25F 5'5" 210lbs
I've had a not so great experience with my last gynecologist appointment and I would like some further information about my lab results and if I should see a different doctor to look into it.
I am 7 years post treatment for Hodgkin's lymphoma- chemotherapy (including alkylating) and radiation. I have recently had some changes in my menstrual cycle and new symptoms that were a bit worrying to me so I brought them up with my new doctor during my routine appointment.
My PMS has gotten way worse the last couple of months. I have also been experiencing symptoms like hot flashes, breast tenderness, fatigue and mood swings which at first I mistook for possible pregnancy but they have been going for over two months at this point and I have had my period throughout. Now I am concerned that I might be going into early menopaue due to my history and won't be able to get pregnant in the future, so I brought it up with my doctor. She said I was probably fine because I'm still having my cycle, but to be sure she ordered blood tests. I had my TSH and T4 free tested in February with my oncologist and they came back fine, so we ran tests for AMH, FSH and Estradiol.
I was about day 12 of my cycle at the time of the tests.
FSH- 5.2 mIU/ml
Estradiol- 177 pg/ml
AMH- 0.8 ng/ml
When I got my results I started my own research, naturally. My AMH is concerning to me from everything that I've read- but of course my opinion is uneducated.
I received a message from my doctor today that said my AMH was good and if after 6 months of actively trying to get pregnant I don't we can schedule an appointment with reproductive endocrinology. The thing is that I am not currently trying to have a baby, but do want one in the future. According to what I've read an AMH level of 0.8 is not good. I don't want to wait to have a baby and find out that it isn't possible any more because I've waited.
I have lots of questions and I feel like my doctor has given me a non-answer. Should I try and get further testing done? Is an AMH of 0.8 actually good for a 25 year old? Might it already be hard for me to get pregnant? Does this not indicate that I will probably be going into early menopause? If so, how long do I have? I am basically freaking out because having a baby is very important to me and I would like to know if I have the time to wait or not.
Please tell me your thoughts, thank you in advance.