Diminished ovarian reserve (low AMH) and IUI success

  1. avatar
    Lisa Smith

    Is it possible to undergo an AI when AMH levels are 0.8? As far as I know, it is considered as low reserve when its levels are below 0.7, but the thing is I don’t know if I’m too close to the boundary line.

    07/03/2015 at 2:11 pm
    Reply
  2. avatar
    Sandra F.
    Fertility Counselor

    Hi Lisa,

    Anti-Müllerian hormone (AMH) can be measured in two different measurement units: ng/mL or pmol/L. Here you haven’t indicated how is it measured, but whatever the unit is, 0.8 means low ovarian reserve.

    Roughly, reference values for the AMH range from 2 up to 7 ng/mL, whereas if it is measured in the other unit, it must be increased by 7, so the levels will range from 14 to 49 pmol/L.

    So, whatever the measurement unit is, you are below the reference values. Artificial insemination can be done in such circumstances, but it is not the best choice. Taking your AMH levels into account, in vitro fertilization (IVF) would be the best option, either conventional IVF or ICSI.

    Let me tell you why. While artificial insemination requires light ovarian stimulation so that 1 or 2 follicles develop, IVF requires higher doses, therefore IVF ovarian stimulation is more severe and the ovary responds developing a wider range of follicles, which results in a higher amount of eggs.

    In case your ovarian reserve is low, if you take low doses, the most likely to occur is that there is no response to ovarian stimulation. You should start with IVF, this way you will get greater chances of producing a higher amount of eggs.

    Good luck!

    07/03/2015 at 2:26 pm
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