An AMH of 0.1, Six Failed IVFs, and a Baby at 42

Miranda shares her five year fertility journey, from low AMH and multiple failed IVF cycles to an endometriosis diagnosis, immune support, gut healing, and finally a healthy natural pregnancy at 42. Aimee Raupp guides the conversation with clinical context, showing how the bigger picture emerged only after looking beyond standard IVF protocols.

We discuss why repeated IVF did not work, how endometriosis and inflammation showed up in Miranda’s symptoms and outcomes, and what changed once the team focused on root causes like uterine scar tissue, immune dysfunction, gut health, and environmental exposure.

Key Topics

* Miranda’s fertility journey began after marriage in her late 30s, with an initial AMH of 0.545 at age 37 and early warning signs that standard IVF might be a poor fit.

* She was told she had the egg count of a 50 year old woman and would likely need multiple retrievals, leading to a major financial and emotional burden as a cash pay patient.

* Her first IVF cycle was derailed when she ovulated through stimming medications, a sign that the standard protocol was not adequately suppressing ovulation for her body.

* A severe allergic reaction to a COVID vaccine, treated with prednisone, coincided with her second retrieval and may have influenced that cycle, which produced 7 eggs, 4 fertilized, 3 blasts, and 2 PGT normal embryos.

* Both transferred embryos ended in a chemical pregnancy, followed by a third retrieval with poor egg quality and no usable blasts, deepening frustration with the first clinic.

* A second RE changed protocols with estradiol priming, but Miranda experienced intense headaches and a severe reaction pattern that Aimee flagged as a clue for estrogen dominance and possible endometriosis.

* Miranda ultimately pursued a consultation with Dr. Check and then Dr. Vidali after recognizing that endometriosis, inflammation, and low ovarian reserve might be driving the repeated failures.

* Dr. Check encouraged timed intercourse and later IVF, but Miranda had repeated failures, including one cycle where no eggs were retrieved and another where she ovulated too soon and the cycle converted to an unsuccessful IUI.

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