Fertility Q&A - AMH, Luteal Phase, Tubal Disease, and IVF Cycles

This episode explores fertility issues and concerns, addressing listener questions submitted via voicemail. Against the backdrop of a listener's experience with miscarriage and appendectomy impacting subsequent attempts to conceive, Dr. Crawford emphasizes the importance of seeking a fertility evaluation, particularly given the potential for tubal damage from inflammation. More significantly, the discussion pivots to a listener with low AMH (anti-Müllerian hormone) levels, two miscarriages, and a short luteal phase, prompting Dr. Crawford to advise pursuing IVF despite the low AMH, emphasizing the importance of multiple cycles and managing expectations. For instance, she explains the probabilities associated with egg retrieval and embryo development. Further questions address the delayed return of menstruation after a D&C (dilation and curettage) and the impact of trigger shots on post-egg retrieval menstruation timing. Ultimately, this episode highlights the complexities of fertility challenges and the need for personalized medical advice and support, emphasizing the importance of proactive communication with healthcare providers.