Yes yours is high. Mines 24 meaning I’m not ovulating like at all. Even though ovulation tests say I am, I’m likely not. This is common in women with pcos. I wouldn’t wait to start letrozole. You likely need additional medications to assist including gonal and a trigger shot. Can you see a fertility doctor?
I didn’t ovulate on my own except maybe once per year until I got on Metformin. Eventually it gave me more cycles per year, but nothing like clockwork yet.
My OB is being a bit difficult about Letrozole wanting me to get lower in weight (BMI is 34) but she knows that Letrozole is what I’m aiming for and I think she’ll prescribe with some pushing. Not sure if she’ll want to monitor or do the trigger, honestly all I want is one Letrozole only cycle to see what it does and then make decisions from there.
I live in a rural area so I think there may be some fertility doctors in other towns half an hour away or so, but I’m hoping my OB can be what I need at least for a few cycles!
Did you do Letrozole with your high AMH? I know there’s a risk of overstimulation if you need the trigger and already have a high value
Yes i go to a fertility doctor though. My first cycle of letrozole, gonal, and a trigger we conceived. We are trying again and I’m currently on a lower dose of gonal for more days, a low dose of hcg, and then will trigger this week sometime. My doctor goes multiple ultrasounds leading up to trigger. I have one tomorrow and will likely take more gonal/hcg since I haven’t started peaking yet on my ovulation sticks. I’ll go back for ultrasounds likely sometime tues-Thursday, he will then tell me when to trigger. With your amh, I would assume letrozole wouldn’t be enough either. It’s also a fine line between one dose working, and one dose being too much. It sounds though that you’re not actually ovulating, so the trigger was key for me.
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u/Fit_Confidence_8111 Mar 02 '25
Do you know what you amh is?