What should I do now?

So, it seems my days are numbered.
After specialist appointment last week, it seems I am looking at diminished ovarian reserve, thyroid issues and vit D deficiency, on top of my age ( 41 and 1/2) and only one tube . So while it’s still possible to get pregnant, it’s going to be difficult.
To top it all off, ive just come off a 41 day cycle, to ovulate on day 8.
I’ve contemplated giving up on my sway, but I think ill give it all I have until the end of the year.
I have x2 more months of Femara available, which it seems did nothing this cycle [emoji17]
So with all this, and if this cycle is unsuccessful, should I look at SMEP?
I’m keeping within the limits of LE, maybe a little on the high side of fats (60-70gms ) but I’m trying to be a little bit more relaxed about that , adding in some more eggs, delaying breakfast until 12-1pm, no snacking and I’m still adding in a coffee (which I have never ever drank LOL) and limiting red meats to 2-3times a week. So for me big changes which I’ve been doing since April so 5 months now.
I know a pregnancy isn’t impossible, but I’ve come to accept that it’s not looking good. But I have to give it all I’ve got , until I have no choice.



https://www.fertilityfriend.com/home/2fdf7e

I've read this post a few times, the part about being older and AMH jumped out at me. Have no real advice, just offering reassurance. Obviously I am cautious about BFP. Could be a chemical. I don't feel convinced yet. I am a full year older than you. I had AMH done in February and I cried it was so low. It must be even lower now 6 months later. My FSH was good - it was actually better than 5 years ago so I do believe you can improve your numbers. Obviously, can't do much about one tube. I am sending you all (literally every ounce) of hope I have for you. I so want you to beat the odds. :)

Hopeful my amh results were woeful hence being prescribed clomid but I fell pregnant twice with clomid and twice without so it a low reserve definately doesn't mean you'll struggle imo. It took me 8 cycles to get my first bfp. After that I pretty much concieved cycle 3/4 when resuming ttc.

Hang in there, I have so much hope for you [emoji173]

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Originally Posted by dreamofdaughter

I've read this post a few times, the part about being older and AMH jumped out at me. Have no real advice, just offering reassurance. Obviously I am cautious about BFP. Could be a chemical. I don't feel convinced yet. I am a full year older than you. I had AMH done in February and I cried it was so low. It must be even lower now 6 months later. My FSH was good - it was actually better than 5 years ago so I do believe you can improve your numbers. Obviously, can't do much about one tube. I am sending you all (literally every ounce) of hope I have for you. I so want you to beat the odds. :)

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Thanks so much ❤️
Ohhh I have everything crossed for you x

How low was your AMH ? Mine was .2 [emoji30][emoji24]
He didn’t tell me my FSH , just that bordering on hypothyroidism and vit D deficient .
So while he said it was bad, he said it’s not impossible.
I’m sending you lots of sticky dust [emoji8][emoji8]

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Originally Posted by Pbn3

Hopeful my amh results were woeful hence being prescribed clomid but I fell pregnant twice with clomid and twice without so it a low reserve definately doesn't mean you'll struggle imo. It took me 8 cycles to get my first bfp. After that I pretty much concieved cycle 3/4 when resuming ttc.

Hang in there, I have so much hope for you [emoji173]

Sent from my SM-G960F using Tapatalk

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Thanks so much, I really appreciate it. And you have given me hope [emoji8]
I’m not giving up just yet, but was a bit of a blow xx

Quote:

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Originally Posted by Hopeful77

Thanks so much ❤️
Ohhh I have everything crossed for you x

How low was your AMH ? Mine was .2 [emoji30][emoji24]
He didn’t tell me my FSH , just that bordering on hypothyroidism and vit D deficient .
So while he said it was bad, he said it’s not impossible.
I’m sending you lots of sticky dust [emoji8][emoji8]

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Sorry, I think I was confused when I said FSH :) But it does go to show these values do fluctuate.

Was your AMH in ng/mL? I converted mine over from pmol/L (3) and it's equivalent was 0.4 ng/mL.

I am not a medical professional but can the hypothyroidism and VitD be treated at all?

Oh hang on I just went and checked , and yeah he said 2, but didn’t clarify anything else , he said expected range for age group is 8, so would that be converted to
.3 then? No it’s ok, I just checked it converts to 0.28 [emoji24]
And yes it both can be treated, He said to take vit D supplements, but mentioned sitting in the sun as well for 10min when it gets warmer. [emoji16]

Quote:

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Originally Posted by Hopeful77

Oh hang on I just went and checked , and yeah he said 2, but didn’t clarify anything else , he said expected range for age group is 8, so would that be converted to
.3 then? No it’s ok, I just checked it converts to 0.28 [emoji24]
And yes it both can be treated, He said to take vit D supplements, but mentioned sitting in the sun as well for 10min when it gets warmer. [emoji16]

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I am glad they can be treated. I don't know if he mentioned D2 vs D3 but it's maybe something to ping atomic about if you haven't already.

Yeah, I was told my number was low for my age group. I am honestly not really sure what to make of AMH. The thing is, all I can find is it predicts years to menopause but not necessarily live births in non-IVF babies. When I got my results, I looked a little online and then decided not to worry about it; my motto became "I only need one good egg". :) And I don't even know if this one will stick all I can do is hope and try not to worry too much (my sleep was disrupted by waves of nausea already and I am literally 4 weeks today so I don't really know what to think).

Did the dr suggest checking your follicle count? I mean with a TV ultrasound? I will say, I chose not to get this done. Again, I decided having an answer that might be negative might stress me out too much and it wasn't really going to change the fact that a) I wasn't going to seek out IVF because I couldn't justify it for me personally and b) we were still going to try naturally regardless of the answer.

I wish I was further along so I could give you better reassurance but I do believe as long as you're making eggs, you're not out.

Quote:

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Originally Posted by dreamofdaughter

I am glad they can be treated. I don't know if he mentioned D2 vs D3 but it's maybe something to ping atomic about if you haven't already.

Yeah, I was told my number was low for my age group. I am honestly not really sure what to make of AMH. The thing is, all I can find is it predicts years to menopause but not necessarily live births in non-IVF babies. When I got my results, I looked a little online and then decided not to worry about it; my motto became "I only need one good egg". :) And I don't even know if this one will stick all I can do is hope and try not to worry too much (my sleep was disrupted by waves of nausea already and I am literally 4 weeks today so I don't really know what to think).

Did the dr suggest checking your follicle count? I mean with a TV ultrasound? I will say, I chose not to get this done. Again, I decided having an answer that might be negative might stress me out too much and it wasn't really going to change the fact that a) I wasn't going to seek out IVF because I couldn't justify it for me personally and b) we were still going to try naturally regardless of the answer.

I wish I was further along so I could give you better reassurance but I do believe as long as you're making eggs, you're not out.

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No HS didn’t mention D2 v D3.
He did scan me, after taking Femara for 5 days he checked for follicles, which were too small for a trigger shot. And I won’t be doing that anymore.

Yeah I’m not sure either about AMH , I think it gives a guide, but they can never tell you for sure how much time you have left. That is my motto too! I just need one! I have had 3boys before granted it was 5 years ago, but I’m so sure there’s 1 good one waiting. ❤️

Yes absolutely let's go to SMEP.

I would be sure you're not doing shallow release, add in female O, Preseed if you need it for a lube (no other lubes, even saliva, can kill sperm). Stay laying flat for 30 minutes or even overnight. That is how I got my daughter at 41 1/2 (in literally the last month I was going to try) was by laying down all night - which I rarely ever do, just was super tired that night!

go ahead and add in the Vit D as directed by your doctor.