Infertility/Fertility/pcos

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Question
hello sir
im confused and worried about my monthly cycle...since the day of start i have never been regular..im always late for 6 to 15    days..i was diagnosed with PCOS..then i shifted to japan where the doctor run AMH test and told me i dont have PCOS...more over through 2 icsi cycles i have never been OHSS sufferer despite of high dosage..if i dont have PCOS then why im always late..i have failed to understand my body so far..i have also weight gain issues ..i gain weight due to no reason and then i lost weight automatically without doing significant diet changes ..i go from 64kg to 60 and now im 57....what is wrong i dont now
in short does high AMH means PCOS...is it authntic research or persons with below normal range of AMH can be PCOSers///
plx clear..
more over im losing lots of hair on my head since mature...
thanks

Answer
Hello Hina from Japan,

AMH has no relationship to PCOS.  PCOS is an ovarian dysfunction such that ovulation does not occur, hence irregular menstrual cycles, and a hormonal imbalance occurs because the ovaries are not functioning correctly.  AMH is a measure of "ovarian reserve" or the availability of eggs, which we use to gauge how a person might respond to ovarian stimulation with fertility medications.  I would think that a patient with PCOS could conceivable have a low AMH but they don't necessarily go together.

I cannot tell you what is going on with the minimal information you've given me and definitely not without further testing.  This is not possible via the internet.

Good Luck,

Dr. Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
www.montereybayivf.com

Monterey, California, U.S.A.

for additional information check out my blog at http://womenshealthandfertility.blogspot.com check me out on twitter with me at @montereybayivf and facebook @montereybayivf.  I now provide personalized fee for service consultations/advice/direction via email and payable via Pay Pal.  If interested, contact me via my email at info@montereybayivf.com.  This service will allow you to have your own personal on-demand infertility expert.

Infertility/Fertility

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Edward Joseph Ramirez, MD, FACOG

Expertise

I am a specialist in infertility and advanced gynecological care. I can answer questions about infertility, gynecology related ills, menopause...virtually anything that affects women's health. PLEASE tell me where you are writing from as I am always interested.

Experience

I have been practicing as an Ob/Gyn and Infertility Specialist for over 23 years. Gynecology, advanced laparoscopic surgery, basic infertility, IUI's, IVF, reproductive surgery, and ovulation induction are all areas of my expertise. I am Board Certified. I have been doing In Vitro Fertilization in my clinic for 19 years.

Organizations
American College of OB/GYN, American Board of Obstetrics and Gynecology, American Society of Reproductive Medicine, Society of Assisted Reproductive Technology, American Association of Gynecologic Laparoscopists, Fellow of The American College of Obstetricians & Gynecologists,Resolve-National Chapter, Open Path - Northern California, Board of Directors Monterey Medical Society

Publications
American Journal of Obstetrics and Gynecology, Wall Street Journal, Monterey Herald, SERMO, Women's Health and Fertility Blog

Education/Credentials
Medical Degree from Stanford University, Residency at Tripler Army Medical Center, Reproductive Training at Pacific Fertility Center, San Francisco

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