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IVF Success with Low AMH Levels: Techniques and Strategies to Improve Outcomes

Many individuals and couples who are struggling with infertility often turn to In Vitro Fertilization (IVF) as a solution. However, those with low Anti-Müllerian Hormone (AMH) levels may be concerned about their chances of success with this treatment.

In this blog, we will discuss the relationship between low AMH levels and IVF success, and explore various techniques that can help improve the chances of a successful pregnancy using one’s own eggs.

Understanding AMH

Anti-Müllerian Hormone (AMH) is a hormone produced by primordial follicles within the ovaries. It serves as an indicator of ovarian reserve and provides an approximate number of follicles present. Measuring AMH levels, alongside assessing the antral follicle count using ultrasound, helps determine the ovarian reserve.

Normal AMH values range between 2 to 4 or 4.5. Levels higher than this may indicate Polycystic Ovary Syndrome (PCOS), while values below 1.5 suggest low ovarian reserve. Levels below 1 are considered very low, and levels below 0.5 are a cause for serious concern.

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IVF Success Rates with Low AMH

Globally, the average IVF success rate is around 40%. However, this varies depending on the fertility center; some centers report success rates as high as 60%. It is important to remember that a 100% success rate is not possible.

For individuals with low AMH levels, the success rate of IVF is generally 10 to 15% lower than average. This means that IVF success rates with low AMH may range from 40 to 45%. However, with appropriate techniques and strategies, it is still possible to achieve a successful pregnancy using one’s own eggs.

  • Techniques to Improve IVF Success with Low AMH

    • Follicular Phase Stimulation

    Follicular phase stimulation involves administering injections for 9 to 10 days, starting on day 2 of the menstrual cycle. This aims to stimulate egg production and create embryos for implantation, either during the same cycle or in a subsequent cycle.

    • Dual Stimulation

    In dual stimulation, a break of 3 to 5 days is taken after the initial follicular phase stimulation. Injections are then administered again for another 9 to 11 days, stimulating the ovaries to produce more eggs. This technique can potentially result in double the number of eggs collected.

    Normally, 10 to 15 good quality eggs are needed to obtain 2 to 3 viable blastocysts for implantation. In cases of low AMH, the first cycle may yield 3 to 5 eggs, and the second cycle may produce another 3 to 5 eggs. This combined approach can increase the chances of IVF success with low AMH levels.

    • Egg Quality Improvement

     In some cases, improving egg quality can increase the chances of IVF success with low AMH levels. This can involve lifestyle changes, such as maintaining a healthy diet, exercising regularly, getting enough sleep, and managing stress.

    Additionally, supplements like coenzyme Q10, DHEA, and antioxidants may help improve egg quality. It is important to consult with a healthcare professional before beginning any supplementation regimen.

Factors Affecting IVF Success

Several factors can impact the success of IVF treatment, including:

  • Health of the endometrial lining: A healthy endometrial lining is crucial for successful implantation and pregnancy. Factors that can negatively affect the endometrial lining include certain medications, inflammation, and hormonal imbalances.

  • Quality of the laboratory environment: The success of IVF also depends on the expertise of the embryologists and the quality of the laboratory where the embryos are cultivated. A high-quality laboratory with experienced staff can significantly improve the chances of a successful pregnancy.

     

  • Age of the patient: Younger patients tend to have higher IVF success rates, but as age increases, the chances of successful fertility treatment decrease. Therefore, seeking treatment at a younger age with low AMH levels can result in better outcomes.

     

  • Overall health and lifestyle: Factors such as obesity, smoking, alcohol consumption, and poor nutrition can negatively impact fertility and IVF success. Adopting a healthy lifestyle is essential for optimizing fertility treatment outcomes.

     

  • Emotional and psychological factors: The emotional and psychological aspects of infertility and IVF treatment can also impact success. Stress, anxiety, and depression may contribute to lower success rates. It is important to prioritize mental health and seek support from professionals or support groups if needed.

if you want to know more details: 11 Tips To Choose A Fertility Specialist In Delhi?

Wrapping up

 

It is essential to maintain hope and seek the appropriate treatment for your unique situation. This blog has aimed to provide insight into the relationship between low AMH levels and IVF success, as well as techniques that can help improve your chances of a successful pregnancy.


If you require further information or have any questions, please feel free to reach out. Remember, there is always hope, and with the right strategies and expert guidance, it is possible to achieve a successful pregnancy using your own eggs, even with low AMH levels.

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About Author

Dr. Gunjan Gupta Fertility and IVF Specialist in Delhi

Dr. Gunjan Gupta

Gynecologist and IVF specialist
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Dr. Gunjan Gupta is a Gynaecologist with a specialization in IVF, Infertility & Laparoscopy specialist doctor and has close to 2 decades of experience in : Treating Infertility, Performing Gynae Laparoscopy (Keyhole Surgeries) Handing high-risk Pregnancies. She is a Member of Royal College of Obs and Gynae (MRCOG) of UK and has been trained in Laparoscopy at EUDGES (France).

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