FSH and AMH – Determining Ovarian Reserve

FSH and AMH – Determining Ovarian Reserve

Determining Ovarian Reserve

It Starts With the Egg Quality

A healthy egg (ovum) is the basis of conception. Without this essential component, a viable pregnancy is not possible. Egg health is related to a number of factors including: a woman’s age, genetics, exposure to environmental toxins, nutrition, drug and alcohol consumption, stress, blood and oxygen flow, and hormonal balance.

Because a woman is born with all of the eggs she will ever possess, lifestyle factors beginning as early as birth can have a direct impact on the health and quality of her eggs. Moreover, the home to the eggs- the ovaries, are also impacted by these lifestyle factors. Each month at ovulation, chance of conception is based upon both the health of the egg and the ovarian environment in which the egg developed. Ovarian reserve is another fundamental factor linked to fertility.

Ovarian reserve refers to a woman’s current supply of eggs within her ovaries and is closely associated with reproductive potential. In general, the greater the number of eggs remaining, the better the chance for conception. As a woman ages, her supply diminishes over time, reducing her fertility, until all of the eggs are depleted at menopause.

Determining Ovarian Reserve Through FSH and AMH

determining ovarian reserveDiminished ovarian reserve can be diagnosed through hormonal blood panels, looking specifically at levels of follicular stimulating hormone, FSH, and anti-mullerian hormone, AMH, FSH levels are measured on Day 3 of the menstrual cycle.

Levels of FSH are dependant upon a negative feedback system between the ovaries and the hypothalamus and pituitary glands.

FSH from the pituitary gland signals to the ovaries to recruit antral follicles. These antral follicles begin to develop, and one of these recruited follicles will eventually grow large enough to become the ovulated ovum, or egg. As the follicles grow, they send their own hormonal signal back to the hypothalamus which shuts down the FSH secretion from the pituitary.

Healthy, responsive ovaries need very low levels of the hormonal signal from the pituitary.

In other words, well responding ovaries are reflected in low levels of FSH. High levels of FSH indicate the ovaries are not responding, which reflects poorer egg quality and a diminished ovarian reserve.

As General Knowledge. Let’s start from the Beginning…

FSH levels – In general:

Under 6 is excellent • 6-9 is good • 9-10 fair • 10-13 diminished reserve • 13+ very hard to stimulate Typically, evaluating FSH and AMH levels, based upon age, gives fertility health practitioners a very good indication of ovarian reserve and egg quality.

These values also may determine the path of treatment most likely to yield the highest success rate for a particular patient. For instance, a very high FSH and a very low AMH may lead some RE’s to move immediately to donor egg. Unfortunately, some clinicians only factor in FSH and/or AMH levels when determining whether or not to even take on a particular patient.

High FSH and low AMH indicate:

• Poor ovarian response to ovarian stimulation (“poor responder”) • Poor quality eggs • Poor quality embryos • Embryos with disproportionately high rate of chromosomal abnormalities (aneuploidy) • Reduced number of euploid embryos (balanced set of chromosomes) • Low pregnancy rates • High miscarriage rates

The Good News…….

But what most women don’t know, is that there are things you can do to help support the health of the ovaries and eggs, but it must be done for at least 90 days to have an impact. During the cycle of an eggs journey towards ovulation there is a window of opportunity, a period of time when certain factors can affect the health of the eggs that are preparing for ovulation.

#1-  Improve your Blood Flow and Proper Oxygenation

Blood flow and proper oxygenation is key to healthy ovaries and healthy eggs.. Blood flow can become impaired from stress, lack of exercise, dehydration. To increase blood flow to the ovaries follow these suggestions:

  • #1a – Stay hydrated: Dehydration can cause your blood to become thick and decrease circulation in the body, as well as many other issues. Make sure to drink purified water that is NOT bottled in plastic.
  • #1b – Move! Brisk walks, jogging, swimming, hiking, yoga, the elliptical, spinning, pilates- find something you enjoy doing and do it regularly.  While some clinicians advise against overexertion while trying to conceive, it is generally recommended that patients engage in mild to moderate aerobic activity.  Not only does it move your blood, it reduces stress which also encourages blood flow to your reproductive organs.
  • #1c – Get Fertility Massage or Learn Self Massage Techniques Massage is great for increasing blood flow to the reproductive system. You can have a massage therapist perform abdomen massage or find a therapist who specializes in fertility or Maya abdominal massage. There are also self-massage techniques that you can learn that you can do on your own at home to encourage blood flow to your ovaries and uterus.
  • 1d – And of Course, Acupuncture and Moxibustion! At Reproductive Wellness we can help you improving your ovarian reserve with acupuncture and Moxa. If you would like to talk with our team of fertility specialist in San Diego, please call 858 381 2281. We offer free complimentary consultations.  You can also start doing moxibustion at home, to help you improve fertility.

Are you trying to get pregnant with no success? Our team of natural fertility experts can help you improve your FSM and AMH so you can get pregnant faster, without going to IVF or other assisted reproductive techniques.


#2. Improve your egg quality through Nutrition

During this window of opportunity, what you are eating can also impact the health of your ovaries and eggs either positively or negatively. It’s up to you. The types of nutrients your eggs depend on are found in a diet dense in nutrition. Check out the Nutrient Dense Fertility Diet for a complete guide about eating for fertility and egg health. Here are some quick food suggestions for supporting egg health:

Top foods for egg health

  • Halibut
  • Salmon
  • Pumpkin seeds
  • Sesame seeds
  • Turmeric
  • Ginger
  • Royal Jelly
  • Maca
  • Fertility Greens
  • Broccoli
  • Berries

Foods that may damage egg health

    • Cigarettes
    • Caffeine
    • Alcohol
    • Sugar
    • Non-organic meats and dairy
    • Soda
    • Low Fat Diet
    • Processed Foods
    • Trans Fats
    • GMO Foods

#3. Take Supplements to improve your eggs

Take a Multivitamin A major key to supporting egg health and preparing the uterine lining is to take a prenatal multivitamin. Making sure your body has all of the nutrients necessary is a lot easier when you are taking a multivitamin.

My favorite is the 100% whole food Baby and Me from Mega Food, synthetic multivitamins won’t have the same effect. It is also a great idea to begin taking a prenatal multivitamin in preparation for pregnancy since there are specific nutrients needed by the embryo/fetus before pregnancy can even be detected.

Go to this link to get a list to my favorite supplements to improve egg quality. I created a category to make it easier for you. You’ll need to click the link, register and use the “search” area. Once there, look for “Egg Quality” and my favorite ones will show.

#4. Fertility Superfoods  

Fertility superfoods are nutrient dense foods that help to nourish the body with vitamins, minerals, antioxidants. One of my favorite ways to take fertility superfoods is to put them infertility smoothies. 

Maca is an incredible fertility super food. It helps to balance the hormones, but does not contain any hormones itself. It is able to do this by nourishing and balancing the endocrine system. This is essential in preparing for pregnancy and IVF because healthy hormonal balance greatly contributes to healthier eggs.

Royal Jelly is a fertility superfood which may help to increase the egg quality and quantities. Royal Jelly is the food that only the queen bee eats. What makes a queen bee the queen is eating royal jelly exclusively. She was an ordinary bee and then she was chosen and fed royal jelly and became the queen bee who lays up to 2000 eggs a day. It should be taken for at least three months before natural conception or IVF procedures begin. Royal jelly is the Queen bee’s equivalent of hormonal stimulation. Take daily for best results. Caution: If you are allergic or think you are allergic to bee’s or bee products, do not take royal jelly.

FertiliGreens is a nutrient rich green powder. It contains antioxidants, minerals, and proteins that help to alkalize the body and nourish your eggs. Take two teaspoons of the powder daily.

#5. Reduce Stress

We live in a fast paced world, and being a woman today has many blessings, one of them being a professional life. But are we constantly trying to hurry up and rush things in order to meet all of our commitments? Dr. Allen Morgan and Dr. Douglas Rabin (reproductive medicine physicians) discovered that “stress also has a detrimental impact on fertility. Women who are constantly under stress produce prolactin, cortisol, and other hormones, which can interfere with or even block regular ovulation.”. The types of stress they are talking about range from traumatic, to less cataclysmic but still upsetting situations, such as an ongoing conflict at work. So, if you are trying to improve your egg health, reducing your stress levels should be a major focus in your life. Take a stress survey here to see if your fertility might be stressing you out. How can this be achieved? Well, first it needs to become a priority. Book some quiet time in your calendar for yourself. During your “quite time” you could:

  • Go for a walk
  • Take a bubble bath (my favorite)
  • Cuddle up with a good book
  • Get a professional massage or reflexology treatment
  • Drink some relaxing herbal tea, such as chamomile, kava kava, or peppermint
  • Practice meditation
  • Go to therapy
  • See an NLP coach

You could also create a ‘stress support system’ for yourself so you have a go to plan when things get stressful, and have habits already in practice so stress does not affect you as much when it does happen. This could be one or two things you do each day that become a habit.

My current ‘stress support system’ is daily meditation, weekly acupuncture, deep breathing and EFT as needed. There are many options to choose from, make yourself a priority and create a plan for yourself you can put into practice right away. “In a study of women who were not ovulating, one group received cognitive behavior therapy and the other group was just observed. 80% of the women who received cognitive behavior therapy started to ovulate again, as apposed to only 25% from the randomized observation group.” We hope this information has been useful. Keep reading about Egg quality, FSM and AMH  in this blogpost.

If you would like to know more, here is what you could do:

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213 thoughts on “FSH and AMH – Determining Ovarian Reserve”

  1. Hi,

    My cycle has been delayed by 6 weeks now. I took Duphastan 10mg for 5 days, but that too didnot induce my cycle. I visited my obgyn today, and after testing my FSH and LH levels, she has told me that i am on my way to menopause. I am 38 years old currently, and would want to have my own baby, which seems only a miracle can do now.
    I am ready to take on this challenge that life has thrown me into.. Is there any way that i can revive my potential to concieve myself? I am otherwise healthy.. no problems whatsoever.
    Would love to hear out from someone out there.


  2. Anindita,
    Your FSH reading in this case doesn’t mean much as it was not done on day 2, 3 or 4 of your menstrual cycle. When you get your next menstruation have them redo your FSH reading and then you can see what it really is as it pertains to your fertility. Once you have this number, if you still need some support to improve your reproductive health, please contact me and I will be happy to help.

  3. I would love any help or additional direction that can be offered. I conceived my first son on the first month of trying in 2010. We started trying in May 2013 for our second child, and we have been unsuccessful. I had blood work done on day 3 and day 21 of my cycle. The blood work determined that my FSH is high (8.2) and my AMH is low. I am 32, 5’7, and weigh 140 lbs. My doctor wanted to immediately start me on clomid and FSH injections. I was not comfortable with that plan yet, and so we are trying to continue to conceive on our own. Since receiving this news last Friday I have eliminated gluten and refined sugars, along with decreasing caffeine and dairy. I have started taking Vitex, Maca, and Red Raspberry leaf. Any thoughts on additional things that could be done to improve fertility chances without adding the suggested medical treatments. Are my AMH and FSH levels so off that I cannot conceive on my own….different resources are suggesting different things.

  4. Hi, My AMH result is 0.1 and FSH at day 3 was 9.5 and after using clomiphen on day 10 , My FSH was 24, can … Now I am 28 years old , so I want to know can i become pregnant naturally or i should go for IVF or donation?
    Please help me !

  5. Hi
    i am only 27 years old and my FSH is 9.95 and my AMH is 0.34
    I am a non smoker and do not take alcohol as well. What can be the problem then? and is there any chance i can conceive naturally? What can i do to improve the situation?

  6. Hi Fatema,
    We would need to know more about your reproductive history to be able to help you. We can’t offer medical advice without knowing more, per example, FSM and AMH number so vary depending on the day of the cycle they were tested.
    If you would like to talk with us about, please feel free to give us a call anytime. 858 381 2281
    If you are close to San Diego or Temecula, we offer complimentary consultations. We would love to help.

  7. I am 29 year old cancer survivor (multiple myeloma at age 25). My FSH in Nov 2013 was 126 and in Mar 2014 it was 55. It dropped by 71. My AMH is currently 0.126. Any chance of getting pregnant?

  8. Hi Alrosan,
    Looking to those numbers, it looks like things are trending in the right direction but without a complete medical evaluation it is very difficult for us to have a full picture of your reproductive health. We would be happy to talk to you and to be able to offer you a more complete analysis of your situation. We could do this by phone, skype or in person. if this is something you would like to do, please let us know.

  9. Marya,
    It is not uncommon to see your FSH go up after a clomid cycle. I would retest your FSH again in a month or two. Being 28 is a positive thing in your favor. To be able to give you feedback on whether it is time to go to IVF/donor or continue to try naturally would take a conversation with you. I need to know more about your medical history to be able to give you that feedback. I would be happy to talk privately if you like.

    Live Always and Love Well

  10. Kristen
    Sorry for the delay in getting back to you, I thought I had already replied to this post. An FSH of 8.2 and being 32 years of age are both good numbers. I do not have your AMH number here so I can not comment on it. Based on this information I think you there is a positive outlook for you to be able to conceive naturally. I know there are a lot of varied suggestions out there which is why it is important to find someone you trust and stick with their suggestions. I do not recommend vitex often so it can also throw off your hormones. I love Maca but not all Maca are created equal, you have to be careful which one you take. If you email me the brand you are taking I would be happy to comment on it. It be able to give you other suggestions would require me to do a more complete evaluation of your reproductive medical history. I am happy to help any way I can if you would like.
    Live Always and Love Well

  11. I am 32, conceived naturally at 28, normal delivery, have been trying for my second baby for past 8 months without success. Recently tested amh 1.6, fsh 5.66, E2 73, antral follicle count 4-5 in each ovary. Deficient in Vitamin D3. RE has suggested more hormonal tests, but baseline assessment is straight go for ivf. How would you diagnose this?

  12. Hi Mansi,
    Everything here looks positive for trying naturally a bit longer. You are 32 (which is young in my book) and the only reason to move forward with IVF NOW is because you do not want to keep trying. This is an issue with time more than anything. If you have the patience and willing to put in a bit more time then I don’t see why you could not conceive naturally if you wanted to. All of this is based on the information you have provided me. I would also begin supplementing with Vitamin D3.

    We can also take a deeper look to your case if you are in San Diego. Feel free to give us a call 858 381 2281

    Hope this helps!

  13. Hi,

    I’m working with an RE, but looking for additional feedback/assistance, my FSH was high at 16.5 and I also had a high AMH at 6.1. I’m 38yo, slightly overweight, ok… a good 40lbs overweight. I’m working on losing the weight through exercise and healthy wholefood eating before attempting one last IUI in August. Anything else you can recommend that won’t cost the earth? We are a military couple and trying for our first.

  14. Hi Doctor

    My age is 48 years old and my results was as following

    fsh 3.2
    lsh 4.6
    amh less than 0.1
    progesterone 0.4
    E2 16.6
    prolactone 20.5

    And I had three children before last child was born in 1997

    What’s my chances now to have pregnancy again??
    And is the shortage in AMH percent indicating a difficult pregnancy??

  15. Hello there… I came across this site after learning that I am showing signs of diminished ovarian reserve. After testing, my FSH was 9.6, my AMH is .75. We had one round of IVF (failed), which produced 7 follicles, retrieved 6 eggs, 4 fertilized, all looked good on day 3, and all arrested late on day 5. We are now going to take a break and try IUI with donor sperm for 3-4 sessions, until we have enough saved up for our 2nd IVF.

    I’d love to try this diet/cleanse… I am wondering, is there anything I *shouldn’t* try, like Vitex?

    Thank you!!!

  16. Leslie
    I am sorry to hear about your difficulties, often the fertility journey can have some bumps in the road. Stay persistent toward your goal. As for supplementation it is difficult for me to make recommendations like this with the little information I have. I do tend to be careful with vitex and any hormone regulating supplements. If you are not under the someones guidance it is easy to begin taking too much or the wrong things. I would recommend having a least one consultation with someone you trust to help get you started on the correct path. I do believe there are things that can be done but without more information it is difficult for me to know where you should start. I am happy to help you further if you like however, I would need to have more to go on. Please let me know if you have any other questions. I would be happy to talk over the phone or private message me if you like through facebook.

    In Health

  17. Hi,

    I am 31 years old now and my amh levels are 0.1 and my fsh is 18 after taking clomidin the earlier month. Are there any chances of getting pregnant naturally with these results.

  18. Hi, I’m turning 41 this year and have been unsuccessful in getting pregnant second time. We’ve been trying since May 2013, tried Clomid 2x and was unsuccessful. I finally went to a specialist and went through fertility testing. Found out I have DOR, my FSH level is 19 and my AMH level is .6. Was told only egg donor or IUI were my options. Have been looking at other methods, started royal jelly, maca and vitex. My question is can these prolong your period. Have been bleeding over a week which isn’t normal for me and thinking of stoping these.

  19. These supplements can certainly cause your cycle to change. This is why I always recommend consulting with a specialist before beginning any new supplements and dietary changes. We have recently begun working with patients remotely via phone or skype. I would be happy to speak with you to create a more appropriate plan to help you reach your goals faster. I do believe with the proper changes we can improve your numbers naturally.
    You can reach us at 858 381 2281 if you are interested in talking to us directly. We would love to know more about your case.

  20. Let me start of by saying I apologize how lengthy this post has become. Hi, I just turned 40 and have a son who will be turning 3 years old in July. In 2010, at the age of 36, I tried for 9 months to get pregnant with no luck. Finally, my gyno sent me to a RE. They ran my blood panel on cycle day 1 and at that time, my FSH was unreliable due to the date tests were run. However, they found my prolactin levels were high and wanted me to get them retested. I quickly stopped taking a beta blocker (which was used as a preventative for my migraines). 7 days later, my prolactin was normal and I literally conceived naturally that month. Fast forward to present time. I’ve been trying to conceive my second child again for 9 months. This time my gyno ran my FSH on cycle day 3 which revealed a 15 and estradioal E2 of 52. Again, I was sent to the same RE. My antral follicle count definitely goes along with my FSH and also my amh of .32. One month I only had 1 antral follicle, then the following month 5, then 4, then 6 antral follicles. I’ve done 2 iui’s. I am diagnosed with diminished ovarian reserve. I recall when I was trying for my son in 2010, I only had 3 antral follicles at that time..the month I conceived.; however, I was a few years younger. I am currently taking duet dha prenatal pill and 400 mg of ubiquinol per day. I have noticed my cycles getting shorter and closer together. I believe this is a sign of perimenopause. The first IUI, I stimmed with injectables, gonal f 300-450, hcg trigger and progesterone. I developed 2 mature follicles that month but did not result in a pregnancy. This past month, I did clomid due to insurance costs and I also developed 2 mature follicles (assuming the low mature follicles is difficulty with stimming).

    My question for you is do you believe ubiquinol 400 mg does anything positive to the body? I noticed you recommend other supplements on your site but not Ubiquinol. I’m curious to hear your feelings on this. Also, if you would recommend I take anything else. I am boggled by how my fertility has fallen off so quickly considering when I was 36, I only had 3 antral follicles. Do you know if taking the drug fioricet for migraines or antidepressants (in the past) could cause diminished ovarian reserve? I’ve never done illegal drugs or smoked..I don’t even drink alcohol b/c of my migraines. I have noticed my hands and feet are extremely cold this past year. I assume this is all related. I live in NY so I am unable to set up a consultation. Any info you can provide me with is much appreciated.

  21. Please don’t apologies for the length. The more I know about your history the easier it is for me to give you feedback. I do believe that it is harder to conceive for many woman when they are trying for their second or third child. I believe that it is less about your age and more about how much your life has changed. Now that you have a child you are no longer priority #1, and if you are lucky you are #2. You may not sleep as well or eat as well. Stress may have increased because now you have someone else to care for. There are many factors that play a role in your decrease of antral follicles. I do think that CoQ10 or Ubiquinol is helpful for changing this number but you should not expect to see this change in a couple of months. This will take longer. More importantly I find that many patients who I treat for secondary fertility issues have underlying or subclinical thyroid issues. I would make sure to have a full thyroid panel completed (not just TSH).

    I hope this helps and I wish you quick success on your journey to grow your family.

  22. Hi,i am posting my query again because last time i provided you with very little information.I can’t consult you because i live in India.I have just turned 28 trying to conceive since past two years with no conception yet. My FSH is 9.95 and AMH is 0.34. Both the fallopian tubes are patent with a normal Uterus. My husband’s semen anaysis is NORMOZOOSPERMIA. My Thyroid profile( T3,T4 and TSH) is absolutely normal.My LH count is normal too.My E2 is 50.30. Latest ultrasound says there is free fluid inside.
    I have had IUI once in which i created 7 follicles but it failed.The doctor says i have to go for an IVF where i will need donor eggs.I am really not ready for the donor eggs option. Is there any solution to this problem.DO you think there is any chance for pregnancy?I am not on any medicines currently.Do i really have to use donor’s egg if i go for an IVF? I am badly in search for a good advice.I need an honest consultation.Please help!!

    P.S. -non- smoker;non-alcoholic.

  23. Hello Fatema,
    Because you are young and your FSH is 9.95 I do think there may be a chance for you to improve your fertility. It would be something that would take time to improve. Unfortunately I really can not give more advice without a consultation to get a full and complete picture of your health. I would also need to see all your labs personally as I do not trust results that are reported to be normal without seeing that for myself. I would be happy to give you my honest opinion but I would need more information and a complete evaluation. We are currently offering skype consultations for a complete reproductive health evaluation. We would be happy to schedule one with you, we have patients in India, so that shouldn’t be a problem.
    If you would like to schedule a Reproductive Health assesment via skype, to learn about what it entails and pricing, please email frontdesk@reproductivewellness.z3dev.com
    We would love to talk to you!

  24. Just started Gonal F hormone injections and had to stop day 8 as my LH was 10.8 and E2 was 30 and was told I have premature Ovarian failure the doctor said stress, diet etc had nothing to do with it and it was my body. I have been reading about Controlling ovulation timing before an infertility procedure. Shutting down the pituitary with GnRH analogue treatment, and am hoping if I take prenatal vitamins along with maca super foods and L-argine for 3 to 4 months and try to reduce my stress and have massages I hope to try IVF again?
    Age 38 no previous pregnancies what are my chances?

  25. Hi, I need an advice if the FSH is too high and AMH is very low, can a woman concived naturally or through IVF ?

  26. Hello Priyanka,
    It may be possible however many hormone values would have to improve and this can take anywhere from 3-12 months.
    If you have questions about your reproductive health, we would love to help. We are now offering Skype/phone consultations where we would outline a complete treatment plan for you, based on your fertility case.
    You can find more information and direct link to schedule your consultation here:

  27. First I’d like to say that I think it is amazing and such a nice gesture that you are responding to so many inquiries. This page has been a GOLD MINE of information! My situation is this: I have a 3 year old daughter and I’m hoping to conceive naturally again. I was recently told that my AMH is .16 and FSH is 4.6. What does that even mean? Is there any change that I will conceive naturally again? I’m currently doing acupuncture, taking: Vitamin D3, a prenatal, maca and INOSITOL. Can you offer any advice?

  28. HI,
    I didn’t know where to post my comment and was after some support. My specialist has recommended IVF asap and even to consider egg donation by my sister. Although I would be willing to accept from my 43 year old mother.
    I’am 25 years old and my blood results have been a shock and have been run several times to check that they are right.
    MY AMH is less than 1 and my FSH is 30 !!
    I have not responded to Clomid medication even double strength.
    I have been diagnosed with Premature Ovarian Failure.
    What is the likely hood of conceiving through IVF with my own eggs?
    Has anyone else been in this situation?

  29. Hi,
    im writing for my wife, she is 38 year old, we have married for last 3years, during 3yrs of period she conceive twice naturally but miscarriageo, she got checked all tests are normal except these :

    AMH level is : 1.6 ng/ml & FSH level is 2.6

    could you please guide is it good for get pregnant in natural way ? also any supplement to increase fertility

  30. I am happy that you are being proactive about making changes to improve your fertility results. Everything you mentioned is a good start in the right direction but I think you may need to do more. The logical next question is what more to do? That is difficult to answer because I know very little about your overall health. I think you will need at least 4 months to see change. Your chances will have to be reevaluated with new labs once you do them again in 4 months time.
    If you would like us to review your case and give you a complete plan to improve fertility, we are offering Skype/phone consultations. We would love to help!
    You can find out more and schedule one here: https://www.reproductivewellness.com/reproductive-health-consultations/

  31. Brandi, Thank you for writing. Your number, if taken at face value, mean that the amount of eggs you have in reserve (waiting to be ovulated every month) is low. Your FSH number doesn’t tell me much without being to also see other values. I don’t personally put a lot of value in your AMH numbers but others do. What I can say is that I have seen patients with numbers much worse than yours, and with treatment and time, be able to conceive naturally. Because I do not know enough about your case it is rather difficult for me to be able to give you more advice. Keep doing everything you are doing, listen to your acupuncturist and give it some time. Being 32 you have some time to make the changes needed.

    If you would like more specific guidance feel free to look at our new skype/phone consultation services. https://www.reproductivewellness.com/reproductive-health-consultations/

  32. Jess, the only way you will be a candidate for IVF with your own eggs is to get your FSH lower. They will want it as close to 10 as possible to even consider your own eggs. The fact that you are 25 is a positive and in your favor. Use this to your advantage and start making changes now to improve your FSH.

  33. Rajeev, I can not recommend any specific supplements without being to consult with your wife. I am not convinced that all your numbers are normal after hearing what your wife’s history is. Her FSH is too low and shows that her egg quality is diminished.

  34. I am not sure that I would place too much significance on these numbers. I had undetectable AMH levels at 34 and yet was able to get pregnant the second time around with clomid and an IUI. I think that age is a much bigger predictor of quality than AMH and/or FSH.

  35. I wanted to know if realistically there was anything I could do to increase my chances of getting pregnant naturally. I have everything going against me. I’m 44 and my last labs were done February 2014 – FSH 30.8 and AMH .008. In January of 2013 I miscarried, I had a blighted ovum. It was a shock that I was even pregnant because we weren’t trying. Since then I have not been able to get pregnant again and like I mentioned my circumstances are not favorable. If there are realistic options I would be interested in knowing them.

    Thank you for your time!

    Best regards,
    Jackie S.

  36. Hi! I am so glad i came across with your site. This is my story, I have been TTC for 4.5 years, last year I had an ivf and I only had 1 egg, this egg was transferred and did take but unfortunately , pregnancy didn’t progress and I miscarried at 9 weeks. I went to the dr this week and was diagnosed with low ovarian reserve . my FSH is 15 , AMH .15 I am 39 years old. Is it possible to have a successful ivf#2 with these numbers? What would you recommend ? Also , what supplements should I take to improve my chances.? I am currently only taking prenatal vitamins. Thank you so much for taking the time to response. Have a great weekend.

  37. Jackie
    You need to have someone evaluate your health create a plan for you. Certainly the fastest way at 44 to conceive is to use IVF. If you do not want to do this and it will take time. It is difficult for me to say if there is a chance. I always believe there is a chance, but with your current numbers your chances are low.
    Are you located in San Diego? If you are, we would love to help you putting a plan together as soon as possible. We can also do it online via Skype of phone.
    You can find all the information here: https://www.reproductivewellness.com/reproductive-health-consultations/

  38. If you are looking for some general information please read some of my posts (please link to some of the posts on FSH). If you would like more tailored information and guidance I would have to speak to you for a full assessment. You can find the information for this here (link). Certainly, your fastest and best chances for pregnancy are with IVF. It was successful in the past so I would like to believe that it will be in the future.

  39. Hi,
    I am 36, my FSH is 9.2, and AMH 0.1. my doctor said my only option available is IVF with DE. what i suppose to do?

  40. Hi! My 3rd day hormonal test results were as follows: E2- 38.58 FSH 5.3 LH 1.6, AMH 2.049 ng/ml. My thyroid hormone levels were: TSH 2.48, T4 1.23 and T3 3.57. I am 41 years old, and trying for my first. BMI 35. What are my chances of getting pregnant with my own eggs? What can I do to improve my chances and egg quality? Shall I go directly for IVF/ICSI or shall I still try on my own?
    Thank you for your help and advice!

  41. Donor egg will always be an option. At 36 your success rate with donor egg will not change if you are 37 or 38. If you want to have a child with your own eggs then you have to seek the help of someone who can help you make the changes you need, naturally. If you give it 6-12 months to make the changes hopefully we will see the results you hope for. If at that point you are not successful Donor egg is always an option. If you want to get results NOW, then IVF makes the most sense.

    I would love to review you case. If you would like, here is the information for an online consultation:

  42. Hi Anila,
    The questions about trying with your own eggs or go to IVF is really a question about TIME! Your numbers show that you have enough eggs in reserve, which is great. Your FSH and E2 seem a little low for my liking and I would like to see this improve. I would assume that to make the needed changes to your levels would take about 3-6 months. If you are willing to put in the time and make the changes needed then I think you can conceive on your own. I dont recommend waiting if you are not going to do anything about this. If you are going to be proactive then I believe a lot can be done. You have to decide how much time you are willing to put in, and that you are ok waiting for, before you move toward IVF.

    We could always review your blood work and create a plan for you if you would like. We are now offering skype consultations if you are not close to southern california. We would love to see what else can we do for you.

  43. i am writing for my wife ,her age 29, i got married 4 years before,she suffering from high amh 16.5 tested in 2013 march,second time in 2014feb it is 16.25, and last it is tested oct2014 ,14.05ng/ml, she had no habits,her wight 62kgs.,height 5.4feet, she has been taking treatment homeopathy for last one and half year,please send your suggestion to my email, my count was perfect.

  44. Hello,

    I’ m a 33 hear old woman en diagnosed with pof 2 months ago,my fsh was 107 !! And my LH 52 .
    My question is if it is possible with such high level to bring them down? I already trying accupuncture and vitamins en also shativari .
    I also Gonna try the herbal tea that the Chinese woman give me.
    I realy Wanna know if there is still a little hope or if it is useless.

    Thanks for taking the affort.

  45. my name is manasa my age is 25 years my amh level is very high and i am taking treatment now my doctor told only treatment is diagnostic laproscopy please help me give any suggestion

  46. Hi, I am 41 years old and have had two failed IVF cycles. In a previous post you emntioned that not all Maca supplements are created equal. I buy the Navita Naturals gelatinized powder. Could you let me know your thoughts on this brand?

  47. Hi Amavel
    These certainly are high numbers however it is difficult for me to give feedback as I know very little about your medical history.
    These numbers do not make me feel confident however you age is in our favor. To change these numbers will take time and effort if it is possible.
    I would love to talk more about your case. If you are not in California, we offer skype consultation as well.
    You can find all the information here:

  48. Hi Manasa
    Has your doctor done any lab work?
    My suggestion is that your doctor needs to rule out PCOS
    Hope it helps!

  49. Hello,

    I’m 37 and just took out the Mirena IUD last week (had it for 2.5 years) in preparation for trying to conceive. I haven’t had a normal flow period (just random dark and thin spotting throughout the last 2.5 years) so I have no idea when/if I will go through a cycle or have my period. I anticipated trying naturally but also wanting to go through embryo freezing in knowing I want several children. I conducted my first round of tests and they were devastating. AMH .01, FSH 31.7, my AFC 4. I’m not sure if anyone will take me as an IVF candidate to use my own eggs. I was told I had a 1% chance of conceiving via IVF with my own egg. Is there any possibility that because of the IUD or because of my extreme stress (job and life) and rigorous diet and workout routine (I train 5 days a week 1.5 hours each day) that this could effect my test results and is there anything I can do to improve my results in preparation for IVF?

  50. Andrea
    I am sorry to hear about your situation and the prognosis you have been given. Everything we do will affect our health and conversely our fertility. Stress, lifestyle, diet among other factors will absolutely affect your fertility. The first thing I don’t really trust are your hormone results. These levels are incomplete and not completely accurate with the fact that you have not had a cycle. With your age I do believe that there is hope, but you have some work to do to correct the current issues. I help women with similar circumstances often, and with some work from all of us, change and pregnancy may be possible.
    I am happy to help if you need. If you are not in San Diego, we can have an online consultation. Let me know if this is something you would be interested into.

  51. Hi –
    I am 41 years old trying to conceive and my amh level is .901 ng/mL. I’ve been taking DHEA for a month now and excersing which seems to be helping amh levels were .41. What are my chances of conceiving with my own eggs via IVF? Thyroid levels are normal my doctor doesn’t use FSH only amh levels. I have conceived naturally before.

  52. I am 32 years old and have never pregnant. I have been trying to conceive for a year but have been unsuccessful. I recently went to the fertility specialist where they did major blood work to check on my hormones because I had a missed period in November and June of 2014. Yesterday, I got a call from the fertility specialist my AMH level is .03!!!!! Is there a chance for me to get pregnant with my own eggs? I am both shocked and devastated to find this out. my whole life I have had two missed periods to find out my AMH level is .03 is a shock to me!! I am so confused and getting too emotional while the rest of my blood work is being processed!!? Any advise or support is greatly appreciated. Did anyone else go through this?

  53. I think you are on the right path and doing the right things. If you decide to use IVF I think your chances are good, but a lot of that will depend on the protocol you are prescribed and the IVF clinic you go to. If you need support during your IVF, I can give you guidance to make your cycle the most successful it can be.

  54. Hi Zhe,
    I have seen this and I do not think that this is accurate. I would have them check your Vitamin D levels. if those levels are low then I believe that your AMH is being suppressed and this may be due to your low Vitamin D levels. There is some research on vitamin D and AHM levels. Please feel free to call me for a free consultation. I can put you on a plan to improve your AHM and overall fertility naturally.

  55. Hi Meg
    I just wrote you an email. I am going to be talking about Maca and other supplements to enhance fertility on my youtube channel very soon. Stay tuned. It will be short, but very explanatory.
    You can check the videos we have right now here http://bit.ly/thefertilityexpert

  56. Hi Amavel
    You need a whole plan to take control of your fertility. You are doing things right (acupuncture, supplements, tea…) but it all needs to be part of a plan. Doing things here and there might be very confusing and frustrating for you, as you might not see results. I am going to send you an email right now. Hope it helps!

  57. Hi
    I am having missing periods since 4 months. I am having initially subclinical hypothyroidism. TSH levels in range of 5.66 after taking homeopathic tretment. Rest all my hormones like FSH,LH are within normal range. What should i d?

  58. Hi Priya
    You need to get your thyroid under control. You dont have subclinical thypothyroidism, you have hypothyroidism.
    You need to find someone who can help you. We are happy to help if you would like to work with us.
    We offer complimentary online consultations. If you would like, enter your contact information on our site or email frontdesk@reproductivewellness.z3dev.com to get scheduled.
    Hope this helps!

  59. This website is so informative. Thank you so much
    I’m 43 yrs old , DH 44, have one child conceived thru ivf 10 yrs ago
    We desperately want a second child
    Had done one ivf at 42 which was not successful
    Is it possible to conceive with my own eggs or should we consider donor eggs
    Please advise

  60. iam 32 years my fsh (16) and my amh(0.8) i ask about my chance to get pregnant naturally or i must do IVF . and what the plane for me.

  61. hi, I am 31 and recently my doctor told me my amh is 0.18 and fsh is 26. is there a chance for me to get pregnent with ivf. i am also vit D deficient. can maca help meif yes please tell me how much and which brand and i have never missed my periods. how long will i have my periods will they stop in few month

  62. I am 37 years old. First pregnancy at 36 ended in early pregnancy loss. Have not been able to get pregnant since. i work in a healthcare setting (non medical) however; there have been 7 miscarriages and 7 pregnancies. I recently had blood work on the 16th day of my cycle. Am having an ultrasound and hystopingography due to painful periods…. doctor is going to review all results with after diagnostic test but meanwhile i have lab results that i can’t quite make much sense of and it’s causing me some anxiety… any help is greatly appreciated.
    Progesterone <0.5

  63. Fatima
    With your current levels you are not a good candidate for IVF. I would recommend you give yourself 3-6 months (at 32 years of age you have a bit of time to invest in yourself) to make the needed changes. As for a plan, you can connect with me with this link to schedule a time to talk. Please click here and add your information and we will contact you to schedule a free consultation. http://bit.ly/TTCwithmarc

  64. Hello! My husband and I have been trying to get pregnant for the past year with no luck – I am 31 years old and he is 30 years old. We finally sought out some more information and found out that I have high FSH (13) and low AMH (0.83) – I also have mild endometriosis. To add to all of that, my husband’s sperm revealed that he has 3% normal sperm. 🙁

    We obviously have some issues to work through and I would like to seek alternative options as well as seeing a fertility specialist on March 3rd at San Diego Fertility Center. Do you think you could help us? I would love to try other things to help us improve our chances. Thank you so much!! Jenn

  65. I am 43 years old and have never pregnant. I have been trying to conceive for a year but have been unsuccessful. I recently went to the fertility specialist for IVF treatment, where they did major blood work to check on my hormones because I had a missed period in November and June of 2014. Yesterday, I got a call from the fertility specialist my AMH level is .2 ng/ml !!!!! Is there a chance for me to get pregnant with my own eggs? I am so confused and getting too emotional while the rest of my blood work of my day2 processed!!?and the result of FSH -48.77 mlU/ml LH-20.64,mlU/ml, Prolactin-22.89 ng/ml and (E2)-12.98 PG/ML . Please advise IVF OR DE your advise is greatly appreciated. Did anyone else go through this?

  66. I am 43 years old and have never pregnant. I have been trying to conceive for a year but have been unsuccessful. I recently went to the fertility specialist for IVF treatment, where they did major blood work to check on my hormones because I had a missed period in November and June of 2014. Yesterday, I got a call from the fertility specialist my AMH level is .2 ng/ml !!!!! Is there a chance for me to get pregnant with my own eggs? I am so confused and getting too emotional while the rest of my blood work of my day2 processed!!?and the result of FSH -48.77 mlU/ml LH-20.64,mlU/ml, Prolactin-22.89 ng/ml and (E2)-12.98 PG/ML . Please advise IVF OR DE your advise is greatly appreciated.

  67. Hi AC
    I dont have enough information to be able to give you my thoughts but in general you will have higher odds of success with donor at your age. If you would like, we can have a phone conversation to review your full case.
    I offer skype and phone consultations. If this is something you would be interested into, you can find more info here consult.marcsklar.com

  68. Hi Ema
    On day 16 of your cycle your fsh is not accurate for our needs. This needs to be done on Day 2, 3 or 4 with LH and E2. Your AMH is low but I dont trust this number. Watch my video on AMH, here is the link https://www.youtube.com/watch?v=BQC1cF93tHI
    If you want to talk more about your case, I offer online consultations. consult.marcsklar.com

  69. I am 43 years old and I have been pregnant twice but all ended in a miscarriage. A recent blood work revealed that my FSH is 10.03, Estradiol is 38, Prolactin is 9.93, AMH is 0.295, my partner’s sperm volume is 8 million instead of the 20 million. Will I be a good candidate for IVF? I am taking sprulina, maca, dhea, royal jelly, wheatgrass, L-arginine, and vitamin C in my smoothie every morning, I am also on prenatal, coq10, maca ,omega 3 and wheat germ oil. Will this help me or harm me. Your Input will be greatly appreciated.


  70. Hi – am 37 years old, never been pregnant, have the following test results:
    Day 3
    FSH: 5.3
    LH : 6.4
    Estradiol – 38
    AMH – 6,6ngml
    I do not have PCOS, we have just done first IVF-ICSI as my husband has male factor infertility. We got 18 eggs, 15 mature, only 8 fertilized, 7 normally and of those 7, 3 embryos were too fragmented to transfer. We had to postpone transfer as I got a pain attack from OHSS which didnt last long but was quite dramatic (trip to ER). I did an antagonist protocol, lowish doses of Gonal, menopur & ganilrelix, then hCG shot. Bit surprised only 50% of the eggs fertilized. We will have a frozen transfer in 3 weeks, am taking pronatal supplements. We have 3 day 3 embryos frozen and 1 morula….any advice you have is much appreciate,d, thanks

  71. Hello Marc,

    After saving up some money, we are now hoping to do another IVF this summer. The question is, will we use my eggs or a donor egg. Of course, I want to use my own egg and would love to talk more about lifestyle changes I can make to boost my chances of success. I will try to message you through Facebook!

  72. Hi,

    Just looking for some other insite on my situation. Got pregnant almost one year ago, miscarried at 6.5 weeks and have not been able to get pregnant since. Fertility Doc wants to immediately jump to Clomid with Injections and IUI. He said Clomid alone is useless. I am still thinking on what to do. I started seeing an acupunturist who says my levels are great, opposite of what doctor said. She had me immediately cut off coffee, sugars, soda and cut back on salt. I’m on week 3 of this info and acupuncture. My HSG came back normal as well, no blockage.
    Age – 34.5
    AMH -1.15
    E2 – 31.6

    Partner stats:
    Age – 42.5
    He also has a 15 year old child
    Concentration – 42mil
    Motility – 73%
    Morphology – 5%

  73. I am 39 yrs and never been pregnant. My results are: FSH-7, AMH- 0.56 at day 3. TVS showed 2 AFC in left ovary and 4 in right ovary. I want to get pregnant with my own egg. Suggest me what should be done.

  74. I want to know that my AMH is 19.My doctor is giving me medicine to reduce the AMH, but i want to ask that what exrcise and diet should i take to reduce this AMH

  75. I want to know that my AMH is 19.My doctor is giving me medicine to reduce the AMH, but i want to ask that what exercise and diet should i take to reduce this AMH

  76. Charly
    thank you for your post. Regarding you question about acupuncture I do think that it would be beneficial to help with the FET. My thoughts about your last cycle are that I would be concerned that your protocol or dosages were not appropriate for you. I think this deserves another look. If you would like me to review your case, you can schedule a free consultation here: consult.marcsklar.com

  77. Hi Leslie,
    The best way to contact me is scheduling a free phone or skype consultation here: consult.marcsklar.com

    I don’t know enough about your case to make any recommendations, but we can go over everything during the consult.
    Looking forward to talking with you!

  78. Lisa
    I dont have enough information. I would like to know what your LH is. Based on what you told me I also think that your E2 is too low for my liking and I would like to see your husbands morphology increase for natural conception. I think it is premature to jump into IUI cycles for you. In my opinion you are young and have time to try naturally as long as you make some changes on your end. I would love to review your case and study if you really need an IUI. consult.marcsklar.com

  79. Rekha, Unfortunately this is not enough information for me to be able to give you feedback. If you would like to have my thoughts please schedule a free consultation with me to discuss your reproductive history. Here is the link consult.marcsklar.com

  80. Hello. We have three failed IUIs, one failed IVF (three embryos, all arrested on Day 5). I just turned 40.

    My AMH is .70
    antral follicle count is 5
    FSH at 20.5 (doubled in one year)

    We have been told a donor egg is our best chance. I’m just posting here in the off-chance that there is some hope, or if in your experience, these numbers are too dire for the use of my own egg. I’m trying to be honest with myself in this process.

  81. Hi,
    i’m going to be 18 in this coming june and i’am suffering from pcos, having fsh 11.96 and lh 9.68 . My doctor adviced me to go through birth controlling pills. Which i stop having from last 3 months.. And the day i stopped having pills my periods stops too..and i ‘m teen so i dnt wanna go through pills whole my life so i stopped…my weight is 37 pls pls advice me help me . Can i’be able to have my period regular?

  82. please help me!
    im 29 yrs I have FSH 5.19 and AMH 1.57
    IM TRYING to conceive since 3yrs due to this
    fsh and amh can I become pregnant or not please suggest me I have thyroid bt regular periods please

  83. Nazia
    PCOS requires a complete plan that is customized for you. I am happy to help you do this if you like. You can go to consult.marcsklar.com to set up your time with me.

  84. Kala,
    If you are able to treat and control your thyroid (you did not mention what your thyroid issue is) you should have a good chance. You need to get that under control and I am happy to help if you need. consult.marcsklar.com

  85. Hi ,
    I am 29 year old and just started to plan for a baby ..My doc as a routine suggested me to go for AMh/FSH/TSH test done.I got it done on 16th day of my cycle and here is the result:

    PROLACTIN: 28.73

    I am having very regular cycle till date (between 28-31 days always).But this the 1st time ,i got my cycle on 18th day it self…The discharge was also not normal..Mostly brown and red for 1-2 days(Not muc flow as well).I also got one folecular scan done on day 18th…The dominant folicule was of size: 14mm.

    I am just freaking out…Every where its mentioned that HIGH FSH/LOW AMH ,only 1 solution :donnar egg.

    Is there no hope for me??

  86. sorry ! thnq so much for your reply.
    recently checked my thyroid tsh is 0.05u/ml
    and reduced the dose also. this month I visit my gyn she said on 10th day follicles are 19mm ,10mm,8mm like are their. she planned for my 2nd IUI.
    if try normally it will success or I should go for IUI / IVF please help me sir im becoming mad please ….

  87. Hi Sanjana
    Your FSH was done on the wrong day of your cycle. It needs to be done on Day 2, 3 or 4 to get an accurate reading. It needs to be retested. Additionally your TSH is too low. Your thyroid needs to be evaluated more completely by your physician. You need to get that under control and I am happy to help if you need. consult.marcsklar.com

  88. sorry ! thnq so
    much for your
    checked my
    thyroid tsh is
    and reduced
    the dose also.
    this month I
    visit my gyn
    she said on
    10th day
    follicles are
    like are their.
    she planned for
    my 2nd IUI.
    if try normally
    it will success
    or I should go
    for IUI / IVF
    please help me
    sir im
    becoming mad
    please ….

  89. Hi my husband and i have be TTC for the past 7 months. Im 38 and he will be 40 this august. We visited an RE 2months ago. The his Sperm Analysis was normal. My day 3 FSH was 22 and AMH .33 we repeated a month later, fsh 10.1 anf AMH 1.3. I had an HSG which showed no spillage on the Rt Tube patent Lt tube. We just repaeted the day 3, FSH 16 AMH .97
    Could we be candiates for IVF with our my own eggs?

  90. Started trying to conceive for the 1st time at 35, pregnant after 3 cycles. Miscarriage at 35 yrs old. Difficulty conceiving since miscarriage (5 months). Fertility labs drawn by OBGYN. Day 3 lab results
    FSH 7,
    AMH 0.11 ng/ml,
    Estridol <15,
    LH 2.4
    TSH 0.47.
    : What are my chances of conceiving (I am now 36 yrs old) with my own eggs ??
    Thank you

  91. Hi,

    My wife has FSH level 10 and AMH level 1.4 ..Could you please suggest what is the best option ?

    We consulted infertility and they suggested to go for IVF but her age is 27 and I am not able to decide…Could you please suggest…she has a thyroid as well with 6.78..

  92. I have a day 3 FSH of 10.6 and an AMH of 1.6 – I’m 36 years old, healthy yada yada. my day 21 progesterone are always above 40… I’ve been told I have a 2% chance naturally and an 8% chance with IUI…. UGH!
    Do those odds sounds about right and what are your thoughts on DHEA?

  93. Hi Jane,
    I think these odds sound very low and not appropriate for you and your individual history. I would give your odds to be about 15-20%
    DHEA is something that needs to be assessed per individual with your blood work dictating coarse of treatment. If you want, I would love to talk with you.
    You can schedule a free fertility assessment with me here consult.marcsklar.com

  94. Hi I am 28 , my fsh is 11.06(Day 2 , amh is 2.1 had no child before progestrone (Day 25) 12.1 ,AFC had 6 tiny follicles in left & 2 in right ,,,I am on clomid cycle 1 left for one month and continued again this month with duphastone & Dhea ovafem plus supplements…What are my chances of natural conception… TTC 6M ..how long should we wait before going for other techniques

  95. Hi,

    I hope you can help. i am 42 years of age, single and would like to have my own baby. i belatedly decided this year to have my eggs frozen in India. After undertaking some prelim tests the docs advice is that i should have egg donation and that there is little chance of any eggs being found. i am an optimist and believe strongly that good diet etc can assist greatly with things like this. i have started taking supplements and modifying my diet. i am slim and exercise alot (marathon runner and half iron man distance triathlons).
    i therefore exercise alot more than the average person. however i am addicted to sugar and for years i have eaten foods with high sugar content which i am not cutting out of my diet.
    the doctor said that they would attempt to freeze my eggs but i would have to sign a disclaimer saying that i understand they may not find any. they said there is a 10 to 15 % chance of success. my results are below and were taken on the 2nd day of my period.

    anti mullerian abs 0.19
    estradiol 89.58
    FSH 22.91
    LH 10.28

    i really dont know what to do. my thoughts were for the next three months:
    drink no alcohol/caffeine
    eat no sugar

    eat a fertility enhancing diet, take acupuncture, take wheatgrass and sprulina twice daily and then travel to indian to see if they can freeze my eggs.

    can you please advise.

  96. Hi Marc,
    Im 39 and just got back my CD3 test, FSH 10. LH 6.1 E2 43. and an AMH 1.16
    I have one ovary, one was removed 5 years ago. My question is would those number look consistant with Perimenopause? My Doctor doesnt think I am but my cycles range from 23-26 cd with this past year my period lasting 3 days. I’m always cold and had TSH testing with T3 and T4 always normal.. Am I missing something else to test?

  97. Hi! Im 34 with FSH 7.3, AMH 1.93, TSH 2.11, Estradiol <73. What are my chances of conceiving with AI?

  98. I recently had my CD3 test done as I thought I might be perimenopausal due to my cycles. They are anywhere from 23-26, and have gone from a 5 day period to a 3 day period.
    I am 39 and had one ovary removed 5 years ago to a very large Endometrioma, my husband and I would like to concieve but Im worried i’m beginning the “changes of life”.
    Would these numbers be an idea that it might possible? my OBGYN doesnt think so, but I dont know what could be going on with my cycles other than my age…
    CD3 test,
    FSH 10
    Lh 6.1
    E2 43
    Proges 0.5
    Testostrone 13
    AMH 1.19

  99. Zoe,
    Your current lab don’t look great. Although I believe that there is a lot you can do to influence these numbers I dont know how much progress you will be able to make in only 3 months. All the therapies you mentioned are steps in the right direction. To make your progress faster, more direct and appropriate for you I would recommend you seek the guidance of someone who can guide you. If you would like my help, I will need a lot more information that what you have provided me. We can chat over skype or phone. Please feel free to book a consultation with me http://consult.marcsklar.com/

  100. You seem to have started gathering the right information. Your CD3 labs look for the most part fine. Clearly something is off, and not perimenopause, as your cycles are not long enough. This is something that needs to be addressed in my opinion. “normal” for thyroid labs does not give me enough information regarding your thyroid. Without doing a full assessment I can’t comment on which additional tests you are missing. Right now I am not sure. To schedule a free consultation with me http://consult.marcsklar.com/

  101. Hi.

    I hope that the website is still active. So I am 31, being trying to conceive for over a year now. I had done my hormone test on day 3, and FSH was 15 and Estradiol was less than 25. My dr requested that i do amh which was 1.42. My weight is stable, my BMI is normal. I have had a thorough hormonal checkup.
    I have taken action and changed my lifestyle as much a I can, i practice yoga for destress and for fertility, i go out for walks, i have changed my diet, i am taking supplements, drinking a lot of water, resting, trying to relax , and i am going to a therapist to treat my depression(which was also related to stress). I have seen improvements, everyone around me say that physically and emotionally, i sound and look better, i dont feel as tired as before.. I am doing self fertility massage, and at times self hypnosis, i am determined to improve my numbers. do you think that it would be possible?
    Would I be eligible for IVF??, would taking dhea help? I am a bit anxious and dont know what to expect.
    thank you

  102. Hello,
    I’m 33 years old and have severe endometriosis. Two years ago I had an endometrioma on my right ovary that ruptured causing massive internal bleeding and required a rapid blood transfusion.
    I recently had day 3 labs done and this is what I received back:
    Fsh: 19.6
    Lh: 8.7
    Progesterone .27
    Estradiol 14.8
    Test 31
    Dhea 2.3

    Do I have premature ovarian failure with these numbers? Will I be able to conceive with fertility treatments? Can I use my own eggs? What are my chances of getting pregnant?
    This blood work was done to check my thyroid and the fertility aspect was not addressed. Oh, my tsh results are:
    Tsh 1.94
    T3 2.87
    T4 1.01
    Thank you so much for shedding some light on these confusing numbers.

  103. Hi!! I m 26… I got my test done on 2nd day of my menstrual cycle …..
    amh 9.05 ng/ml
    lh 6.43 mIU/ml
    fsh 8.61 mIU/ml
    prolactin 33.38 ng/ml
    Estradiol 28.83 pg/ml
    Progesterone 0.35 ng/ml
    What are my chances of natural conception?

  104. I am 52, had two healthy children, recently married a healthy 51 who wishes to have another child.
    My blood testing at Day 3:
    FSH : 24.5
    AMH less than 0.1
    E2 17
    TSH 2.07
    PRL 13.9
    BHCG less than 2
    Is this worth for me to try oral hormone to stimulate egg production?

  105. Hi,
    I am 45 years age and have 8 year old daughter and would like to conceive kindly suggest as per the following details whether I can get pregnant and AMH test report is awaited:-
    FSH – 63.00 miU/ml
    LH-30.06 miU/ml
    TSH – 8.1 ulU/ml

    From today doctor has adviced me to take Tablet THYRONOM (50mg) and after 4-6 weeks FT4/TSH will be tested.


  106. Hi Mansour,

    Did the doctor ever respond to your question? Your numbers look pretty good. I’m in a similar situation as yours. My FSH is in the normal range but like you my LH is a couple of points higher. Wishing you a healthy and happy little one.
    Rene 🙂

  107. Is it possible to repair or better my chances of egg health & fertility in a woman my age of 46. I know there is an extremely if not impossible chance that I would become pregnant naturally, but my husband and I would like to try to conceive naturally rather than ivf unless we could find a place that would allow us to use our own eggs. I don’t know if this makes adifference, I come from an extremely large fertile family(19 &12 on ech side), where women were having children well into thier 40s. If there is a way to improve my fsh # as well as increase our chances, please help if possible. Thank you Mark so much for any advice you may have for us. We are willing to try anything and travel if nessecary. Sincerely, Nadine

  108. Hello, I am 35 years old and have started seeking help with fertility. On day 3 my fsh level was 11.1 and my amh is 0.600. I do have a 10 year old boy who I got pregnant with on my first try so I’m still in shock that my doctor says I’m running out of time and need to be aggressive. She wants me to try seraphine I think is the name and also IUI if the medication doesn’t help. Please give some advice. Yes my life has been very stressful but I want another child more than anything and I’m willing to do what ever it takes.

  109. Hi,

    I am 42 and my day 3 bloods showed an FSH of 7, AMH of 14 pmol but an oestradiol of over 200!!

    Please Marc can anything be done??

  110. Hi I am 38 years old and my partner and I have been trying for 2.5 years to conceive.
    I have received results taken on day 3 that my fsh is 12. 20 and amh is 0.21.
    I have been told these results show very low ovarian reserve. We are considering ivf but do you think with my ovarian reserve this could have any chance of working?
    I have been told I need to lower my fsh and raise my amh to be considered for public ivf.
    Many thanks

  111. Hi!I m shiri my age is 37 ,my FSH is 16.02 AMD AMH is .33 I want a baby from my own eggs .Is it possible from my own eggs through ivf?

  112. hi ,
    my amh is 14 and my fsh is 10. 6
    tried my first ivf and failed
    my doctor advised me to go for donorI am 29year old please advise how to go about it
    and one question herethat with donor eggs how much we can say the child is ours because it’s someone else egg there will child look like us??

  113. Hi,
    I am 37 years old. My latest day 3 FSH is 9.1 and AMH is 2.99. I did 2 failed IVF cycles and in both I developed only 2 follicles out of which only 1 was mature. Its not making sense why I am such a low responder despite having sort-of normal FSH and AMH numbers. At least if I have 3-4 follicles grow, I wouldn’t be this concerned. I also had Stage IV endometriosis and had both my tubes removed. Can you suggest any test I should do to find out the root cause for being such a poor responder to stim?

  114. I am 26 years old. I had a healthy daughter when I was 23. My husband and I have been ttc for 5 cycles now. 3 weeks ago I had a progesterone of 15.77 (I ovulate on the 7th day of a 18 day cycle) Then 3 days into my current cycle I had an anti mullerian of 1.298, fsh of 14.9 and total estradiol of 49. What are the chances that I will be able to get pregnant? Will my doctor suggest a fertility medication?

  115. im 37 i have a 14 and 8 yr girls from previous relationship my blood work was done on day 2 of my period my fsh level was 14.5 e2 levels 43, amh levels .63, tsh .78. what are my chances and what should i do to get pregnant. my last period was 11/29

  116. Hi, I’m 36 and just had my tests done but on the wrong day (and shortly after stopping birth control). FSH was 15.8 and AMH was .41. Do you think the results could be better if I retest on the correct day? My doc seemed to think it wouldn’t matter. Any info would help.

  117. Reeta
    With your numbers I don’t see why you would have to go to Donor. I would look to change doctors you are working with to get a second opinion.

  118. With your history of having 2 amazing girls I think you will be able to have another one. The numbers are not perfect but with a little support and guidance you should be able to. Focus on getting your diet and lifestyle in order. I’m here for you if you need a personalized plan

  119. Hi – I’m 42 and my husband (who is 47) and I have been trying a little less than a year to get pregnant. I met with a fertility specialist (RE) so they could run tests and see how everything was looking (b/c of my age). After they did an HSG dye test (which they said looked fine and my tubes were open), I got pregnant. However, I miscarried at about 5 or so weeks. My beta levels started at 209, went to 274, then dropped to 261.

    My RE said I’m a good candidate for stimulated IVF. He said I could also do natural IVF, but said stimulated would yield better results. Of course, it’s also a lot more $$. My insurance doesn’t cover any of it, and, I’d like to know if you think it’s worth it to continue trying on my own for another few months and see what happens.

    Here are my levels:

    FSH – 7.6 (tested on day 3 of cycle)
    LH – 3.8
    Estradiol – 36
    AMH – .72
    TSH – .816
    Prolactin – 25.7

    My sonogram and internal ultrasound both looked good and my RE said I have good ovaries, follicles, etc. Also, my husband’s sperm was fine and they told us he has plenty.

    It seems like everything is good, except my AMH is low – due to my age – and I guess that means my egg reserve is low.

    I’d love to get your thoughts on if I should try and move forward with IVF or see about trying a little longer on my own.

    Thank you in advance!

  120. With these numbers you can try naturally for a bit longer if you like. Additionally, this doesn’t tell us why you miscarried. Many times there is a cause for the miscarriage and if there is one then that may change your treatment. Without a full evaluation I am not able to go beyond this. I’d love to talk. Here is a link to my virtual programs and consultations. http://marcsklar.com/talk-with-marc

  121. Just finding this thread.
    I am 47 and ttc with my second husband. My day 3 labs are,
    TSH .937
    SMH .192
    Progesterone .331
    FSH 8.52 (clomid challenge day 10 was 18)
    E2 38.47
    Prolactin 16.53
    Antral follicle count with one full ovary and one small partial ovary was 8 follicles (left 8.32mm, right 4.26mm)
    I have insurance that will cover IVF, but because of the day 10 FSH I am considered not a candidate, especially factoring my age with the failed clomid challenge. Are the metrics of my results too far gone for IVF, or even natural conception?

  122. Hi I am 47 years old. No period since January.
    My question is – Do you think I could use my own eggs with IVF? or Do I have any chance of ovulating for natural pregnancy?

    Current numbers:
    FSH 84
    LH 41
    Prolactin 2.3
    Do not have current AMH was .10 on March 2016
    Do not have current estradiol was 175 in Aug 2016
    Do not have current progesterone-2 was .28 March 2016

    I had a natural pregnancy that Delivered at age 42 in Nov 2012. Had started Acupuncture/Herbs 1 month earlier
    Numbers at that time I conceived were:
    Estrodial 1/4/2012 – 28(day 3??) 1/13/2012 – 168 1/20/2012 – 192
    FSH – 42

    Jan 2015 1.5
    Oct 2015 3.0
    Dec 2015 3T4 Thyroid .79

    Follicles on ultrasound
    lest – 8mm
    right – 14 mm

  123. Hi D, After reading your question, I think you need to use donor eggs if you are still wanting to have a child. I’ll be happy to chat with you. This is the link to my virtual ways we can work together. Let me know if you have any questions. http://marcsklar.com/talk-with-marc

  124. Hi, I am 34 and has been TTC for 16 months. Can you give me some advise on my test result:

    Tested on day 3 of my cycle
    FSH: 6.2
    E2: 21
    AMH: 4.83

    Thank you in advance.

  125. Hello sir.my wife age is 36.amh level— .93/lh level—6.70/FSH level—–.6.75 and prolactin—-11.5.her ministerial cycle 28 days.whether we can get a baby.she has no thyroid.blood sugar is normal. Thanking you. Regards

  126. Hi Marc, I’m Chinni I have been classified as DOR case
    2016 Jan, USA : AMH 0.06, FSH day3 40 and clomoid test failed with no follicles and FSH 98 on day 9. Clinic rejected to try for IVF and suggested donor. We wanted to be close to family and moved to India before making any big decisions.

    2017 June, India: AMH 0.01 and irregular period once 3months, lot of doctors suggested donor eggs but one doctor suggested to give one shot at IVF cycle.

    2017 Oct 30: She used DHEA for month and AMH is 0.09
    Cycle high dose of FSH and growth hormone, resulting in 3 eggs, 2 out 3 were immature and 1 is having granular cytoplasmic so little difficult chances of Fertilization n pregnancy.

    Given ovaries are responding to dosage and resulting couple of eggs,
    Should I continue to do my own eggs IVF or should I go fat donor eggs due to granular cytoplasmic which reduces chances of success?

    If I can continue with my own eggs how can improve quality of them?

  127. Hi Marc,
    I’m 23yrs old and have DOR and peri menopause symptoms.
    2016 jan Seattle: AMH 0.05, FSH day3 40, clomoid test failed due to no follicles growing and FSH 98 on day9.
    RE suggested donor eggs.
    Moved India in 2017.
    2017 June, India: AMH 0.01 and irregular periods 2-3mnths, most of clinics suggested donor eggs except one doctor wanted give IVF shot.
    RE put me on DHEA and Co-Q10 600mg for 40days and thanks this blog we used Maca, Royal jelly and little acupuncture when we don’t see period we did base line 1 AFC
    FSH: 55
    AMH: 0.09 and
    E2 and LH are low and good for start of cycle.
    She gave High dose FSH (425iu) and HGH(9iu) and we got 3 eggs 21,155,15 on triggered day.
    Got 3 eggs, 2 immature, 1 egg with granular cytoplasm and waiting for fertilisation on day3( no update on day2).

    Given above should we continue to persue my own eggs or go for donor option?
    If I have. A chance at my eggs how can I improve quality and avoid granular cytoplasm.

  128. Hi Marc,

    I stumbled across this site wondering if my levels were normal. I want to be a mom more than anything in the world. I am 31 years old, not over weight or too thin, and recently had my FSH and LH tested on the 3rd day of my cycle. My FSH is at 5.8 and my LH was at 5.5, I also had my estradiol and my prolactin checked but it was on the 1st day of my cycle (Not sure on numbers they are being mailed to me), but the doctor said they are in normal range. I’m hoping this all sounds normal and good to you. I was slightly worried at first as I had my FSH and LH tested too early during my luteal phase and the FSH was at 1.1 and my LH was at 0.5 and my doctor (Not OBGYN) said this was slightly low, so I panicked. Now they don’t seem as concerned with my new numbers. Am I just stressing out?? Thank you for your help!!

  129. Hi, I’m 37 years old and recently had AMH testing done (0.639). This test was done 8 days after my menstrual cycle. Will I be able to conceive naturally? Any advice will be extremely helpful.

  130. Hi Marc!
    My name is Judit and just turned 42
    My AMH was 0.19ng/ml in August(on Day 3)
    In my next cycle on day 9 my AMH went up to 0.43 ng/ml?????
    (I was taking inozit 2000mg and folic 200qg packs /day for 3 weeks by this time)
    My most recent blood test cycle day 2-3
    TSH 1.54 mIU/L
    FSH 13.8 mIU/mL
    LH 4.9 mIU/mL
    PROLACTIN 7.3 ng/mL
    ESTRADIOL 43 pg/mL
    I take: Femmenecence Maca Harmony 500mg 1/day(menstrual and reproductive health)
    Gaia Vitex Berry
    Garden of life My kind Organics prenatal
    Garden of life raw B-complex
    Garden of life raw Co Q10
    Garden of life raw probiotics 50 billion
    Jarrow Alpha lipoic Acid 100mg
    And a tbs plant sourced Minerals
    Tumeric 1 pill/day
    Please let me know if I have any chance to naturally conceive?
    I also take royal jelly as often as I remember.????
    Thank you for your time and advice in advance!!

  131. Hi Marc,

    Please can you help me?

    I am 31 years old, My FSH is 9.3 and AMH 12.1pmol/l. Is it possible for me to conceive naturally? Would you advise I get in touch with an IVF doctor if I am not planning to have children just yet but certainly want to have the option available.

  132. Hi Marc,

    Please can you help me?

    I am 31 years old, My FSH is 9.3 and AMH 12.1pmol/l. Is it possible for me to conceive naturally? Would you advise I get in touch with an IVF doctor if I am not planning to have children just yet but certainly want to have the option available.

  133. Hi I had my cd21 bloodwork and the Dr said my progesterone level was at 2.0 which is low. But that cycle I ovulated earlier than usual so I started my period 2 days after my bloodwork was drawn. The Dr said it didn’t matter because it was still done on cd21. I went back for my cd3 bloodwork and my estrogen and fsh levels was good she said so now she wants me to repeat my cd21 bloodwork. Can you help me figure out what all this means. I’m 36 almost 37 years old and I want another baby before it’s to late. 2 years ago I had an ectopic pregnancy at 8weeks I received the methotrexate injection for it so I still have both tubes but it’s been 2 years with no luck so that’s why I started all the testing no I don’t understand the results.please help me understand this. My cycles are never the same they are anywhere between 22-28 days my lp ranges from 11-13

  134. Hi Lindsay, I was just wondering if you were able to conceive naturally or otherwise. I have a similar history to yours (30 years old and had a massive endomitrioma removed two years ago which depleted my egg reserve. FSH 26, AMH 0.18). Please let me know the result of uour journry. Thank you.

  135. I am 32 years old and just took out a Paraguard iud to begin ttc. I had two pregnancies at 26/27 both of which I chose not to carry to term. The second time I was on oral contraceptives. I have had mostly regular cycles off of oral contraceptives a few very short – 18 or so days every 6 months or so. Recently I have had some issues with extremely light periods just 1 or 2 days after two successive short 16-18 day cycles. I got blood test results from day 6- LH 26,7 TSH 1.4 AMH .03 and FSH 35- but had a 17 count for AFC and normal volume ovaries. I have recently started to take vitex, maca, and fermented cod liver oil and eat a low carb high fat diet. I have stress in my life but I exercise regularly and practice yoga and meditation. My dr has suggested a retest. Meanwhile I am checking cervical fluid regularly and have noticed egg white consistency this month and during other regular 28 day cycles. I’m just very concerned about the Amh and fsh results. Do you have any thoughts on my case?

  136. I am 32 years old and just took out a Paraguard iud to begin ttc. I had two pregnancies at 26/27 both of which I chose not to carry to term. The second time I was on oral contraceptives. I have had mostly regular cycles off of oral contraceptives a few very short – 18 or so days every 6 months or so. Recently I have had some issues with extremely light periods just 1 or 2 days after two successive short 16-18 day cycles. I got blood test results from day 6- LH 26,7 TSH 1.4 AMH .03 and FSH 35- but had a 17 count for AFC and normal volume ovaries. I have recently started to take vitex, maca, and fermented cod liver oil and eat a low carb high fat diet. I have stress in my life but I exercise regularly and practice yoga and meditation. My dr has suggested a retest. Meanwhile I am checking cervical fluid regularly and have noticed egg white consistency this month and during other regular 28 day cycles. I’m just very concerned about the Amh and fsh results. Do you have any thoughts on my case? B

  137. Hi, I am Parama, 36 year old. My FSH is as high as 48 on 104 th day (yes one hundred and fourth day) of my LMP and AMH is as low as 0.05. My last TSH level was 2.38. My doctor advised me for IVF with donor egg, since I am in the premanopausal stage. My Beta HCG level on 15th day of embryo transfer was less that 0.1 (less than zero point one), which implies that the failed IVF. Now I am totally depressed and lost any hope of becoming a mother. Can anyone please help so that I can get rid of such depression and is there any possibility of becoming mother for me.

  138. Hi there,
    I’ve been trying to have a baby for 1.5 years. I’m 27 I have 9.1 FSH and 1.47 AMH. The RE told me my ovarian reserve is low for my age and suggested IUI then IVF. I’m super healthy, 5’9” 130 lbs. I eat organic only and eat a variety of grass fed meats, wild fish and hormone free poultry. Toxin free household… I’ve taken all the superfoods (Maca, red raspberry tea, wheatgrass etc etc) as well as take ubiquonol, prenatal and vitamin D. Pretty much everything I’ve researched I’ve tried. My husbands sperm is “off the charts”. After 8 months of acupuncture i had an unsuccessful clomid IUI cycle… the plan is to do a IUI with letrozole next then move onto IVF. Any insight or suggestions would be appreciated. Thanks!

  139. Hi there. I’m 29 years old. I have one child conceived through IUI when I was 27 years old. I took clomid for 5 days (follicles weren’t mature yet), so stair stepped and took clomid for another 5 days and then had a ton of mature follicles. I got pregnant through IUI and had a perfect pregnancy. We’re ready for #2. I had my blood drawn 4 years ago in preparation for my last IUI (at 25 years old) and my FSH was only 4.5. I did have irregular periods back then though, every 46+ days. Post pregnancy, my periods are MUCH more regular (every 32 days). BUT I just had blood drawn again, and my FSH has risen to 9.5. I’m so scared this time around will be much more difficult. I am too young for my FSH to be so high. Advice?

  140. Hi. I am 37 years old and have a littler boy who is 9, it took us 2 years to concieve with him. We have been trying for another now for a long time. My AMH is 3.7 and FSH IS 12. I’ve been on Clomid for 4 month and now having more blood tests to see if i would be better going into Tamoxifen.
    We can’t afford IVF.
    I would realistically like to know what the chances are of us having another just son I can manage my own expectations. Feel like I’m on a roller coaster at the moment.

  141. Hi my name is yahaira im 38 years old….I have been trying for a year now with new hope fertility in nyc my first visit results were feb 2017 estrogen 265 FSH 18….feb 28th 2017 I had my first iui levels estrogen 492 fsh 24 & that wasn’t successful then march 23rd 2017 i had 3 follicles right ovary quiet & left ovary 19mm, 8mm, 6.5 did an iui wasn’t successful as well my fallopian tubes are good. This whole time they givimg me birth control to lower my fsh i never responded to chlomid back on may 8th i had an ivf done estradiol 214.4 fsh 55.4 LH 25.3 follicle was 20 or 21on may 10th 2017 the ocyte was fertlized on may 14 2017 reached 5th day of blastocyst 333 is consider below average in that case it was a chemical pregnancy bhcg 4.2… august 25th 2017 ES 38.6 FSH 102.6 momitoring until oct 2017 had a follicle on 17mm with lupron injection ready for egg retrieval the next day my numbers for oct 7 ES 58 FSH 9;… oct 14/were ES 170.9 FSH 18.4 LH 7.5 oct 16 ES 285 FSH 16.2 oct 17th ES 452 FSH 13…..oct 18th was egg retrieval & unfortunately through whole process i was at the clnic i had ovulated :)….now since oct it has been a process with my levels & right now feb 3 2018….iam on my third day menstrual very light since thay have me on birth control half pill every other day my numbers are ES 32 FsH 9 no follicle as yet….what do you think anoiut my journey i really dont want to give up on this i dont have any children….iam also low reserved

  142. I’m at 0.5 egg reserve, and I am 45 years old. Do I have a chance in having a child. Test shows I am not in menopause!

  143. 41 years old, 1 child 21 years ago. TTC 2nd

    Blood work is: cycle day 3

    FSH 12.10
    LH. 7.30
    Total estrogen 180

    Is there hope for me?

  144. Hi my cousin is suffering from MRKH syndrome,her age is 25 years now and her LH is 12.23 and FSH is 10.50 and E2 is 72.67 and AMH is 1.8 ng/ml
    And the karyotype says 46xx chromosomes.
    The doctor told she can go for a surrogate but they didnt guarantee that.
    Are there possibilities to go for surrogacy with her own eggs. Please do advise. Hoping for the best.

  145. Sorry missed out to mention that she has both streak ovaries but the karyotype says normal 46xx chromosomes. Please do advise.

  146. Hi I am 30 years old and not trying for a baby at the moment.

    I just had a FSH, LH and AMH test done just out of interest to see where I stand and if I need to get going! My bloods were taken on day 21 of my cycle and results are below:

    AMH: 2.61

    Could you please offer me any advice?

  147. HELLO


  148. Pratibha Sharma

    i am 31 years 6 month 13 days old unmarried girl. last month my prolacting is 98. someting. i take medicine and after one month exact i retested prolactin. now my prolactin level is 1. someting…i am confused. i am also take thyroid medicine thyroxine sodium 75 mcg….since last two year….my periods on time bt short duration. one and half day only.

  149. Hello I am 39 years old soon to be 40. I have an 18 year old son. I got on birth control soon after my son was born. I recently got of birth control. I got my blood work done on the 4th day after my period the FSH is 20.9 and my AMH is 0.326. my doctor advised me of three choices:

    Nurse IVF teaching
    Donor Egg Recipient
    Donor Embryo Recipient

    Please help.

  150. My fsh 6.22,lh 4.9 and prolactin 40.12
    Other things are normal unable to concieve anf amh is 1.5.m too worried pls suggest what can help.

  151. Hi, I am 30 years old. My test levels taken on the second day of last period is as follows.

    01. LH – 6.71 mIU/ml.

    02. FSH – 8.4 mIU/ml

    03. Prolactin – 7.6 ng/ml

    04. AMH – 3.67 ng/ml

    05. Total Testosterone – 26.6 ng/dl

    06. Sex Hormone Binding Globulin – 44.8 nmol/L

    07. Free Testosterone – 0.40 ng/dl

    08. Testosterone Bioavailable – 9.09 ng/dl

    09. Serum Albumin – 4.2 gms%

    I am trying for pregnancy during last seven months but without success. I have periods regularly. Please advise whether the reports are normal and what should I do for early pregnancy.

  152. Hi I am 32 and planning to go through IVF. I got some tests done on Day 3. Below are the results:

    FSH: 9.0mIU/mL
    AMH: 0.93ng/ML
    Estadriol: 72.7 Pg/mL

    Antral Follicle Count is 7 (2 on left ovary and 5 on Right)

    What are the chances of successful IVF and how well will my body respond to stimulating medicines. Is there any chance of retrieving 15-20 eggs in my case?

  153. Hi I’m hoping some one can give me some advice . U race y married s d my husband wants a family. I already have grown up children in 44. I was sterilized 7 years ago. I have you d a surgeon to reverse the tubes I have had the amh and fah tests they are 3.6 amh and 9.0 on the other. Does anyone ha e any idea on the possibility of a pregnancy . I have contacted various clinics to get advice and all that seem to want is to ‘re test and charge!! Can anyone plain my results please

  154. HI Doctor, I’m 35 years old and just had my tests done, AMH: 0.15 , and FSH: 19.7 , what do you recommend to me please, I’m trying to conceive

  155. Hello. I am 39 years and trying to conceive. My husband and I tried for 2 years at ate 26-28 including IUIs and two failed IVFs. The doctors couldn’t give us any answers on why it want working. We finally decided to give up and we adopted our first child. Before she turned one year old, we found out that we were pregnant! I was 30. Now we are trying to conceive again and I just had my levels checked. FSH is 4.6 and AMH is 0.2. What do you suggest?

  156. Hi,

    I’m 42 ttc for about 2 years now. At the time of my test the numbers where:
    E2 41 pg/mL
    FSH: 7.3 mIU/ML
    TSH .49 mcIU/mL
    AMH .44 ng/mL
    Prolactin 6.3 ng/mL

    I tried 3 rounds of clomid starting at 50, up to 150 with no positive outcomes. Are these good numbers? Any recommendations

  157. Valerie Topolniski

    I am 38 yrs old. My AMH is 0.97 and on day 4 my FSH was 10.8.

    Is there any hope? I didn’t get a very positive vibe from my doctor.

    I’ve been taking 500mg of maca 3x a day as well as royal jelly, cassava, folate, Quo10 and fertile CM.

    Im about to start Letrozole. Should I continue with the maca and other supplements while taking the fertility medication?

    Many thanks

  158. HI
    I am still recovering from a filed IVF, I was told they couldn’t reach the ovaries (and I had 3 follicles). my AMH is 0.3 and my FSH 6.2.
    My first born was also an IVF.
    I am 40 years old.
    Do you think I can still conceive?
    thank you

  159. hi…i’m 42…almost 43…got married later in life and got pregnant naturally on the first try on my honeymoon right after my 40th birthday. delivered a healthy full term baby girl 9 months later at the age of 40. baby is now 2 and my husband and i decided we would like one more child. got pregnant naturally on the first try in late january 2018. found out the baby stopped growing and lost heartbeat around 6-7 weeks when i was 8 weeks pregnant. had to go in for a d&c on march 21, 2018. i had the tissue karyotyed out of curiosity. yes…i understand i am of advanced age and trisomies are common, however i had two trisomies..+21, +22 which is a little more rare. i have consulted with 2 doctors (my ob/gyn and just yesterday with a RE) to go over my results and see what they thought about trying again. both believe my miscarriage was spontaneous despite its double trisomy. 28 days after my d&c i got my period. i have ALWAYS had regular periods. i had my blood work done on day 3 and here are my results. FSH 6.0 Estradiol 56 and AMH 5.2. on day 10 i had an AFC and had 15 follicles in the right ovary and 12 in the left. uterine lining looked healthy and ready had a big follicle in the right ovary and she predicted ovulation in 3-4 days. RE says my blood work and AFC look FANTASTIC for my age…which surprised me. although on paper it looks good i understand we don’t know the quality of my eggs. i’m terrified to try again…just wondering your advice with the lab work and AFC i just had…would you try again naturally or head straight to IVF due to my age?

  160. Hello,
    I am 37. Here are my results:
    AMH 0.1
    FSH 6.9 (Day 3)
    I’ve never tried to conceive, I’m just going to try now? Do I have chance to be pregnant naturally?
    Thank you.

  161. Hi, I am 27 years old. About 1 year ago I have done tvs for some pelvic pain and Dr found that I have a bulky uterus. Then I went through some oral medicine and the problem was solved. Recently I am trying for baby and done another tvs and have found that my uterus and right overy is ok but my left overy is enlarged. My amh is 2.36, prolactin level 46, tsh 2.76. On day 2 test, my fsh is 11.06 and e2 is 98.37. It’s been about 6 months that I’m trying for baby with no luck. I have tried letrol for 2 months but didn’t work. Is it possible for me to be pregnant naturally? Thanks in advance…

  162. Kathrin Watson

    Hi Marc,

    I have been reading through the site, great help and comments. My story is:

    have been testing TSH for the past few years and see that levels go to 3.3 in summer and even up to 4.9 in winter, I did a small test and tested TSH on 20.01.2018 and it came out as 4.8, also AMH was 0.47 (not done during the menstruation: does it mean it is not valid?), I have no FSH results as it was not tested. And then I started taking Vit. D3 supplements: 2000 per day and within a month, TSH went down to 3.8. My menstruation has always been accurate, on average every25-26 days and lasts good 5-6 days, with two quite heavy days.

    In the past, T3 and T4 were always OK, also had the Thyroid scan in 2016, all OK.

    I am going to be 41 in August and as I have no partner, I want to o the IUI in a clinic in Europe…the doctor at the clinic tells me that yes AMH is low but it is important to lower TSH to 2.5 and try…but I understand that in order to fully understand AMH, it should be done day 3 of menstruation along with FSH?

    Would be grateful for your advice.

    Thank you and best wishes,


  163. Hi,
    Im 37yrs old been ttc for yrs. I’ve never gotten a natural period, have done numerous tests most recent labs:
    Estradiol 13
    Dheas 114
    Progesterone 0.15
    LH 0.2
    Fsh 2.6
    AMH 0.465
    TSH 0.98
    Prolactin 6.1
    Thyroid peroxidase 11
    Antidrenal antibodies came bk negative
    Chromosomes normal female karyotype
    Vit D 34.7 (note i have osteopenia so I’m taking calcium/vit D supplement)
    Genetic normal/ fragile X reduced risk
    Ultrasound shows normal uterus, small ovaries
    RE suggested IUI and I have a scheduled appt for HSG. My question to you is based on the information is there any hope for me conceiving naturally or even at all by iui or ivf? I have two people who would be willing to stand as egg donors should incase i need to go that route and providing thats theirs are healthy. I just want to know what are my chances I don’t want to spend all this money and not be successful but i also don’t want to not try.

  164. I am 44 have a nearly 17 month old and have been trying for no two for about six months. Fsh at day two is 13.2 and amh is under 1.1. What can I do ?

  165. Hi Dr. Sklar,
    I am 40 yr old and am trying for my first baby. I have cleaned up my diet over the last several months and have been exercising regularly. I do not drink or smoke. I am on prenatal vitamins for 35+, DHA, and Co-Q10.

    I had my day 3 levels tested and have a FSH of 6.4, LH 3.3, Estradiol of 75 and AMH 1.62. Am I a good candidate for IUI or IVF? Or should I try Clomid first? Is there any thing else I can do to increase my chances of getting pregnant?

  166. I did my HSg and all the other test thyroid and FSH last year. Everything was normal except my left tube it was flowing but it all stayed in one place and also my follicular count was 8 for both. Today I did an AMH test it came back that I have 6 follicles, I am Vitamin D deficit and my FSH level is elevated at 10.89. I have been trying for almost 4 years to have a child. I will be 29 years old on Wednesday. I want to have my own child with my own eggs. Pls help me. What can I do.

  167. I’m 30 and was recently informed I have low amh and high fsh (wasn’t informed of numbers). I got pregnant last year but had missed mc (baby died at 6 weeks, didn’t realise i was miscarrying until 11 weeks) My period hasn’t returned since mc. Fertility specialist advised donor eggs. Do you think this is my only option?

  168. Question: I am 44 years old and partner is 42 and TTC. My AMH is 1.79 (down from 1.82 in February), my AFC is between 6-8, I’m on 50mg QAM as my levels are elevated (4.55). My doctor did not do an FSH. All my numbers look great and I currently take Folic Acid and COQ10. My insurance coveres Gonal-F injectios as long as we are not using them to do noncoital reproduction so we are going to try TI. What do you think are my odds? I have 4 children already (23,14,9 and 6 and I had a (unplanned, drug free pregnancy) missed miscarriage in July last year with DC in August. Partner has one child, age 13 and never attempted to have children before meeting me after his divorce 9 years ago.

  169. Hey 😀 So nice you are still answering questions 🙂 My doctor said my levels are good, what do you think? I always had slighty higher testosterone but my periods are very regular and good temperature chart. I am turning 32 this year.


    FSH 6,7
    LH 7,9
    Oestradiol 67
    progesteron 0,2
    prolactine 10,3 (range 4,8-23,3)
    testosterone +1,72 (range for 20-49j is 0,29-1,67)
    Androstenedion +3,63 (range 0,3-3,3)

  170. Btw I never miscarried or anything. We just started trying for a baby now, its our 6th cycle starting now.

  171. Hi,
    I m 30 yrs old. Not planning for pregnancy immediately. I have a window of 6months .
    Recently a fibroid was detected during abdomin-pelvic ultrasound.
    so for the locating the fibroid, i have to get the TVS done. So do I have to get it done during my periods or anytime in the month?
    Also, AMH,FH,LH – these tests should be done on any of the month or during periods?( not planning pregnancy immediately)

    Awaiting your response

  172. HI,
    I just had my eggs frozen and wanted to know if these levels are good since it is hard to find out online. Do you think I will have a hard time conceiving naturally or to do IVF with these numbers below?
    I am 40
    AFC- 23
    Eggs retreived at surgery 22
    Mature eggs that were frozen 17
    FSH 5.1
    AMH 6.38

    not sure the other items you need. thanks!

  173. Hi, Marc

    I was reading all your replies to the above-mentioned queries. first of all, I would appreciate your initiative for encouraging women to normal conception. I am 29-year old rt now, I want to start with my proper history, when I was about 20 I conceived the first time, but I aborted the child because I was not married, my boyfriend doesn’t want to get married to me. this all things were traumatised me a lot. Believe me, I was very innocent that time was not about all these things. I develop a post that depression started having alcohol, develop insomnia also at that time. right now I have noticed I have developed heaviness under my right eye, cant focus on someone while talking and also have heat flashes and get very anxious every time. It’s been 2 years I am married now wanted to conceive normally but it’s not happening rt now I have noticed little hair under my chin and pigmentation.consulted doctor, recently she said TSH, LH and FSH AMH tests on day 2 and follicle monitoring on day 10 inwards. please help me out I want to conceive as soon as possible.

  174. Hi
    I am 26 years old.My AMH level is 1.07
    FSH level 5.11
    TSH level is 5.
    prolactin 11.04
    So my question is – Am I able to conceive naturally or need to go for IVF.
    Please suggest.

  175. Hi Marc
    I am 47 female with cd 2 results as follows
    Amh 0.92
    Lh 3.4
    FSH 7.2
    Prolactin 22.4
    Urine routine test results normal
    Tsh 1.70
    Blood sugar fasting 74
    Haemotology tests normal
    My periods r regular nd last 4 months bbt nd opk shows I ovulate on my own..I am a vegetarian nd don’t smoke or drink alcohol
    Can I conceive naturally?
    Plz asap
    Love watching ur YouTube videos on fertility
    God bless

  176. Forgot to add my husband’s results
    Age 48
    SA results after 3 days absistence
    Reaction alkaline
    Liquificatoin time 30 mnts
    Quantity 2ml
    Total sperm count 86 million /ml
    Active motile 30%
    Sluggish motile 20%
    Dead 50%
    Colour grey white
    He does not smoke or drink
    A Vegetarian
    My details I already posted above
    Plz advise asap

  177. I had ultra scan to see my follicles nd uterous lining in may 2018..acc to my fs I was excellent with the results..had total 6 to 8 total in both ovaries.. left ovary the sonographer just wrote no dominant follicle..check below for rt ovary follicular study
    Cd. Rt ovary. Endometerial.

    11. 14.4 mm. 7.8 mm
    13. 18.0 mm. 9.9 mm
    14 19.2 mm. 10.9 mm
    16. RUPTURED. 11.8 mm
    I cannot financially consider ivf…I had two healthy grown-up children aged of 22 nd 20 ..conceived them naturally at age 23 nd 26..but lost my 20 yr old recently..so want to have my baby back..presently on folic..dhea 75 mg..d3..b12..as recommended by my fs…
    Thanks Marc ..would b thankful for ur support nd advice

  178. Hello, I am almost 43 years and want to have a baby. Do you think, i have any change to have baby without IVF? My day 3 test result was;
    TSH : 1.14
    LH : 3.81
    FSH: 7.13
    E2 : 80.1
    PRL : 6.15
    AMH : 0.67

  179. Hi, I’m not sure if I’m too late to post here as most of the comments are fairly old, but I’m wondering if you can give me an outlook on being able to conceive based on my labs. I had a son in 2016, miscarriage in 2017, and dx with PCOS 1 month ago. My day 3 labs were: FSH 8.9, LH 5.9, and AMH 3.2. I started letrozole on day 3. I have multiple antral follicles, at least 6-10 on each side, the largest on day 10 being 15mm and smallest being 10-12mm. Let me know what you think! Thanks

  180. Hi (modification to my first post), I’m not sure if I’m too late to post here as most of the comments are fairly old, but I’m wondering if you can give me an outlook on being able to conceive based on my labs. I’m 32, have always had very regular periods and a 28 day cycle. I had a son in 2016, miscarriage in 2017, and dx with PCOS 1 month ago based on persistent acne and over 40 cysts counted on my ovaries. Physiologically, everything else is normal. My day 3 labs were: FSH 8.9, LH 5.9, and AMH 3.2. I started letrozole on day 3. I have multiple antral follicles, at least 6-10 on each side, the largest on day 10 being 15mm and smallest being 10-12mm. Let me know what you think! Thanks

  181. Your AMH number does not specifically tell you how many follicles you have left. My recommendation is to call our office to schedule a consultation so we can look at your entire case. If you don’t live in San Diego, we help women get pregnant from all over the world. You can schedule an online fertility assessment here http://marcsklar.com/hope/

  182. I would retest your amh to make sure what your number really is. Your amh of .1 is not good but I think the test is not accurate. I can help you with this, if you are interested in our online consultation, here is the link to schedule http://marcsklar.com/hope/

  183. Hi Frankie, There is no reason not to keep trying. All your numbers look great for a woman of any age. Stay positive and keep trying.
    If you want a fertility assessment with us, you can schedule one here – http://marcsklar.com/hope/

  184. Hi Kathrin,
    AMH can be tested on any day of your cycle. FSH is day 2, 3 or 4. I agree with your doctor that your TSH should be lower than 2.5
    If you’d like, I could review your case. We offer online fertility assessements. here is the link to schedule – http://marcsklar.com/hope/

  185. Hello

    I am planning for a baby, but my doctor suspecting PCOS ordered blood tests and the results just came in:

    Tested on the 3rd day of cycle, I’m 33 years old

    LH 8,23

    FSH 9,93

    AMH 4,38

    What are my chances of conceiving naturally?

  186. I was reading the comments and was hoping for input as well. Took 3 years to conceive our first child.
    Day three testing
    9.6 FSH
    32.0 E2
    5.3 LH

  187. Yes Kash, your AMH may be indicating PCOS but you should also have your glucose, insulin, DHEA and testosterone tested to confirm what type of PCOS you have. PCOS is treatable and if treated properly you should be able to conceive. Check out my pcos ecourse as this can help you take control of your PCOS. https://marcsklar.com/pcosecourse/

  188. Dear Marc,

    I am a 38 years old woman with Hashimoto disease. The thyroid is under control I get my blood tests at least once a year.
    I am married for 1 year now and I am TTC since 7 months. I did not see any results yet and I have a 30 mm paraovarian cyst on the right side. I had my tests done for the following on the 3rd or 4th day of my period.

    FSH 6,53 mIU-mL
    AMH 0.35 ng-mL
    LH 2,15 mIU-mL
    Prolactin 7,19 ng-mL
    T3 2,64 pg-mL
    T4 0,79 ng-dL
    TSH 2,142 mIU-mL
    Insulin 4,95 uIU/mL
    Vit D 29,65 ug/l
    Ferritin 6,9 ng/mL

    I can see that I am deficient in Vit D and Iron. The doctor saw 4 follicles growing last month. Several months ago the doctor saw only 2 follicules, I believe these numbers change.
    I use prenatal vitamins+ DHA, and korean ginseng to keep my brain working efficiently. I consume a lot of walnuts, peanuts as a habit I do not know if this is correct and I use levotiroxyn hormon for my thyroid 75 ug. I am using inofolic (myo inositol) since 2 weeks.

    I read many reviews from other ladies of my own age and even older that they naturally conceived with even worse results of AMH. To my understanding as long as there are healthy eggs waiting to be fertilized I still have the chance of having my own babies. Of course each of us is different. If you have suggestions I will be glad to follow.

    I am an engineer who works in a high risk environment with chemicals and have a stressful job and I am working hands-on all day long.

    Kind regards,

  189. Hello,

    I decided to freeze my eggs as I haven’t found a partner to start a family with yet.

    I’m 39, My AMH is 4.5 pmol/l and my AFC is 5 (taken around day 26 of my cycle). All other factors health/weight/blood tests & flow etc are normal. I was put on mild stimulation protocol.
    In cycle 1, I was put on Bemfola (300iu), Cetrotide (0.25mg) and Ovitrelle (250mcg) and out of 8 growing follicles they managed to retrieve and freeze 4 mature eggs.
    In cycle 2, I was given Gonal-f (300 iu), Cetrotide (0.25mg) and Ovitrelle (250mcg) and out of 8 growing follicles they manage to retrieve 5 of which 3 were mature and suitable for freezing. The Dr thought I would respond better to Gonal-f but I didn’t.

    How can I imrpove my results? Would a different protocol help or should I expect a similar result due to my age, AMH and AFC etc? I was informed 16-20 eggs would give me a good chance of success with the eggs in the future but I would need so many more cycles which is going to be too expensive. I need to decide whether to stop treatment/hope for the best or try a different clinic/protocol to improve my results. Any advice much appreciated! Thx

  190. Hello, I am 44 years old and want to have a baby. Do you think, i have any change to have baby without IVF? My day 3 test result was;
    FSH: 10.1
    E2 : 18
    AMH : 2.02

  191. If you want me to review your case, I’m happy to help. To schedule a fertility assessment with me go to marcsklar.com/hope

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