Hello doctor, I am 40 years old. I have no medical history except TSH a bit high around 7, on Thyronorm 25 mcg. My AMH is 0.7, hormones are all normal, HSG test shows patent tubes and husband sperm normal except little high liquefaction time around 335 minutes. Got IVF cycle agonist technique done but could not retrieve any eggs. IVF cycle got canceled due to empty egg syndrome. Now, what should I do?
Hello. Your AMH (anti-mullerian hormone) levels are very low indicating poor ovarian reserve and a TSH (thyroid stimulating hormone) of 7 at 25 mcg Thyroxine is still high. It should be less than 4 ideally to support folliculogenesis and ovulation. As IVF (in-vitro fertilization) could not yield any eggs with agonist cycle, it is suggested that you can be placed on DHEAS (Dehydroepiandrosterone) 75 mg tablet daily for 48 days along with low dose oral contraceptive pill for two cycles and then should repeat your AMH to see if it improves and ovarian reserve is improved and then you can opt for another IVF cycle post that. Discuss with your IVF specialist and take an informed decision.