Here is the news I got:
On Tuesday Dr. BFP’s office called me back about my blood test results. The first words nurse smiley used were pre-menopausal. I thought that was mean. I had to push her to get the actual numbers so that I could do my own research. At first she only gave me my AMH (anti-mullerian hormone), after some pushing I also got my FSH (follicle stimulating hormone.) Dr. BFPs diagnosis was diminished ovarian reserve.
Here is what Dr. Go.og.le taught me:
The AMH is a hormone produced by the granulosa cells of the early developing antral follicles. These are the immature eggs that wake up from their dormant state and develop into mature eggs. As a woman runs out of eggs, the number of these small antral follicles decline in number and as a result the serum Anti-Mullerian hormone falls. This is why serum Anti-Mullerian hormone testing is a good estimate of residual egg number.
High (often PCOS) - > 3.0 ng/ml
- 0.7 – 0.9 ng/ml Normal
Low - 0.3 – 0.6 ng/ml
Very Low – < 0.3 ng/ml
My AMH is in the low range, ouch, I’m only 27! The weird thing is that my FSH is in the normal range…
Here is the plan:
I don’t have much time to screw around. I’m working on borrowed time and I’m ready to start taking this seriously. Motel Six is out, Ritz Carlton is in. I have a consult set up with Dr. Sher next week and if all goes as planned I will be cycling with him in Vegas in August. For the record I just want to say that I like Dr. BFP and his team and a girl I met through blogging actually got pregnant with him using the same protocol and dates as me! Go congratulate her!
I made this decision for a lot of reasons but one of the most important is seeing how multiple rounds of IVF hormones have impacted a friend's endometriosis. She went from no sign of endo to Stage 4 in a year!
Our original plan was to give Dr. BFP one good shot and if it ended in BFN to move on to Dr. Sher. It’s a matter of interpretation but for all intents and purposes I have given him his shot, we didn’t get to egg retrieval but I still went through 6 days of stims which is the part that will damage my body the most.
I don’t believe in the protocol that Dr. BFP wants to use and I think its time to give my body, and future babies, the best chance they’ll have, which is with Dr. Sher.