceive naturally. I suggest you try to get LDN 4.5mg nightly ldnresearchtrust.org/ and work with Restorative Reproductive Medicine (RRM) - www.iirrm.org