Top ❤ Fertility Center in Los Angeles, CA - Tree of Life Center, AMH (Anti-Müllerian Hormone) Frequently asked Questions

Tree of Life Center / AMH (Anti-Müllerian Hormone) Frequently asked Questions

FREQUENTLY ASKED QUESTIONED ABOUT ANTI-MULLERIAN HORMONE (AMH)


AMH FAQ ANSWERED BY LOS ANGELES EXPERT REPRODUCTIVE ENDOCRINOLOGIST DR. JOVANOVIC


What information does the anti müllerian hormone (AMH) test provide?

The anti-mullerian hormone level is a blood test that tells us how many eggs remain in your ovary. This is also referred to as “ovarian reserve”. It does not tell us anything about the quality of your eggs. The quality of your eggs will mainly depend on your age and cannot be evaluated unless the eggs are taken outside of your body. Every woman experiences a natural decline of AMH over time. Therefore, your levels need to interpreted in comparison to the average for your age group.

Does the AMH tell me anything about my chances to get pregnant right now?

No. The AMH test does not provide any information about a woman’s chance to conceive at present. This will depend on many other factors including the quality of sperm, the fallopian tubes condition and if the woman is ovulating her eggs. The AMH level alone cannot predict anybody’s fertility. Natural conception might occur even in setting of very low AMH value. The key for natural conception is that you still have regular menstrual cycles. If you have regular cycles, your pregnancy success will correlate with your age and not with your AMH level.

Does the AMH tell me anything about my chances to conceive in the future?

Yes. The AMH level can provide us with early information if someone is likely to enter premature menopause. In premature menopause the woman loses all of her eggs prematurely and cannot reproduce anymore. Typically, the premature menopause is preceded by a period of diminished ovarian reserve. AMH can detect diminished ovarian reserve. This can happen even at young age and we encourage women of all ages to check their AMH. Some women have a genetic predisposition for premature menopause like Fragile-X premutation or Turner Syndrome.

I was found to have low AMH. Does it mean I am infertile?

No. As long as you have regular periods and ovulate your one egg per month. You will have the same pregnancy rates as a woman with high AMH in the same age group. The reason behind this is, that regardless of AMH level, a woman’s ovary will mature and ovulate one egg per month. The overall number of eggs in the ovary will not affect this. If you plan to delay your fertility, you might consider egg freezing or embryo freezing. Anyhow, if you are diagnosed with low AMH you should consult a fertility specialist immediately. This will ensure that you receive recommendations with respect to your individual results and situation. As noted above, some cases of diminished ovarian reserve may uncover another underlying medical problem. We will advise you of the recommended genetic testing for patients with very low AMH levels.

I was found to have high AMH levels. Does it mean I am super-fertile?

No. You will ovulate one egg per month, like anyone else. In some cases you actually might experience irregular periods associated with high AMH. Some women with high AMH level have a polycystic ovary (PCOS). Under some circumstances, this might reduce your chances to concieve. However having a high number of eggs might give you some advantage in the future since you are less likely to enter menopause early.

I was found to have low or high AMH levels and my cycles are irregular. Is this concerning?

Yes. You should have a consultation with your fertility specialist. In cases with low AMH levels, you might be experiencing some early signs of premature ovarian failure or menopause. This is usually an irreversible condition. While in some cases immunsuppression was able to more or less improve the ovarian function, the only recommended option is natural cycle IVF or egg donation.

In cases of high AMH you might be experiencing irregular cycles related to polycystic ovarian syndrome (PCOS). Treatment of PCOS is fairly simple and there are many options available to restore normal ovulatory periods. This can be achieved with Clomid, Letrazole or injectable gonadtropins. The overall prognosis is very good.

Why do fertility clinics check AMH levels?

Many of our treatments utilize the ability of your ovary to ovulate multiple eggs at the same time. While a human ovary naturally (almost) always ovulates a single egg, other species like cats, dogs and mice ovulate multiple eggs at the same time. With fertility medications, your ovary will ovulate multiple eggs and we use this in IVF (in vitro fertilization) to obtain many eggs at once. Your AMH can predict how many eggs are likely to mature with ovarian stimulation in one ivf cycle. This is also known as ovarian responsiveness and it helps us optimize the fertility medication dose. AMH is a great guide in choosing the best fertility therapy and helps your fertility specialist. In fact, at Tree of Life Center your AMH level is always displayed at the top of your medical record. This ensures that all your treatment is tailored to your individual level. It will however, not help you much to determine your chances to conceive naturally.

Should I work on increasing my AMH levels?

The AMH level is just a reflection of the number of eggs in your ovary. There are no medications that you can take to increase this number. Since your eggs multiply in your ovary only during one occasion before your birth, this overall number of eggs gradually decreases throughout your reproductive life. This is contrary to some claims and remedies that advertise medication or treatments to improve AMH levels. While some studies might suggest that certain stem cells are able to recreate new eggs, these treatments are considered experimental. There is no medication you can buy to initiate this process at home. There are some protocols however to increase the amount of available eggs for maturation prior to fertility therapy. Those changes however will not be reflected in the AMH level. Those changes might be visible in your Follicle Stimulationg Hormone (FSH) and Estradiol levels at the start of each menstrual cycle.

What other tests can measure the number of eggs in the ovary?

We utilize the ultrasound to evaluate the number of available eggs for maturation (antral follicle count) in the cycle to come. We also utilize the Follicle Stimulating Hormone (FSH) and Estradiol (E2) levels on cycle day 1-3 to evaluate how many eggs might be able to mature. We advise every woman with low AMH levels to check FSH and Estradiol levels at cycle day 1-3. We can help you arrange for those tests at a Labcorp or Quest location anywhere in California or United States.

You still have questions that we did not provide an answer for?

Please use the opportunity to have your affordable individual AMH consultation. We will try our best to clarify any open question and can discuss your level with you directly. We will keep adding more FAQ here so we can serve your needs better. Please contact us anytime and take advantage of our AMH Special.