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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Trying To Conceive. Have Normal Hormone Levels, FSH, Prolactin, Normal Thyroid Profile, Low Fertility. Related To Being Overweight?

Hi,
I am 27 years old woman i have been trying to conceive for last 1 and half years .I have normal hormone levels (FSH,Prolactin ) , my thyroid profile is also normal , abdomen pelvis scan & sugar level is also normal , HSG tube patency is also normal . But my AMH level is low (1.92Ng/ml) in low fertility frame and i am overweight 65 kg height 5 feet .My doc said scan didnt show signs of PCOS , still i couldnt conceive . My husband semen report is normal and good .I did follicular study 4 times and 2 IUI everything failed .I dont know how to solve this problem what step can i take ? PLz help :(
Mon, 18 Nov 2013
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OBGYN,  's  Response
Hello
Thanks for your query.
As your hormones are not suggestive of PCOD, do not worry.
A low AMH level indicates premature ovarian ageing.
This could be age related, and in some women, the capacity of the ovaries to produce mature eggs declines with time and age.
As follicular study and IUI has failed twice, please strongly consider IVF .
Reduce your stress levels, and try and maintain an ideal weight and BMI.
A laparoscopy should be done, as HSG is not conclusive to test fallopian tube patency.
All the best.
Take care.
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Trying To Conceive. Have Normal Hormone Levels, FSH, Prolactin, Normal Thyroid Profile, Low Fertility. Related To Being Overweight?

Hello Thanks for your query. As your hormones are not suggestive of PCOD, do not worry. A low AMH level indicates premature ovarian ageing. This could be age related, and in some women, the capacity of the ovaries to produce mature eggs declines with time and age. As follicular study and IUI has failed twice, please strongly consider IVF . Reduce your stress levels, and try and maintain an ideal weight and BMI. A laparoscopy should be done, as HSG is not conclusive to test fallopian tube patency. All the best. Take care.