On Thursday, I learned that going to the fertility specialist at your OB's office is like going to the cosmetic surgeon at your dentist's office. He may know more about cosmetic surgery than the other dentists, but he sure isn't an expert. In this case, the OB had never heard of AMH, per his own words, not my assumption. He also claimed that endometrial thickness and pattern had no implications for pregnancy/miscarriage.
I passed him a 2015 journal article whose abstract noted sustained pregnancy is extremely rare with lining <6mm. He got flustered, insisted it wasn't really an issue, and couldn't provide any data to support that.
Anyhow, based on the numbers, my ovaries are in their mid to late 40's. AMH is 0.4, FSH is 9.5, E2 was 18. Not good. We're moving on to talk to an actual miscarriage and fertility specialist. I've scheduled an appointment with CCRM's local branch in about two weeks.
Oh yeah, the best part of the doctor visit? He told us the miscarriages were just really bad luck and that we should start trying again. He said I should ovulate soon, and I told him I had already, three days ago. He asked "did you try?" I replied, "You told us we had to wait two weeks after the hysteroscopy, and that isn't until NEXT Monday, so no, we didn't try." At that point he got upset, raised his voice, and told us to go home and try immediately. Seriously, dude, my temp's been up for 3 days. The egg ship has sailed, no matter how much you yell at me for following your bloody instructions!
Moral of the story: go to a specialist for specialist advice.
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