Has anyone else had her anti-Mullerian hormone (AMH) level tested? Does a low value definitely preclude the possibility of PCOS? Also, when you were diagnosed with polycystic ovaries, were you told how many follicles you had?
Recently, a fertility specialist ran tests to confirm suspected PCOS. Much to my surprise, when I returned for the results, the doctor said he was ruling out a PCOS diagnosis because my AMH was low – so low, in fact, that it put in the ‘low fertility’ group. In addition, he said my ovaries technically didn’t qualify as polycystic because I only had six follicles, and the clinical definition requires at least 12.
I’ve had three ultrasounds before and each time told my ovaries were polycystic – but doctors never gave a follicle count. Is it possible my ovaries have improved, or could they have been using different criteria? Could the fact that I'd recently taken four cycles of Clomid have affected the follicle count?
If I don't have PCOS, what else could explain the elevated LH reading I had a year ago? It was done mid-cycle, so it wasn't as accurate as a day-3 reading, but my ratio was 3:1 – isn't that indicative of PCOS even if the test was done on the wrong day?
Background:
For the past three years, doctors not been able to agree on a diagnosis to explain my amenorrhea and infertility. I was told I have polycystic ovaries but 'most likely' did not have PCOS because of my low hormone levels (androgens and estrogen) and body weight. I was told to gain weight. I managed to gain 5 pounds, and my periods returned, by I was still very irregular and unable to conceive. Finally, I had an elevated LH reading, and my doctor referred me to a fertility specialist.
Many thanks for any advice you can offer! |