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advancedgynsolutions > Message Board > Low AMH, Hormone Replacement and Pregnancy
 
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Mary_in_NC
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Registered: 02/26/09
Posts: 1

    02/26/09 at 06:15 PM
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I have a question for you about HRT and pregnancy. Has there ever been a study done on HRT helping one to get pregnant and to keep a pregnancy? I am asking because I am 31 with a AMH of 0.3. I have 2 boys, but we have been trying for another child for 2 years now. We have had 4 miscarriges. 1st at 4 weeks, 2nd at 9 weeks, 3rd at 6 weeks, and 4th at 4weeks. We had never had a miscarriage before these, and never had a problem getting pregnant either. I have hot flashes, mood swings, head aches, and trouble sleeping at night.

Any Information you can give me would be greatly appreciated.

srabin
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Registered: 09/13/07
Posts: 33

    02/27/09 at 08:49 PM
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I have several comments.  The AMH level, although low, is not your biggest concern since you are getting pregnant easily!  It may indicate that you are running low on eggs.

After 2 and certainly after 3 miscarriages you should have a complete work up for recurrent losses.  Too much to explain here, but there are many many opportunities to pursue once a specific cause is identified. 

It seems you are not having trouble getting pregnant. The trouble you describe is in staying pregnant.

In terms of bioidentical hormones, the use of bioidentical progesterone has always been the recommendation for one of the causes of early loss up to 12 weeks.  Fertility experts have always had to go out of their way to find compounded progesterone suppositories from those "special" pharmacies :-) .  There are now several commercially available, FDA approved bioidentical vaginal gels for fertility when progesterone is deficient.

Please ask your OB/GYN for a complete workup for the recurrent losses...



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Steven A. Rabin, MD, FACOG
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