What is AMH?
AMH is a hormone produced by the cells in your ovarian follicles. Each egg in your ovaries lives inside a follicle, a fluid-filled sac that contains cells that support egg maturation and produce hormones. AMH is one of those hormones. The level of AMH determines the number of follicles in your ovaries. The more potential eggs are remaining, the higher your levels of AMH. The lower the AMH levels, the more moderate ovarian reserve or remaining ovarian follicles.
Why do I need an AMH test?
Testing sooner in life may be an advantage that enables you to monitor AMH levels, and having a chance of preserving fertility. AMH level begins to decline at age 30, with some women experiencing declines earlier. While aging is irreversible, the process may be slowed down by improving your health and allowing better coordination of family planning based on your biological clock.
You may also consider taking an AMH test if you are:
- Experiencing difficulty getting pregnant and want to check if your ovarian reserve is appropriate for your age
- Considering IVF treatments – women with higher AMH values tend to respond better to ovarian stimulation for IVF, with more eggs retrieved. Women with lower AMH tend to produce a smaller number of eggs with more inadequate response to IVF
- Experiencing irregular periods, excess androgen, and polycystic ovaries, which could be signs of PCOS. PCOS is a manageable condition, but if left untreated, may pose a challenge to achieving a pregnancy and pose other health-related risks
- Would like to know if chemotherapy or ovarian surgery has affected your future fertility
- Want to see if you have entered menopause — or when you will. AMH levels fall as menopause approaches and are one of several indicators to determine whether you are approaching or likely to have reached menopause
- You would like to conceive in the future and want to understand your current biological status
What do the results mean?
The test will indicate your AHM level:
- 1.0-4.0 ng/ml is average for fertile women
- 1.0-2.0 ng/ml is considered low for someone under 30
- Most women over 40 have levels below 1.0 ng/ml
- Helps show likeliness of achieving a pregnancy
- A woman’s likely response to an IVF treatment
- Helps identify polycystic ovary syndrome (PCOS)
- Can be used as a predictor of timing for menopause
- Helps identify why a woman may have irregular periods