Advice for friend - high FSH and low AMH

Hi

I am looking for some advice for one of my beautiful girlfriends. She has received some news today which has really upset her and wonders if it means she won't be able to have another baby.

Will try to keep a long story short. She is 35 (36 in August). She has a DD who is 16 months old who was conceived naturally though they were just about to commence IVF when she fell pregnant. This pregnancy took approx 2.5 years to happen and she fell pregnant fairly shortly after a lapo which removed quite a bit of endo. There are no issues on her DHs side. There is a history of fertility problems on her side of the family with her sister having had her first children (twins) by IVF though I think her 3rd child was natural and I also think her brothers child may also be IVF (though this of course would be his wife's issue).

Her periods re-commenced one month after she gave birth although she was exclusively breast feeding. She continued breastfeeding until her daughter was 14 months old. They have been trying for #2 for approx 8 months. (though probably not as often as she would like each month).

She went to see her FS (guy who did the lapo) in March and after discussing breastfeeing when trying to concieve he basically said keep trying naturally for 9 months and then come back and discuss IVF.

She has recently had a number of blood tests. One to measure FSH and the second to measure AMH. Her FS only had one of the results (can't remember which ) when he gave the try naturally for 9 months advice.

FSH results came back high 13.7 and AMH came back low 4.3 (should be 10 was advice he gave).

She is now freaking out what these results will mean and if it means that IVF isn't an option for them. Apparently a number of clinics won't take you if you're FSH numbers are over 11! She is also freaking out that with reduced supply that if IVF is an option it is one they have to take today. Her DH is probably more inclinded to try naturally first and then move if needs be to IVF on the basis that they fell pregnant naturally.

My DS was born after 5 rounds of IVF but we fell into the unexplained category. We went to IVF becuase of my age and issues like these were never raised with me so i've no advice to give her.

Does anyone here have any advice they could give? She is due to see her FS in early August he's away until then so she is looking for any input she can get before that visit.

Sorry if this isn't the correct place to post. Feel free to move mods. posted elsewhere but no response so trying here now.

Thanks