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Trying to Conceive? The Important Test Your Gynecologist Isn’t Telling You About

Kaylen Silverberg MD – in

by Jen Jones Donatelli

Once you dip a toe into the choppy waters of infertility, all of the insider initialism can be overwhelming (FET, TTC, IUI — the list goes on). But there’s one three-letter initialism that you especially need to know, and it’s AMH. It stands for anti-mullerian hormone, and many doctors consider it to be the most reliable indicator of ovarian reserve — aka the number of healthy eggs a woman has left.

“Gynecologists are not fertility specialists,” says Silverberg, who works with Texas Fertility Center. “Even though they are well-intended, most gynecologists aren’t aware of AMH or how to interpret it.”.
I learned the hard way that not all doctors offer this test to women with unexplained infertility. After my husband and I had been trying almost a year with no luck, I visited my gynecologist to get some answers. Tests of my estradiol, FSH (follicle-stimulating hormone) and progesterone levels all came back “great” — so she told me to stay the course and come back in six months if I wasn’t pregnant yet.

Six months later, my oven was still sans bun, so I called my gynecologist again to see if we could do an intrauterine insemination treatment. But when I went for the initial visit, no egg follicles could be seen on the ultrasound. My gynecologist was perplexed, as was I — after all, my period had always been like clockwork, and my hormone levels had measured right on track for healthy reproduction. But my proverbial egg carton, indeed, appeared to be empty.



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