Question 1

What is AMH and why does it matter for fertility?

Accepted Answer

AMH (Anti-Müllerian Hormone) is produced by small follicles in your ovaries. It reflects your ovarian reserve—the quantity of eggs remaining. Higher AMH suggests more eggs available; lower AMH suggests fewer. It helps predict IVF response and guides medication dosing.

Question 2

Can I get pregnant with low AMH?

Accepted Answer

Yes. Low AMH indicates fewer eggs, not egg quality. Many women with low AMH conceive naturally or with IVF. However, you may respond less to stimulation medications and retrieve fewer eggs per cycle. Success depends on egg quality, which is more related to age than AMH.

Question 3

Is high AMH always good?

Accepted Answer

Not necessarily. Very high AMH (over 5-6 ng/mL) may indicate PCOS and increased risk of ovarian hyperstimulation syndrome (OHSS) during IVF. Your doctor will use lower medication doses to prevent OHSS. High AMH with PCOS can also mean irregular ovulation.

Question 4

Does AMH predict egg quality?

Accepted Answer

No. AMH predicts quantity, not quality. Egg quality is primarily determined by age. A 28-year-old with low AMH may have better egg quality than a 42-year-old with normal AMH. Both quantity and quality matter for IVF success.

Question 5

How quickly does AMH decline?

Accepted Answer

AMH typically declines 5-10% per year after age 25, accelerating after 35. However, individual variation is significant. Some women maintain stable AMH into their late 30s; others see rapid decline. Serial testing every 6-12 months can track your trend.

Question 6

Can I improve my AMH level?

Accepted Answer

AMH reflects your remaining egg supply, which cannot be increased. However, some supplements (DHEA, CoQ10) may support egg quality. Lifestyle factors like not smoking, maintaining healthy weight, and reducing stress support overall fertility. Focus on optimizing what you can control.

Question 7

When should I test AMH?

Accepted Answer

AMH can be tested any day of your cycle (unlike FSH which requires day 2-3). Test if: you're over 35 and planning pregnancy, considering egg freezing, have irregular periods, family history of early menopause, or before starting IVF. Results take 1-2 days.

Question 8

What other tests should I do with AMH?

Accepted Answer

AMH is most useful combined with: AFC (antral follicle count via ultrasound), FSH and estradiol (day 2-3), and your age. Together these give a complete picture of ovarian reserve. No single test tells the whole story.

AMH (ng/mL)	Category	Expected IVF Response
Over 4.0	High	Strong IVF response likely, OHSS risk, possible PCOS
2.0 - 4.0	Normal	Good IVF response expected, typical medication doses
1.0 - 2.0	Low-Normal	Moderate response, may need higher doses
0.5 - 1.0	Low	Reduced response, fewer eggs expected, consider aggressive protocol
0.3 - 0.5	Very Low	Limited response, mini-IVF may be considered
Under 0.3	Extremely Low	Poor prognosis for IVF, discuss all options with RE

Age	Typical AMH (ng/mL)	Notes
Under 30	2.5 - 5.0	High reserve expected
30-34	1.5 - 4.0	Good reserve typical
35-37	1.0 - 3.0	Gradual decline begins
38-40	0.7 - 2.0	Accelerated decline
41-43	0.3 - 1.0	Significant decline
Over 43	0.1 - 0.5	Very low reserve common

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AMH Reference Ranges

Typical AMH by Age

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