FREQUENTLY ASKED QUESTIONED ABOUT AMH
ANSWERED BY OUR FERTILITY EXPERT DR. JOVANOVIC
What information does the AMH test provide?The AMH provides us with information about 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 evaluated outside of your body.
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 chances 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.
Does the AMH tell me anything about my chances to conceive in the future?Yes. The AMH level can provide us with information early on if someone is likely to enter premature menopause. In premature menopause the woman loses all of her eggs prematurely and cannot reproduce anymore. This can happen even at young age.
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 chances to get pregnant 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.
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. However having a high number of eggs might give you some advantage in the future since you are less likely to enter menopause early. Some women with high AMH level have a polycystic ovary (PCOS). Under some circumstances, this might reduce your chances to concieve.
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 menopause. In cases of high AMH you might be experiencing irregular cycles related to polycystic ovarian syndrome (PCOS).
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 in one treatment 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. 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 develop in your ovary at only one occasion before your birth and this overall number of eggs gradually decreases throughout your reproductive life. While some studies might suggest that certain stem cells are able to recreate new eggs, these treatments are considered experimental and 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, but those changes will not be reflected in the AMH level. Those changes might be visible in your FSH/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 as well.
You still have questions that we did not provide an answer for?Please use the opportunity to have your affordable individual AMH consultation and 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!