The anti-Mullerian Hormone or AMH is a hormone produced by primary follicles in a female’s ovaries. Follicles are a small cluster of cells that surrounds the immature eggs. Unlike men who continually produce sperms, women are born with their lifetime supply of eggs. It is important to know for a woman that what her ovarian reserve is when she is planning to have a baby, and the AMH test gives an indication of that ovarian reserve compared to the other female of the same age.
An AMH test is a biometric marker of a woman’s ovarian reserve. This test gives an idea of the state of your ovarian reserve and also helps to determine what are the low AMH causes for you, what is the most suitable low AMH treatment for you and how your body will be responding to the treatment.
What is the AMH Test?
You can get your AMH level tested at any fertility of the IVF clinic. It is a hormonal blood test that estimates the number of eggs at rest in ovaries. This test gives the best idea to the doctor what your ovary is capable of in the context of fertility treatment and how successful those treatments are likely to be for you. However, an AMH test does not predict your chance of natural conception in the near future.
Who should have an AMH Test?
AHM test is generally suggested to the women who are contemplating their fertility options and wanting to investigate their ovarian reserve. AMH assessment is also suggested to the women planning for IVF or other fertility treatment along with other markers of ovarian reserve such as ultrasound antral follicle assessment.
What are the results of AMH measured?
It is important to know that AMH is not a measure of egg quality, it is a measure of egg quantity. It also informs how many eggs can be expected to develop in a fertility cycle.
What is the basic healthy range of Low AMH?
AMH levels normally vary widely even infertile women, so the interpretation of AMH level needed to be considered. In healthy women, the antimullerian hormone or AMH levels initially increase until their early adulthood and then slowly decreases with age. Approximately 5 years before menopause the pool of follicles exhausts.
Whether it is high Amh or low AMH, both are considered injurious. Below is a basic interpretation of the AMH level, but don’t conclude anything by your own with the help of the chart and let leave it on the doctor.
AMH Levels Interpretation
Over 3.0 ng/ml High (often an indicator PCOS)
Over 1.0 ng/ml Normal
0.7 – 0.9 ng/ml Low normal range
0.3 – 0.6 ng/ml Low
Less than 0.3 ng/ml Very low
What Causes Low AMH level?
There are multiple factors that cause a low AMH level. Below are some of them:
1. Age: Age is the major factor affect AMH levels. All women are born with a lifetime supply of immature eggs, which will be produced by her during the ovulation cycles throughout her life till the time she reaches menopause. Her ovarian reserved started reducing over time, hence the AMH level starts decreasing as she gets older. By the time she reaches the mid or late 30s her ovarian reserves begin to decline. This is the reason why age and fertility decrease as AMH starts decreasing after the age of 35.
2. Medical History: Though age is one of the major factors affecting AMH levels, however, it is not always a factor. Some women continue to have high-level AMH levels till their early 40s while others require low AMH treatment in their 20s and 30s. This can be due to their previous medical history. The history of the hormonal disorder and other medical conditions related to the reproductive system also affect low AMH. Women with a history of ovarian surgery due to endometriosis, ovarian cysts, and ovarian torsion, etc., have a higher risk of low AMH.
3. Stress: Stress is another factor causing a low AMH level. In fact, it is the biggest negative influencer to the health of every woman. Women who are living under constant hyper stress and mental pressure fail to conceive until the stress level is reduced. This means everything you do to de-stress will increase your AMH level.
4. Vitamin Deficiency: Studies have shown that deficiency in Vitamins, particularly Vitamin D has a direct connection with fertility issues and AMH levels.
5. Unhealthy Eating Habits: Unbalanced and unhealthy diet saturated with processed food and fat is never good for a healthy AMH level. This kind of food leads you to obesity which causes low AMH levels.
What are the treatment of low AMH and How does LOW AMH affect infertility?
Lowe AMH level is not a cause of infertility, but an indication to the fertility. For most of the women, a declining level of fertility and constant failure to conceive is the trigger to consult a fertility expert. IVF or In vitro fertility is the treatment recommended to these women to embrace motherhood. Frozen embryo banking is another solution suggested if a woman is suggested to have more children in the future.
Low Amh is not a rare disease today and there are the options for low AMH treatment in India.
The message needs to convey here is that the AMH test is not a stand-alone measure of your current or future fertility. This test should be conducted in the context of an individual and her plans for future fertility. Examine AMH level with other test and understanding its result will help your doctor to find the best type of fertility treatment for you. If your AMH level is low then your doctor will tailor the infertility treatment with low AMH treatment to get the optimal result.
IF you are worried about your low AMH levels and its implication on your fertility, it is essential for you to discuss this concern with the specialists. At Indira IVF and fertility center, our fertility experts are knee to help and resolve all your queries regarding AMH levels and infertility. You can book your appointment for a free consultation now.