Confusing results

vicky

3 Posts
Reply Posted on: Sep 4, 2013 at 5:31pm
Hi

I am hoping to gain some insight into some really confusing results. So in Feb 2012 I had some bloodwork done as I had volunteered to donate some eggs. It came back amh 2.1 on a scale where 7 - 15 is normal. I was given 5 years to have children. So I came off the pill (Yasmin) in Jul 2012 and saw a fertility consultant in March 2013 due to post pill amenorrhea. He said amh was a waste of time as my fsh was 5.2, an ultrasound showed several immature follicles on each ovary and hsg showed normal result with no blockages. I did the progesterone challenge and did not bleed. I had low estrogen and underactive thyroid. the thyroid is now being treated and i have had one period 24-28 july.

I really appreciate any interpretation of this as I am so confused! No period in august.

Vicky

Dr. Braverman

2026 Posts
RE: Confusing results Posted on: Sep 4, 2013 at 8:57pm
you can have a low AMH and still have a normal FSH so I do not agree with your RE on this. If you do not get a withdrawal bleed on progesterone and your estradiol is low that is another sign that your reserve is low. You need a diagnosis as to why you have a low reserve and certainly repeat all of your blood work again to be sure there is no error.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.

vicky

3 Posts
Reply RE: Confusing results Posted on: Sep 5, 2013 at 8:52am
Thank-you for your reply. Just wondering how can the fsh be normal when amh is low? (I cant seem to find the answer to this anywhere on the internet). Also my estrodil was in normal range when my thyroid was boarderline underactive then seemed to go down when my thyroid became fully underactive. Does this mean that now my thyroid is normal my estrogen will go up again?

Vicky

Dr. Braverman

2026 Posts
RE: Confusing results Posted on: Sep 5, 2013 at 9:07am
AMH will drop before the FSH does , hence it is a more sensitive marker. Of course I would still repeat all the levesl to be sure there are no errors.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.

vicky

3 Posts
Reply RE: Confusing results Posted on: Sep 5, 2013 at 12:57pm
Thank-you, I have had two opposing views on this from two different doctors and it is all very confusing. I just found my result (eoestradiol 60pmol normal 75 to 140 follicular phase). I've read that under 30 is post menopause. One dotor told me that medication and timed IUI would be the recommended treatment. Is this more effective than just medication alone? (my husband has no fertility issues)

Vicky

Dr. Braverman

2026 Posts
RE: Confusing results Posted on: Sep 5, 2013 at 1:51pm
no evidence that either is better , again your low estrogen is normal on day 3 of your cycle but not day 15. So be sure to evaluate this correctly.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.