I had high fsh nd low amh. Also remember fsh can fluctuate month to month so it being high one month doesnt necessarily indicate anything. The meds that worked for me were letrozole(femara) with follistim, novarel(trigger shot) estrace(for lining) and progesterone with timed intercourse. I produced 2 follicles one 18mm and on 16mm.(i am now 36w1d) There are a lot of different meds and combos you can use to help, the trick is figuring out which one. BTW clomid in some people can actually increase your fsh and thin your lining so implantation will not occur. We never considered ivf because it was not affordable for us so we had to rely on meds only. Good luck to you.
PS Are you taking any supplements? I was also doing a supplement regimen + weekly acupuncture at a fertility acupuncture specialist. Supposedly acu can increase blood flow to the ovaries and improve egg quality, and supplements can help too. I decided I was going to go all out for my last few tries, so I would know that I had done absolutely everything possible. If you're interested I can tell you more about the supplements.
agree with above post that you are too young. the eggs are there somewhere. good luck. try acupuncture to get the most bang for your buck. and ask your doctor about DHEA. good luck.
I would try ivf. Your FSH indicates that you ovarian reserve is low but at 34 the majority of your eggs are still good. Someone at my work had low ovarian reserve in her early 30s and did ivf and now has twins.
How many follicles are you getting each time? On Clomid I had 3 folls each time but thin lining, so not a big surprise it wouldn't work. On gonal-f I only had 1 foll each time even though they kept upping my dose to try to get more. It took 4 cycles to work. I had already decided that I was only going to do 2 more cycles of gonal-f + iui before moving to ivf. My RE had suggested 6-8 cycles of gonal-f before moving to ivf. I would have gone to ivf sooner but have no insurance coverage for it, so wanted to give iui a good try first. Good luck. Don't lose hope!