Want to understand my fertility baseline, but not ready to remove my IUD
For a little background, I'm in my mid thirties and have had a hormonal IUD for 6 years (replaced once in that time). At this point I'm leaning towards either remaining childfree or considering alternative paths to parenting, but I'm not 100% ready to write off the possibility completely.
I did seek out the advice of my PCP and Gyno, and the entire experience was incredibly frustrating as my PCP refused to discuss at all, and the Gyno basically told me if I wasn't sure now, I wasn't the parenting type. Also there was no point in exploring any tests or options because fertility isn't an exact science and I just as likely as not am going through early menopause (her logic was based on my request for hormonal testing as I had an huge unexplained drop in libido occur very suddenly about a year ago). Obviously I'd like to see a different doctor, but my PCP won't refer to anyone else, so I need to replace her first, and it will likely be a year before I can do so.
In the men time, has anyone found it helpful to test AMH independently, even while on hormonal birth control? I understand the results can still be very skewed/understated, but my thought process was it could at least provide a data point for me to work with where if it's extremely low I know I have to suck it up and remove the IUD if I want a better baseline, or simply accept that if I continue to wait I may already be making my final decision. On the other hand if it's still relatively normal, then maybe I do have a little bit of time?