preparation for ivf

Dear Dr. George

I am a 36-year-old female struggling with fertility issues and preparing for IVF. My recent tests have shown an AMH level of 5 pmol/L in UK units, indicating possible low ovarian reserve. I typically experience late ovulation and a short luteal phase, but my progesterone levels on day 21 of my cycle are normal. An antral follicle count revealed 6 follicles on one side and 10 on the other. Additionally, my serum DHEA is 3.6 umol/L. I am currently on 100 mcg of Levothyroxine for hypothyroidism, my TSH is at 2, and I don’t have Hashimoto’s disease.

I have a 5-year-old son, conceived after 2 years of trying, and I’ve had one miscarriage at 7 weeks. To prepare for IVF, I’m taking 200mg of ubiquinol, myo-inositol, and vitamin D supplements. I am also planning to take vaginal probiotics to prepare for the ivf.

Given my history and current regimen, what additional steps or supplements would you recommend to improve my chances of success with IVF? Are there specific strategies or treatments we should consider to address my late ovulation, short luteal phase, or low AMH levels to optimize my fertility?

Thank you for your guidance.

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