Understanding AMH Levels: A Key Test for Fertility and Pregnancy

Introduction

Hello, I am Dr. Vaishali Giri, an IVF specialist and cosmetic gynecologist at Momstory by Sahyadri Hospital, Hadapsar, Pune. Today, let’s explore Anti-Müllerian Hormone (AMH) testing, a vital test often recommended for individuals undergoing fertility treatment or trying to conceive.

What is AMH?

AMH, or Anti-Müllerian Hormone, is a hormone produced by the ovaries. It is measurable through a blood test and indicates the ovarian reserve, or the capacity of the ovaries to produce eggs. Understanding your AMH levels helps assess your fertility health.

Why is AMH Important?

Every female is born with a finite number of eggs, which decrease in quantity and quality with age, especially after puberty. Each menstrual cycle uses multiple eggs, leading to a gradual reduction in ovarian reserve. Monitoring AMH levels helps:

• Identify low ovarian reserve.
• Understand fertility potential.
• Guide treatment plans tailored to the individual’s condition.

Normal AMH Value: Greater than 1.5 ng/mL.
Low AMH: Less than 1.5 ng/mL, indicating reduced ovarian reserve.

Factors Affecting AMH Levels

1. Age: AMH and egg count naturally decline as age progresses.
2. Genetics: Plays a significant role in ovarian reserve.
3. Lifestyle Choices: Smoking, drinking, poor diet, obesity, and stress can negatively impact AMH levels.
4. Unmodifiable Factors: Early menopause or genetic predispositions may result in lower AMH.

Signs of Low AMH

While low AMH often has no symptoms, some indicators might include:

• Shorter menstrual cycles (less than 25 days).
• Reduced menstrual flow (1-2 days instead of 3-5 days).
• Early ovarian aging detected via ultrasound (smaller ovaries or fewer follicles).

Treatment for Low AMH

While AMH levels cannot be increased significantly, certain steps can improve fertility outcomes:

1. Lifestyle Changes: Quit smoking, limit alcohol, manage stress, and maintain a healthy weight.
2. Supplements: Antioxidants and micronutrients to enhance egg quality.
3. Hormonal Treatments: May be advised to optimize fertility treatments.
4. Personalized Fertility Plans: Fertility specialists may recommend advanced treatments like IVF based on AMH and other factors.

Next Steps

If you suspect low AMH or face difficulties in conceiving, consult a fertility specialist. Early diagnosis and treatment improve your chances of a successful pregnancy. At Momstory by Sahyadri Hospital, we provide expert guidance and personalized care to help you achieve your parenthood dreams.