The Egg Whisperer Show Is There a Way to Improve My AMH or Preserve Fertility? (Ask The Egg Whisperer)
Oct 8, 2025
This lively Q&A covers the complexities of fertility, including the viability of pregnancy with high FSH and low AMH. Experts discuss IVF versus IUI choices for older patients, strategies for improving uterine lining, and the mystery of failed embryo transfers. Insights into egg freezing and the best protocols for frozen transfers offer crucial guidance. Listeners also get advice on prenatal vitamins and when to consider donor eggs. Dive in for a wealth of knowledge and personal stories from listeners navigating their fertility journeys.
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Young Age Preserves Egg Quality
- A 33-year-old with low AMH still benefits from younger egg quality despite low reserve.
- Low quantity doesn't equal older-quality eggs; act promptly to preserve that age-related advantage.
Workup And Options After Second-Trimester Loss
- If you experience recurrent second-trimester loss, evaluate for adenomyosis with pelvic MRI and consider embryo freezing.
- Use hybrid stimulation (letrozole + low-dose injectables) to increase follicle number and consider surrogacy if the uterus is compromised.
Favor Modified Natural FET When Ovulatory
- Prefer modified natural or natural cycle FET for ovulatory patients to preserve physiologic progesterone and reduce pregnancy risks.
- Supplement progesterone as needed but avoid unnecessary painful injectable protocols when possible.