FSH and AMH – Determining Ovarian Reserve

FSH and AMH – Determining Ovarian Reserve

For More Information Please Contact Us | For Fertility Coaching Visit MarcSklar.com
tamara-roe-reproductive-wellness-fertility-expertBy Tamara Roe L.Ac

*Tamara has been practicing acupuncture and Chinese medicine since 2004. She focuses much of her practice on women’s health care, specifically fertility and Assisted Reproductive Technologies (ART)


It Starts With the Egg

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

Diminished 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.

What can you do to improve your eggs??

#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.

NOTE: for step by step tutorials on how to do these and many more fertility techniques, download the Home Remedies Techniques

#2. Improve your egg quality through Nutrition – For more information about Fertility Foods – click here

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: 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: 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 eatingroyal 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: 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.

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

  1. Join our newsletter for weekly fertility tips and videos on how to get pregnant
  2. Join our FB private group for support
  3. Download our most wanted free fertility resources using the boxes below





  1. Anindita January 10, 2014 at 7:33 am - Reply


    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.


    • admin January 16, 2014 at 5:13 pm - Reply

      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.

      • Jess June 21, 2014 at 2:28 pm - Reply

        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?

        • admin June 26, 2014 at 10:53 am - Reply

          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.

    • sanjana May 13, 2015 at 11:10 am - Reply

      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??

      • Marc Sklar May 19, 2015 at 4:52 pm - Reply

        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

  2. Kristen February 13, 2014 at 12:19 pm - Reply

    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.

    • admin March 20, 2014 at 4:41 pm - Reply

      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

  3. Marya February 24, 2014 at 9:42 pm - Reply

    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 !

    • admin March 20, 2014 at 4:34 pm - Reply

      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

  4. fatema March 12, 2014 at 12:28 am - Reply

    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?

    • admin March 20, 2014 at 1:00 pm - Reply

      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.

  5. Alrosan March 20, 2014 at 3:43 pm - Reply

    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?

    • admin March 20, 2014 at 4:24 pm - Reply

      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.

  6. Mansi March 22, 2014 at 9:07 pm - Reply

    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?

    • admin March 24, 2014 at 7:50 pm - Reply

      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!

  7. Shannon March 26, 2014 at 2:41 pm - Reply


    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.

  8. Mansour March 28, 2014 at 8:54 am - Reply

    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??

    • rene January 22, 2016 at 12:29 pm - Reply

      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 🙂

  9. Leslie April 3, 2014 at 3:30 pm - Reply

    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!!!

    • admin April 7, 2014 at 2:48 pm - Reply

      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

      • Leslie March 16, 2015 at 2:44 pm - Reply

        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!

        • Marc Sklar April 17, 2015 at 9:29 am - Reply

          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!

  10. Saritha April 11, 2014 at 5:42 pm - Reply


    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.

  11. Carolina April 30, 2014 at 8:58 am - Reply

    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.

    • admin April 30, 2014 at 10:37 am - Reply

      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.

  12. Trisha May 9, 2014 at 9:24 am - Reply

    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.

    • admin May 13, 2014 at 12:09 pm - Reply

      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.

  13. fatema May 30, 2014 at 2:20 am - Reply

    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.

    • admin June 2, 2014 at 2:18 pm - Reply

      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.com
      We would love to talk to you!

  14. A Klaharn June 12, 2014 at 8:59 am - Reply

    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?

    • admin June 24, 2014 at 10:20 am - Reply

      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/

  15. Priyanka June 16, 2014 at 4:49 am - Reply

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

    • admin June 16, 2014 at 1:35 pm - Reply

      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:

  16. Brandi June 18, 2014 at 11:15 am - Reply

    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?

    • Brandi June 18, 2014 at 11:15 am - Reply

      Oh and I’m 32 years old.

    • admin June 26, 2014 at 10:51 am - Reply

      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/

  17. rajeev June 22, 2014 at 11:47 am - Reply

    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

    • admin June 26, 2014 at 10:54 am - Reply

      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.

  18. tiff July 14, 2014 at 4:50 pm - Reply

    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.

  19. Jackie S. August 31, 2014 at 6:27 pm - Reply

    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.

    • admin September 22, 2014 at 11:51 am - Reply

      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/

  20. María September 5, 2014 at 9:27 pm - Reply

    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.

    • admin September 22, 2014 at 11:53 am - Reply

      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.

  21. nilu October 8, 2014 at 8:40 pm - Reply

    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?

    • admin October 14, 2014 at 9:48 am - Reply

      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:

  22. Anila October 9, 2014 at 7:39 am - Reply

    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!

    • admin October 14, 2014 at 9:52 am - Reply

      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.

  23. gopal October 20, 2014 at 5:49 am - Reply

    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.

    • admin October 24, 2014 at 12:15 pm - Reply

      Hi Gopal
      We are sorry to tell you that this is not enough information to make a diagnosis but the first thing I would rule out is PCOS.
      I am unable to give recommendations without a consultation. We would love to know more and have a fully understanding of your wife’s case.
      You are welcome to schedule a consultation. Here is the link to do so.

  24. Amavel November 2, 2014 at 3:42 pm - Reply


    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.

    • admin November 24, 2014 at 11:15 am - Reply

      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:

    • admin December 24, 2014 at 9:50 am - Reply

      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!

  25. manasa November 7, 2014 at 6:28 am - Reply

    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

    • admin November 24, 2014 at 11:17 am - Reply

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

  26. Meg November 12, 2014 at 4:51 pm - Reply

    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?

    • admin December 24, 2014 at 9:46 am - Reply

      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

  27. deepti November 12, 2014 at 8:28 pm - Reply

    hi ,
    i am 27 and my fsh value is 10.9 and amh is .1 is there any chance to concieve naturally

  28. Andrea December 2, 2014 at 5:10 pm - Reply


    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?

    • admin December 8, 2014 at 6:06 pm - Reply

      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.

  29. Leonnette December 11, 2014 at 4:32 am - Reply

    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.

    • admin December 24, 2014 at 9:15 am - Reply

      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.

  30. Zhe December 18, 2014 at 7:13 am - Reply

    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?

    • admin December 24, 2014 at 9:18 am - Reply

      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.

  31. priya January 31, 2015 at 9:14 am - Reply

    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?

    • admin February 6, 2015 at 12:00 pm - Reply

      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.com to get scheduled.
      Hope this helps!

  32. AC February 7, 2015 at 1:38 pm - Reply

    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

    • admin March 4, 2015 at 3:03 pm - Reply

      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

  33. fatima February 12, 2015 at 9:42 am - Reply

    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.

    • admin February 23, 2015 at 2:46 pm - Reply

      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

  34. Aani February 12, 2015 at 10:24 pm - Reply

    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

  35. ema February 14, 2015 at 12:16 pm - Reply

    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

    • admin March 4, 2015 at 3:27 pm - Reply

      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

  36. Jennifer February 24, 2015 at 7:03 pm - Reply

    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

  37. Sivagaami February 26, 2015 at 11:50 pm - Reply

    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?

  38. Sivagaami February 26, 2015 at 11:51 pm - Reply

    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.

  39. Taleona March 11, 2015 at 1:11 pm - Reply

    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.


  40. Charly March 15, 2015 at 3:05 pm - Reply

    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

    • Marc Sklar April 17, 2015 at 9:27 am - Reply

      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

  41. Charly March 15, 2015 at 3:07 pm - Reply

    Do you think acupuncture now and after my transfer would help the embryos to implant?? Thanks

  42. Lisa March 18, 2015 at 2:03 pm - Reply


    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%

    • Lisa March 18, 2015 at 2:06 pm - Reply

      Forgot to include: FSH 7.93

    • Marc Sklar April 17, 2015 at 9:29 am - Reply

      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

  43. Rekha March 18, 2015 at 10:17 pm - Reply

    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.

    • Marc Sklar April 17, 2015 at 9:30 am - Reply

      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

  44. Jhanak April 6, 2015 at 2:43 am - Reply

    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

  45. Jhanak April 6, 2015 at 2:44 am - Reply

    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

  46. Elizabeth April 30, 2015 at 11:44 am - Reply

    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.

  47. Nazia parveen May 3, 2015 at 11:51 pm - Reply

    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?

    • Marc Sklar May 11, 2015 at 1:59 pm - Reply

      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.

  48. kala May 8, 2015 at 5:33 am - Reply

    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

    • Marc Sklar May 11, 2015 at 2:03 pm - Reply

      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

      • kala May 18, 2015 at 11:09 pm - Reply

        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 ….

  49. kala May 20, 2015 at 2:14 am - Reply

    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 ….

  50. lily Rivera June 2, 2015 at 7:48 am - Reply

    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?

  51. Deb June 4, 2015 at 3:31 am - Reply

    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

  52. Rajesh June 8, 2015 at 9:28 am - Reply


    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..

  53. Jane June 18, 2015 at 12:23 pm - Reply

    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?

    • Marc Sklar June 19, 2015 at 1:25 pm - Reply

      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

  54. Sukriti June 21, 2015 at 11:38 pm - Reply

    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

  55. zoe turner July 22, 2015 at 5:23 am - Reply


    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.

    • Marc Sklar July 27, 2015 at 12:44 pm - Reply

      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/

  56. Lo July 22, 2015 at 11:23 am - Reply

    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?

  57. Renee July 24, 2015 at 11:25 am - Reply

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

    • Marc Sklar July 27, 2015 at 1:14 pm - Reply

      I think that your chances are very good with these numbers. If you would like to improve them, we can schedule a consultation over phone or skype. You could do so here http://consult.marcsklar.com/

  58. Lo July 26, 2015 at 10:42 am - Reply

    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

    • Marc Sklar July 27, 2015 at 1:08 pm - Reply

      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/

  59. Mary August 18, 2015 at 2:40 am - Reply


    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

  60. Lindsay August 28, 2015 at 6:48 pm - Reply

    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.

  61. Swati September 26, 2015 at 9:34 am - Reply

    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?

  62. Julia November 19, 2015 at 8:02 am - Reply

    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?

  63. dhanalakshmi January 19, 2016 at 1:47 am - Reply

    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.


    • dhanalakshmi January 21, 2016 at 9:16 pm - Reply

      Dear Doctor,

      Awaiting for your reply at the earliest.



  64. Nadine January 25, 2016 at 1:29 pm - Reply

    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

  65. Elvira January 31, 2016 at 5:15 am - Reply

    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.

  66. Sam February 16, 2016 at 8:17 am - Reply


    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??

  67. Chiara February 17, 2016 at 12:17 pm - Reply

    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

  68. Sam February 19, 2016 at 7:01 am - Reply

    Hi Marc,

    Just to add to my previous post, my day 21 progesterone has come back at 52.

  69. shiri March 27, 2016 at 12:22 pm - Reply

    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?

  70. Rita August 31, 2016 at 4:25 am - Reply

    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??

    • Marc Sklar December 28, 2016 at 3:30 am - Reply

      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.

  71. Mo September 24, 2016 at 2:04 pm - Reply

    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?

    • Marc Sklar December 28, 2016 at 3:32 am - Reply

      Knowing which tests to run without being able to do a full history is difficult, but I would have your adrenals tested and a full hormone panel. If you want to talk, I’m happy to review your case. The best would be going to my marcsklar.com site and scheduling a 1 on 1 with me. Here is all the information and a discount for the 1on1

  72. Jenna November 19, 2016 at 9:23 am - Reply

    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?

    • Marc Sklar December 28, 2016 at 4:09 am - Reply

      I am not sure what your doctor will recommend but I think if you can get your FSH lower you should have a good chance of getting pregnant. I’m happy to talk with you to help. Here is a link to all the online programs we have

  73. melinda December 7, 2016 at 5:03 pm - Reply

    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

    • Marc Sklar December 28, 2016 at 4:10 am - Reply

      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

  74. CAL December 22, 2016 at 12:13 pm - Reply

    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.

    • Marc Sklar December 28, 2016 at 3:42 am - Reply

      Yes, I would have your hormones tested on the correct days before we assume anything.
      If you want to work together on this, we definitely can. Here is all the info for my online programs. For a case like yours, I’d suggest the 1on1

  75. Cynthia W. July 14, 2017 at 11:07 am - Reply

    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!

    • Marc Sklar July 26, 2017 at 7:37 am - Reply

      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

  76. Vanessa October 18, 2017 at 8:35 pm - Reply

    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?

    • Marc Sklar October 27, 2017 at 10:14 am - Reply

      Hi Vanessa, Thanks for sharing your story and numbers with me. After looking at your case, I would recommend looking into Mini IVF. We talk talk more about it. I could help you prep with this, if this is something you’d like. http://marcsklar.com/talk-with-marc/

  77. D October 18, 2017 at 8:59 pm - Reply

    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

    • Marc Sklar October 27, 2017 at 10:13 am - Reply

      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

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