First of all, I’m so sorry this is happening to you. I don’t have a diagnosis of DOR, but I have a condition that generally leads to it and I’ve been worried about these numbers my whole life. It is a huge shock to the system to suddenly discover that your best fertility years are behind you, especially in your 20s!
I wouldn’t despair too much, yet. .95 might be a little low, but it certainly isn’t terrible. And from what I understand, this isn’t an indicator of quality so much as it is quantity…I’ve never heard of low AMH leading to miscarriage. For my clinic 1.0 is the cutoff (where they start to encourage more rapid/invasive methods), so you are right there. Please don’t stress about this too much, and remember it’s “just a number.” (My number is 1.3 and it was 6.7 three years ago…that made me freak out and we did jump to IVF sooner, but got pregnant on the first try. And my number isn’t that much higher than yours! I’m 34.)
You sound like you are in a similar boat to me. My meds are covered (which is HUGE…that is very rare and they are thousands of dollars a month, so YAY for having your meds covered!!), but the procedures themselves are not. For us, IUI cost $800 and IVF is around $8000. My doctor recommended we skip IUI and go straight to IVF. He said IUI would only increase our chances by a few % points, but IVF lets them control the situation much better. We did decide to do this, and I’m glad we did because it worked the first try. From what I understand, IUI is often used when male factor is an issue because it gets the sperm closer to the egg. If they really have major concerns about your eggs, I’m surprised they didn’t at least talk to you about IVF.
Is it possible for you to do a few cycles of medication and timed intercourse? Since your meds are covered, that may end up being FREE for you! That’s how we conceived our first child. Are your ultrasounds covered by insurance? Might be worth doing one or two tries of that…then you can see how your body responds to the medication and what’s going on in there before you jump to something more expensive. Injections are supposed to give you better quality eggs, and will ensure that you ovulate if you’ve had an issue in the past (that’s my problem). Just a thought.
I think you are correct about financing. We had to pay $8000 on the day of transfer for our IVF cycle. I know it’s different if you are approved for financing, but don’t know how strict they are. It does sound like your clinic is pretty typical. I sure hope it works out for you and whatever you choose is both successful and not too expensive!
Best wishes, and hang in there. This is a long, frustrating, and heartbreaking road, but for many of us, completely worth it. Hope you are on the “other side” of all of this soon!!