What Is The Cause And Treatment For Infertility?

Posted on Fri, 4 Jul 2014

Question: I am 41 years old and have struggled for the past 2 years with conceiving another child. The last and final test I took was an AMH and my result was <.3. Which basically tells me I don't have any eggs left. This cycle however I had ovulation pain like I used to. I thought I possibly ovulated. I took several pregnancy tests and all are negative. Yesterday was 4 days before my period is due and I started with what I thought is a period. However it's not red at all but just brown and clumpy. Now today it's hardly even there. I do feel crampy but not a lot. I don't understand what's going on. Even with lower than normal AMH levels I would like to add that my cycles are like clock work. Which is also strange if I'm not ovulating.

Answered by Dr. Vjollce Mbiarra (52 minutes later)

Brief Answer:
Detailed answer

Detailed Answer:
Hi dear!
I understand your concern that conceiving another child is so difficult in your age .
But is possible that you dont ovulate even though you have a regular cycle because both the quality and the quantity of eggs has decline.
A menstrual cycle where ovulation doesn't occur is called an anovulatory cycle.
When a woman is anovulatory, she can't get pregnant because there is no egg to be fertilized.
This is true because your AMH is below 3 .

Brown discharge are caused from hormonal imbalance ,lack of progesterone.

Please contact with an infertility specialist and take in consideration IVF.

Please do not hesitate to do another answer.
All the best

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Vjollce Mbiarra (12 minutes later)

So with an AMH this low is it absolutely impossible to conceive naturally?

Answered by Dr. Vjollce Mbiarra (12 hours later)

Brief Answer:
Hi!

Detailed Answer:
Hi dear again!
Among women after 40 years old the opportunity to conceive in one year is 5%.
But being in TTC for 2 years and having low ovarian reserve (AMH<3),I think that is not impossible but very very difficult to conceive naturally.
But you should keep in mind that with increasing age you have more chance for:
Placenta previa,miscarriages ect
The risk of having chromosomal defects will increase with every year for a pregnant woman of over 40 years old.
Hence you should contact with a infertility specialist.
All the best

Above answer was peer-reviewed by : Dr. Prasad