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AMH (Anti-Mullerian Hormone) is a glycoprotein hormones secreted by pre-antral follicles and small antral follicles of the ovary. The hormone helps in idenitfying if the baby has any working testicular tissues. The test measures the levels of anti-mullerian hormone in the body. The levels are representative of a person’s egg count.
By the time of puberty a woman has about 100,000 eggs in the ovaries. When she reaches around 40 years of age there are less than 10,000 eggs that remain in the ovaries. Menopause is reached when no eggs are left in the ovaries and the reproductive organs do not have to prepare themselves every month for pregnancy.
AMH is used to test the egg reserve in a woman’s ovaries. It defines the potential of a woman to get pregnant. The test can be conducted on any day of the menstrual cycle. The other tests of ovarian reserve like FSH has to be done on a specific day of the period i.e., day 1 or day 2 of the menstrual cycle.
The normal AMH levels are between 1-3.5 ng/ml. Any AMH level above 2ng/ml is considered a good value, and level <1ng/ml is considered low. Levels less than 0.3ng/ml are considered very low.
Women with Polycystic ovaries have AMH level > 3.5ng/ml. AMH level reduces with age, younger women usually have AMH > 3.5 ng/l and more than 40years have < 1 ng/ml. AMH can also be expressed as picomol/ml, where the values are multiplied by a factor of 7.
Note: Women taking birth control pills and who have are receiving medication for pituitary down regulation may show falsely low AMH levels.
Usually there is no specific treatment for low AMH. However with adequate lifestyle management, taking vitamins and supplements can improve pregnancy outcomes significantly.
At Advanced Fertility and Gynae Centre we have had reasonable success with women with low AMH. One must know that having low AMH does not mean you cannot get pregnant. Older women with AMH fare much worse than younger women.
Multiple cycles of stimulation may lead to better egg no’s in subsequent cycles. Antagonists and long protocol work equally well. Embryo pooling is helpful. Early cleavage transfer is better than blastocyst and routine PGS is not recommended.
We understand that going through repeated cycles to get your hormones and lifestyle fixed can be daunting for some. We understand the challenge of many women who have finally decided to embrace motherhood. At Advance Fertility Clinic, we are compassionate and driven to help you take steps towards becoming a mother.
Our state-of-the-art labs are equipped to conduct a wide range of tests to determine your current health conditions. Based on these real-time test results, we recommend methods that make it possible for you to conceive.
In case you are not able to balance your AMH levels naturally, our expert team may recommend supplements and vitamins that can support the production of AM hormones in the body.
We also offer a wide range of infertility treatment and IVF processes that have a higher success rate.
If you are considering getting pregnant, get in touch with our experts to find an infertility treatment plan that is exclusive to your specific health condition and needs.