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We nourish and support your fertility treatment journey.
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When a woman's ovaries fail to react sufficiently to a hormonal stimulation under IVF treatment, this is called "Poor Responder".
Reasons for this are raised FSH levels, which indicates the beginning of the menopausal phase – or a low AMH value (anti-Mullerian hormone). In most cases, the mature age of the patient is the reason for the limited functioning of the ovaries.
The AMH value is an indicator for the ovaries’ stimulation capacity and ovarian activity.
The start of a hormone stimulation should not however be based solely on the AMH value. Often - despite a low AMH value - patients react very well to the administration of hormones and a satisfactory number of eggs can be obtained for future IVF treatment.
In such cases, the KinderWunschKlinik of Dr Loimer recommends a step-by-step stimulation:
The patient is stimulated for 5 days. An subsequent ultrasound examination is used to ascertain the success of the stimulation. If follicles are found to be maturing in the ovaries, the hormone is no longer administered. If there is no reaction at the ovaries, the stimulation is discontinued and an alternative treatment is suggested (e.g. egg donor).
AMH assessment is regularly requested and carried out at the fertility clinics of Dr Loimer prior to IVF treatment. It only requires a blood sample that can be taken at any time.