Follicles Not Responding? Is Low AMH the Whole Explanation

Follicles not responding? Cycle cancelled? Told it is your low AMH? Book a free Functional Fertility Second Opinion before your next IVF decision → fabfertile.com You have done the injections. You have gone in for monitoring. They may have increased the medication already. And then you hear it again. The follicles are not responding. There are one or two growing. Maybe the cycle gets cancelled. Maybe you make it all the way to retrieval and get one egg. When you ask why, the answer comes back the same way every time. It is your low AMH. It is your age. You are a poor responder. Those are real factors, and I am not going to tell you the AMH does not matter. But if you are about to put your body, your finances, and yourself through another cycle, there is a bigger question worth asking. Is low AMH the whole explanation? Because these are two separate statements: I have diminished ovarian reserve, and low AMH explains everything that happened during that cycle. They are not the same statement. In this episode I walk through what AMH does and does not tell you, what I would want to understand about the 90 days before stimulation started, and what to ask your clinic before you go again. The full thyroid panel, including antibodies rather than TSH alone. Blood sugar and how it moves across a day. hs-CRP and unnecessary inflammation. Vitamin D you may be taking and may not be absorbing. Gut health, food sensitivity, the vaginal microbiome, nutrient status, and an autoimmune issue that gets mentioned as an afterthought when it belongs at the front of the file. CHAPTERS 00:00 The follicles are not responding 01:00 About Sarah and the team 01:20 What AMH does and does not tell you 02:00 Two statements that are not the same 02:20 The 90 days before stimulation started 02:40 hs-CRP and unnecessary inflammation 03:00 Optimal, not normal 03:20 Blood sugar regulation across the day 03:30 The full thyroid panel including antibodies 03:50 Nutrient depletion and secondary infertility 04:10 The vitamin D you may not be absorbing 04:30 An autoimmune issue is not a by the way 05:00 A clean diet that may not be the right diet for you 05:30 Hypervigilance and nervous system load 06:20 One client who did not have enough follicles to qualify 06:40 What I am not claiming 08:00 Annie and Miles. AMH 0.15, FSH 33 08:40 What Your Clinic Missed 09:00 What to ask before another IVF 09:40 Thirty days without medication, and doing this in parallel 11:00 Book a Second Opinion with your partner WHAT YOUR CLINIC MISSED If you have no idea which of these markers to run, we have a checklist called What Your Clinic Missed. It is a list of markers worth reviewing before a donor egg decision or before another IVF, so you can look at your own results and go from there. Email [email protected] with MISSED in the subject line and we will send it to you. FUNCTIONAL FERTILITY SECOND OPINION Book with your partner and load your labs into the secure portal. Before the call I review your fertility history and bloodwork from both partners, looking for patterns, unanswered questions and gaps. We are not diagnosing. Sometimes the review confirms that moving forward with the next IVF makes sense. Sometimes there are questions worth addressing first. Book your call with your partner at fabfertile.com If you want to know whether the call is right for you first, email [email protected] with FERTILE in the subject line and tell me a little about your situation. ABOUT THE HOST I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over one million downloads. My functional fertility team works with couples navigating low AMH and failed IVF, reviewing functional lab results, gut microbiome, food sensitivity, vaginal microbiome, nutrigenomics, HTMA, DUTCH, toxin testing, and bloodwork alongside nervous system work, to help identify patterns that may not have been considered. We work alongside your medical team, not instead of them. Sarah Clark, founder of Fab Fertile, host of Get Pregnant Naturally (1M+ downloads), and author of Fabulously Fertile. If this episode helped, leave a review. It is how other women find this work.