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Understanding AMH Test for Infertility
The AMH test, or Anti-Mullerian Hormone test, measures the levels of AMH in the blood. AMH is a hormone produced by the ovarian follicles, which helps in assessing a woman's ovarian reserve or the remaining egg supply.
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Get A Second OpinionAMH Test Range
The AMH test range is typically measured in nanograms per milliliter (ng/mL). Here's a general guide to understanding AMH levels:
- High: Over 4.0 ng/mL
- Normal: 1.0 - 4.0 ng/mL
- Low: 0.3 - 1.0 ng/mL
- Very Low: Below 0.3 ng/mL
These ranges can vary slightly based on the laboratory standards and the individual's age.
AMH Test for Infertility
The AMH test for infertility is a common diagnostic tool used by fertility specialists. It helps in:
- Predicting Ovarian Response: Higher AMH levels suggest a better response to fertility treatments like in vitro fertilization (IVF).
- Diagnosing Polycystic Ovary Syndrome (PCOS): Elevated AMH levels can be an indicator of PCOS.
- Assessing Menopause Timing: Lower AMH levels can predict the onset of menopause, aiding in reproductive planning.
AMH Test Levels
Understanding AMH test levels is vital for interpreting fertility potential. Here are the implications of different AMH levels:
- High Levels (< 4.0 ng/mL): May indicate PCOS or a high number of follicles.
- Normal Levels (1.0 - 4.0 ng/mL): Suggest a healthy ovarian reserve.
- Low Levels (0.3 - 1.0 ng/mL): Indicate reduced ovarian reserve, potential difficulty in conceiving naturally.
- Very Low Levels (< 0.3 ng/mL): Suggest very low ovarian reserve, often associated with approaching menopause or severe fertility issues.
Symptoms Of Low AMH
There are no specific low AMH symptoms that suggest that a woman may have a low AMH. But if a woman has irregular periods or has premature menopause, then she can get herself tested for AMH through a blood test.
Causes Of Low AMH
AMH level is determined by the number of follicles that develop in the ovaries. But while considering the reason for low AMH levels, the age of the woman plays a significant role. Ovarian reserve tends to decline when a woman is in her mid-30's and becomes even lower in a woman who is 40 years and above.
Some of the points on what causes Low AMH include:
- Age
- Hormonal imbalance
- Inherited genetic causes
- Endometriosis
- Cancer treatment
- Autoimmune attack on the ovaries
- Other environmental causes
Treatment of Low AMH
There is no low AMH treatment, but there are ways through which a woman can improve her AMH before considering ART as an option, so that quantity and quality of eggs improve before IVF treatment.
The natural low AMH fertility treatment options to improve AMH values may be suggested so that it might increase the ovarian response during stimulation.
Some of the low AMH natural treatments are:
- Regular exercise and yoga
- Acupuncture
- Having a balanced diet
- Taking DHEA supplements. DHEA (Dehydroepiandrosterone) is a hormone that can improve the quantity and quality of eggs.
Some other Low AMH fertility treatment options for conceiving a baby include:
IVF with Low AMH levels:
The chances of a successful pregnancy will depend on a woman's ovarian reserve, and for them, IVF is a potential option which can make optimal use of the limited eggs left in their ovaries. Provided the matured egg retrieved in a specific IVF cycle should be of good quality.
If the AMH level is low with an abnormally raised FSH levels, then it is an indication that the ovaries are not growing the right quantity and good quality eggs, which would mean poor fertility outcome.
But with proper treatment that is if a woman maintains a healthy lifestyle, takes DHEA supplement and with an appropriately designed ovarian stimulation protocol women have been able to conceive successfully through IVF.
IVF with Donor egg:
And for women who have very limited eggs or no eggs at all, and where ovarian stimulation to retrieve good quality eggs have failed, then they should consider IVF with a donor egg
Conclusion
AMH (Anti Mullerian Hormone) has been suggested as a marker of the quantity of the oocytes remaining in the ovaries. Having low AMH is a sign of the declining ovarian reserve, it cannot be transformed to high amh levels.
It simply means that low amh and natural pregnancy does not usually go even , so if you are planning a pregnancy and once diagnosed with Low AMH, a fertility expert should be immediately consulted.
Medicover Fertility has successfully helped many women with many infertility issues, including Low AMH, to conceive a pregnancy and become parents.
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Book an AppointmentFrequently Asked Questions
To increase AMH levels naturally, consider a nutrient-rich diet, DHEA & Vitamin D supplements, wheat germ extracts, weight loss (for overweight individuals), quitting smoking, and fertility massage.
For women aged 25-35 years, a reference range of AMH is 2.20-6.80 ng/mL. Less than 2.20 ng/mL indicates low AMH (diminished ovarian reserve), while above 6.80 ng/mL suggests high AMH (indicative of PCOS).
Yes, low AMH can increase the likelihood of miscarriage due to reduced chances of releasing and fertilizing good quality eggs, leading to early miscarriages from egg abnormalities.
Endometriosis, especially ovarian endometriomas, can directly impact ovarian reserve and cause low AMH levels due to effects on the ovary.
Low AMH itself isn't the cause of infertility but indicates reduced ovarian reserve. Depleted ovarian reserve can affect pregnancy and fertility by decreasing the chances of viable eggs.
Low AMH and high FSH levels suggest both poor egg quality and quantity, indicating potential fertility challenges.
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