Should a 35-year-old woman with high AMH freeze eggs?

Hello,

Welcome to icliniq.com.

I have gone through your query and understand your concern.

I’ve gone through your reports (attachment has been removed to protect the patient’s identity). Your AMH (anti-Mullerian hormone, hormone produced by small follicles in the ovaries) is 5.85 ng/mL, which is a good ovarian reserve for your age (34 now, turning 35 soon).

AMH measures the number of eggs, not the quality of eggs, which is mostly age-related. So your ovarian reserve looks reassuring, but age still counts as egg quality drops off after 35. So even if you have good AMH levels, you still need to plan your fertility in good time. Egg freezing is typically an option for someone who wants to delay pregnancy and preserve future fertility options.

This is not so much a medical problem as a consideration of the natural age-related decline in fertility despite a decent AMH level.

The following are possible considerations. Your value is not very high. Sometimes AMH is related to PCOS ( polycystic ovarian syndrome, a common hormonal disorder in women of reproductive age ). Alternatively, this may simply represent a normal, healthy ovarian reserve.

It is a good idea to have some tests done to better understand your fertility status. These include:

Pelvic ultrasound antral follicle count (AFC).

Day 2-3 hormonal tests like FSH (follicle-stimulating hormone), LH (leutanizing hormone) and estradiol.

If you are considering egg freezing, the fertility centre will do a complete workup before IVF (in-vitro fertilisation).

If you are considering pregnancy soon, there is no need to rush into egg freezing. But if you’re considering delaying pregnancy until you’re older than 36 or 37, then freezing your eggs now may be more beneficial because your eggs are of relatively higher quality. According to an IVF specialist, how many cycles should I go to a fertility clinic to make a good egg reserve?

In addition, some general measures can aid fertility planning. If possible, try to plan the conception earlier. Maintain a healthy BMI (body mass index), refrain from smoking and alcohol, keep track of your menstrual cycles, and continue regular gynaecological checkups.

I would strongly recommend that we have a thorough consultation so that I can go through your medical history, menstrual cycles, family history and expectations in detail. Egg freezing decisions must be individualised and cannot be based upon a lab report alone.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.