Anyone can fall pregnant for as long as they are menstruating and have oocytes left in the ovary, regardless of the AMH level. The AMH level is only an indication of what kind of response one can expect with IVF/ICSI and therefore predict a possible outcome. The issue is therefore, the lower the level of the AMH, the less likely it is for conception to take place, but the chance of conception is NEVER zero. Anything is possible. As to when one would decide it is not worth pursuing: It is difficult to give a definite answer as miracles do happen. The feeling in Europe is that if the level is less that 0.5, that ART should probably not be offered due to the fact that the probability of a good outcome is very small.
- Week 20 answers kindly provided by Dr. Stephan Volschenk -