Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

158 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

30 years old. trying to conceive. What should be done to improve anti mullerian hormone?

Answered by
Dr.
Dr. Mahesh Koregol

Infertility Specialist

Practicing since :2000

Answered : 3769 Questions

default
Posted on Tue, 5 Feb 2013 in Infertility Problem
Question: AMH of my wife is 0.46. My wife is 30 yrs old .. is it very difficult to concieve. can i get some remedy to improve her AMH
doctor
Answered by Dr. Mahesh Koregol 1 hour later
Hi,

Thanks for your reply. I read your query and understand your concerns. Following is my reply:

1) Anti Mullerian Hormone (AMH) is one of best indicators to check ovarian reserve ( Means no. of eggs remaining).

2) Normally it should be more than 1. But your report says 0.46 which is very low.

3) AMH alone is not an indicator of ovarian reserve. Hence I advice you to get 2 more tests before taking final call : a) Serum FSH b) Antral follicle count by transvaginal route. These both needs to be correlated with AMH report.

4) Since AMH report could be wrong I suggest you visit an infertility specialist and get above tests done and repeat AMH.

5) AMH levels unfortunately cannont be improved as it shows no. of eggs in reserve at ovary. If eggs are less, they cant be improved.

I hope I answered your query. Please get back to me with above reports.

Regards,

Dr.Mahesh Koregol
IVF & Infertility Specialist
Above answer was peer-reviewed by : Dr. Mohammed Kappan
doctor
default
Follow up: Dr. Mahesh Koregol 39 hours later
Thanks for the reply.

Her FSH is at 10.5 and her ovaries in the present cycle are having around 3 + 1/2 follicles in left and right respectively.

Doctor is suggesting for IVF. But there will be a hestirolaproscopy done tomorow. based on that IUI or IVF will be chosen.

Sir, Cant we become parents. ? We are in highly stressed mode. Can you please let us know and suggest us. Are we in correct path.?

Should we not try naturally? Should we go for IVF immd so that we dont waste time. How drastic fall will be AMH count and follicle count every cycle?

Dont know which is correct. Please help us.
doctor
Answered by Dr. Mahesh Koregol 13 minutes later
Hi,

Thanks for updating. I understand your concerns and the following are my comments:

1) FSH values are high and AMH is low. It means ovarian reserve is dropping sharply. Therefore I feel it is advisable to go for IVF immediately.

2) I do not recommend IUI, considering your FSH and AMH values. Please go ahead with IVF directly.

3) If you are going for IVF there is no need for laparoscopy; only hysteroscopy is advisable.

4) I don't think you need to undergo laparoscopy as IVF is a better solution. The result of laparoscopy is not relevant. Please visit a reputed IVF centre and plan your treatment better.

5) If you need more guidance, I will be pleased to discuss with you before undergoing laparoscopy and share my views with you. Please feel free to call XXXXXXX customer support team on 0000 and they shall guide you in arranging the call.

Looking forward to talk to you...

Regards,
Dr. Mahesh Koregol
IVF &Infertility Specialist

Above answer was peer-reviewed by : Dr. Prasad
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Medical Procedures
Medical Topics ,  

Recent questions on  Infertility

doctor1 MD

Hi there a year ago I was producing stretchy cervical mucus during ovulation and also getting that left sided pain inabdomen. However recently during time I am to ovulate, I only get sore boobs.is there any fertility issues I can be worried about. I have had 3 abortions in the ppast.

doctor1 MD

hi im pooja from chennai. i had uti in december & february. i was taking some medicines for infertility. uti started soon after taking infertility drugs. in february it was worse. reports shows- pus cells-11-12hpf, epithelial cells 5-6hpf & rbc -5. i was treated with norfloxacin 400mg, citrakal and pyridium for 12 days. i was relieved. then after 1 month i took tests. rbc-nil. pus cells-6-8 hpf, epithelial cells-8-10hpf. i have backpain occasionaly. is it any serious condition?

doctor1 MD

I am a 38-year-old male, 6 ft in height and 87 kgs in weight. I had been diagnosed with moderate scalp Psoriasis in late 2007, after which I went in for homeopathic treatment for nearly a year. There was a some relief and I discontinued treatment in 2009. In 2010 I developed reddish Psoriatic rashes on my chest for which I have been under no specific medication. Now in 2011, a semen sample analysis was done for me in connection with efforts for my wife's conceiving a second child. The results showed male infertility with my condition being termed Oligo Asthena Teraspermia (OAT) which is essentially a negative on all three factors of male fertility. I happened to learn that immunological disorders like Psoriasis contribute to Male infertility in at least 10% of the cases. Is this true? And should I see a connection between my two conditions?

doctor1 MD

Hi, This is Vikas varshney. I have just analyze my Semen Analysis and i have the following Results. Quantity 1.5 ML ,colour: Greyish,Liquificatins time:30 minutes, PH:Alkaline,Viscosity: Normal,Total sperm count: 105 million, Motility: 55%,Morphogy: 60%,Pus Cells 8-10/HPF,Round Cells:occasional, Fructose : Present,M I Infertile Man? Or Fertile Can anyone Answer please. Thank you

doctor1 MD

I get a lower back pain which is excrucitating right after my cycle ends.its remians for 4-5 days. And have to take painkillers.Its very debiliating.The feeling is like something in stuck inside which is unable to come out.My lower portion gets...

doctor1 MD

My daughter, 30, no children has always had severe cramps and periods. Now, every two or three months, she almost passes out with pain, sweats profusely, turns white and freezing. I just witnessed this last night. How soon do I need to get her to...

doctor1 MD

hi doctor, i am 44 years old and my ivf is planned next month in XXXXXXX 2018. The Infertility specialist has suggested me to undergo Semen analysis and culture. The results of the HSA is as follows : VOLUME : 1.5 ML Total Count : 65 Million/ML...