Low AMH...Now What? - Fabulously Fertile Blog

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Low AMH...Now What?


When you've struggled with getting pregnant for years and are finally given a medical diagnosis of low AMH, high FSH, low ovarian reserve or premature ovarian failure, it can make you feel helpless, in shock and like the doors are closing in.

I vividly remember leaving the ob-gyn office.....and being told that I would never have my own biological children.

I'd struggled for years to get pregnant and suddenly I was being told that my only option was to use donor eggs. Believing I had no alternatives I jumped head first into the donor egg process and was lucky enough on the first fresh transfer was able to have my daughter and the then my son, three years later. I always felt incredibly fortunate to have been blessed with my children, but it wasn't until many years later when, due to continued ill health, I looked into functional medicine and nutrition and realized that there were things I could have done over a decade earlier to improve my health, balance my hormones and conceive naturally.

According to the College of Obstetrics and Gynecology (UK):

'A woman is fully capable of conceiving with her own eggs until she has been in menopause and without a period for one year.'

It frustrated me that my doctors had never suggested simple things like changes to diet, or how the chemicals in our environment can affect our bodies. No one ever told me there was a link between frequent use of antibiotics and gut health and the negative impact on my sex hormones.

I don't want women like you to struggle with conception and health.

It's my mission to educate and inspire women, couples and medical professionals to look beyond the numbers, to treat everyone as a whole person and to dig deeper to find out the real reason WHY they're not getting pregnant naturally.

Having high FSH or low AMH are not the cause of your infertility. These numbers simply highlight an underlying imbalance.

The main factors that influence low AMH and high FSH are:



Intestinal infection

Hormone imbalance

Chronic stress

Environmental toxins

Vitamin D deficiency

The Standard Western Diet is filled with processed foods that we frequently choose over fresh produce because it fits our busy lifestyles. 

The top allergens of dairy, gluten, corn, soy, eggs and peanuts are found frequently across most processed foods like cookies, cakes, crackers and even in many so-called 'health' food snack bars. 

Genetically modified crops and herbicides such as glyphosate (a weed killer) are causing a massive problem for humans at a cellular level...and numerous studies have linked to them infertility. 

Boost your health and fertility through diet:

Always opt for organic produce.  Eat plenty of fresh fruit and vegetables. Consume healthy fats such as avocados, coconut oil, grass fed butter (fats are crucial for producing hormones).  Look for the GMO free labels. This non GMO shopping guide has got you covered.  

Avoid genetically modified corn, soy and dairy and wheat.

Use functional testing to determine if there is a food sensitivity.  Seemingly healthy food that we consume could be causing a food sensitivity.  

Remember: The best diet is the one that's personalized for you.

Are you taking any medication?

Common medications such as the birth control pill, antibiotics, corticosteroids (commonly used to treat auto immune disease), antacids and vaccines (Gardasil) can have an adverse effect on fertility. Many medications affect the balance of gut flora and cause malabsorption of nutrients, low stomach acid and reduced ability to fight infection.

Top tips:

Antacids are not recommended for long term use. Using the tools of functional medicine we figure out the root cause of your high acid symptoms and then make dietary and lifestyle changes to boost health naturally.

Antibiotics should be used sparingly and for bacterial infections only. They play no role in our recovery from common winter viruses and colds and in the long term only serve to cause gut imbalance and reduced immunity.

​Infections from parasites, bacteria, yeast and intestinal viruses can cause many common symptoms, including: digestive problems, gas, bloating, fatigue, anxiety, depression and insomnia. 

Following analysis of a simple stool test, these health issues can be corrected when we begin to heal the gut. As your body begins to heal, you have a better chance of finding out the root cause of your infertility.

Could it be a gut infection?

Infections from parasites, bacteria, yeast and intestinal viruses can cause many common symptoms, including: digestive problems, gas, bloating, fatigue, anxiety, depression and insomnia.  

These are clues that there is an imbalance in the body.  A stool test can uncover gut infections.  Learn more here about the stool tests we offer.

Parasites, bacterial infections and fungal infection are something that we see quite often with women who are struggling low AMH, high FSH or premature ovarian failure.

Once we run the stool test we will recommend a protocol to allow your body to heal (your conventional doctor may recommend antibiotics to treat the infection), we will recommend a more natural approach that doesn't destroy your beneficial gut bacterial.  The key here is to take action and be sure to follow a protocol and retest to ensure the infection is gone.

Want to know more about stool tests and gut healing protocol?  Book your free 30 minute Supercharge Your Fertility Call here

Could it be a hormonal imbalance?

Hormone Imbalances are frequently the cause of symptoms such as: PMS, fatigue, migraines, bloating, night sweats, low libido, heavy periods, irritability and brain fog. 

Before self-treating randomly with herbs or oils, it's essential to have thorough lab testing - the foundation to functional medicine. Your results are analyzed by a qualified practitioner to check your levels of estrogen, progesterone, testosterone, DHEA, melatonin and cortisol. 

Chronic stress has a massive impact on sex hormones but stress at a chemical level can go undetected and un-noticed for many months or years. We recommend the DUTCH test.  This gives a comprehensive overview of your sex hormones and adrenals.

Addressing the root cause of imbalance at an early stage will boost your chances of pregnancy and create a strong foundation for long term optimum health.

Top tip:

If you're struggling with fertility, it's essential to look at the food you're eating as well as functional medicine tests and coaching. 

Remember: Your body works (very effectively) as a whole. Sticking a Band-Aid on one part will only provide a short term solution. You must get to the root cause of why you can't conceive.

Is it in the environment?

Environmental toxins are all around us, in the air we breathe, in the soil our crops are grown, in the water we drink, in the food we buy and in the products we use in our home and on our bodies. While there is little we can do to escape many of these toxins, we do have the choice to buy organic food, filter our water, choose natural toiletries (or make our own) and buy home cleaning products that aren't packed with dangerous chemicals. 

It's now common knowledge, for example, that chemicals such as Bisphenol A (BPA) leak from plastic water bottles and food packaging into our food and drink and have a negative impact on our reproductive hormones due to their classification as an endocrine disruptor.

Reduce chemical stress and environmental toxins in your body by avoiding plastic packaging and cooking from fresh with organic produce as much as possible. 

Are you deficient in Vitamin D? 

Vitamin D works as a hormone in the body and a deficiency can therefore have a knock-on effect on fertility. 

Premenopausal women have fluctuations in AMH levels which correlate with the seasonal changes. 

Once your vitamin D levels have been checked (and diagnosed as deficient), it's important to work with a professional to ensure you take the correct dosage of vitamin D3 for you. 

Very high doses will need medical supervision. A professional grade of Vitamin D3 combined with vitamin K2 will give optimum results. Getting more sunshine helps too, of course, but supplements are required to correct a deficiency.

While taking all these steps might feel scary, overwhelming and complicated, it's important to remember that your survival is more important than procreation.

Having access to all this information many years ago could have given me, and women just like you, a totally different outcome and enabled us to feel supported in boosting our fertility and raising the chances of a natural conception.

Your infertility diagnosis does NOT have to define you; you CAN take back your power. 

Sarah Clark empowers couples to discover how lifestyle and diet can dramatically impact their chances of conceiving. She was diagnosed with premature ovarian failure at 28 and had both her kids with donor eggs. Not until years later did she discover that the root cause of her infertility was a food intolerance. Join the Free Fab Fertile Support Group on Facebook for mini-challenges, motivation and inspiration!

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