Can i try IVF for second time inspite of having AMH value of 0.80?

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Posted on Thu, 11 Jun 2015 in General Health
Question: My amh is 0.80 my age is 31 1st ivf cycle faild 9 egg collected 5 is good quality 2 egg is transfer on day 3 .all other reports are normal .we try 2 ivf clycle.
doctor
Answered by Dr. Aarti Abraham 1 hour later
Okay, so what do you want to know ?
And when you have spent so much on IVF, please write in via a PRemium query so that you can write detailed queries and get a detailed answer.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham 1 hour later
So i want to know that can i try 2nd ivf treatment and how much success in 2nd time.my cycle failed 2 days before and other we can try one year for 1st try hmg and hcg injection for 5 month try naturally not to do iui.
doctor
Answered by Dr. Aarti Abraham 1 hour later
Brief Answer:
Need few more details.

Detailed Answer:
Hello
See before I guide you I need a few details.
What is the age of your wife ?
Are her cycles regular ?
Why were you advised IVF in the first place ?
At what place is IVF being carried out for you ?
Do you have complications such as fibroids, endometriosis, ovarian cysts, problems in semen analysis etc ?
And I understood your first question - you want to know if you should try one more IVF, and what are the success rates.
What is your second question - where you have mentioned HMG, HCG , IUI etc ?
Please write in with more details, clearly and avoiding short forms please.
Looking forward to hearing from you.
I will then do my best to guide you further.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham 14 minutes later
My wife age is 31 my age is 32 we try 6 month of try hcg,hmg but not succeed.and my wife is no any problem like fibroids, endometriosis dr said my wifeamh level is low 0.80 and ovary is small.semen analysis is 94 million count we almost try last 2 year for natural.we have any option.
doctor
Answered by Dr. Aarti Abraham 2 hours later
Brief Answer:
Few more questions

Detailed Answer:
How many IUI cycles have been done so far ?
And where was the IVF first cycle done ?
Was laparoscopy done ?
Did she ovulate during IUI Cycles or during cycles of HMG plus HCG ?
What is her height and weight ?
For how long have you tried naturally to conceive before opting for IVF ?
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham 6 hours later
We try naturally last 1.8 year after 1 year dr start injection for 4 to 5 day and after hcg injection try naturally not we do any iui this treatment we do al most 5 month after not succeed dr said no option is ivf so we break 5 month after we done 1st cycle of ivf and its faild 2 days before.mg wife hight is 5.2 inc wight is 53 kg. My wife check 3d 4d altrasound sonoghraphi dr said no need hysteroscopy and laparoscop every think is good.my wife ovulation during injection.she is period on almost 27 to 30 days between. Period is regular.
doctor
Answered by Dr. Aarti Abraham 7 hours later
Brief Answer:
Can try IUI if tubes are open.

Detailed Answer:
SO you have not tried any cycles of IUI.
If she is ovulating well after the drugs, and semen count is good, and the tubes are open, then please go for 2 - 3 cycles of IUI.
IVF can be quite expensive, and if you can afford it, you can definitely go for multiple more cycles of IVF itself.
But if cost is a factor right now, you can try naturally for a month or two, before trying IUI.
4d Ultrasound cannot assess tubal patency, laparoscopy should be done to check if the tubes are open.
SO if tubes are open, you can go for upto 5 - 6 trials of IUI, as that is less expensive than IVF.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham 19 minutes later
8 month beforbwe try drugs and injection type of iui and that time scean good egg made but 5 month of tretment we not scuceed after 3 we broke and start last month 1 cycle of ivf dr said good egg are made but end of the cycle is faild day befor yesterday Dr said problem is only poor ovarie recever we can try after 2 month one more cycle ether we can give 2 month of potocal drugs and injection 2 month they come out and fresh and after period they sclected good egg and after embroy transfer or we can try same cycle which is alredy faild. Can 0.80 amh means last option is egg doner we can not want egg doner. And how much cycle we can try ivf.
doctor
Answered by Dr. Aarti Abraham 9 minutes later
Brief Answer:
NO, you do not directly need egg donor.

Detailed Answer:
See, AMH is low but it directly does not mean egg donor.
Since she produced good amount of eggs everytime, you can try for 3 - 4 more cycles of IVF before trying with egg donor.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham 31 minutes later
Ok thank you so much Dr
doctor
Answered by Dr. Aarti Abraham 10 minutes later
Brief Answer:
Best of luck for the future !

Detailed Answer:
You are most welcome.
You can contact me directly anytime by clicking on the following link -
http://doctor.healthcaremagic.com/doctors/dr-aarti-abraham/64623
Wish you all the best.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham 19 hours later
Can you tell ne dr in ivf tretment if made 9 egg 5 is good qulity 2 egg is growing good in lab with sprem transfer day 3 than why its cycle faild. Our dr said problem in low amh all other partys or good sprem good uterus is good only problem in egg. Than how to make good egg in next cycle.
doctor
Answered by Dr. Aarti Abraham 25 minutes later
Brief Answer:
As below

Detailed Answer:
See , in best of hands, even if all factors are good, IVF success rate is only 30 %.
Only 1 in 3 people succeed.
There are various factors that affect this.
The internal genetic content of the egg matters, not just the outward appearance, and not just number of sperms, but the genetic content of sperms.
The hormones that affect implantation of embryo inside the uterus.
There are lots of steps involved, and a problem can arise at any step in this process.
You should not worry about it, but keep up the hope and keep trying .
Avoid stress.
With a low AMH, best stimulation protocol should be given to optimize egg development.
Where is the IVF being carried out ?
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Aarti Abraham

OBGYN

Practicing since :1998

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