When is an AMH test ordered What does a low or high level of AMH mean

With the increasing prevalence of fertility issues and delayed pregnancy among many women, the AMH test has become one of the essential investigations used by doctors to assess reproductive potential and estimate the chances of conception.Unlike other hormone tests, AMH (Anti-Müllerian Hormone) levels are not affected by the timing of the menstrual cycle, making it a highly accurate and reliable indicator of a woman's "ovarian reserve"—the number of eggs remaining in her ovaries.In this comprehensive guide from Dalily Medical, we explain everything you need to know about the AMH test: what it is, why it is requested, how it is performed, and what the results actually mean.

✅ What Is the AMH Test?

The AMH test measures the level of Anti-Müllerian Hormone, which is produced by small follicles in the ovaries. It serves as a direct indicator of a woman’s egg supply (ovarian reserve) and potential fertility.

Unlike hormones like FSH and LH, AMH levels are stable throughout the menstrual cycle, making it a more accurate and consistent fertility marker.

 Why Is the AMH Test Ordered?

Doctors may recommend the AMH test in the following situations:

1. Fertility Evaluation
   To determine the woman’s ability to conceive, especially for those over age 30 or with a history of infertility.

2. Before Fertility Treatments
   Such as IVF or ICSI, to predict how the ovaries might respond to stimulation.

3. Assessing Ovarian Reserve
   In women at risk of early menopause or diminished ovarian function.

4. Diagnosing PCOS (Polycystic Ovary Syndrome)
   AMH levels tend to be higher due to an increased number of small follicles.

5. Monitoring Cancer or Chemotherapy Effects
   To check if ovarian function is compromised after treatment.

 How Is the AMH Test Performed?

• Done via a standard blood draw.

• No fasting or special preparation is required.

• Can be done on any day of the menstrual cycle.

 Normal AMH Levels

Although reference ranges may vary by age and lab, here’s a general guide:

⚠️ What Do AMH Test Results Mean?

 Low AMH Levels

May indicate a reduced number of remaining eggs and suggest:

• Approaching menopause

• Ovarian depletion (e.g., after chemotherapy)

• Advanced reproductive age (especially over 35)

• Ovarian dysfunction (e.g., premature ovarian failure)

 High AMH Levels

May suggest:

• Polycystic Ovary Syndrome (PCOS)

• Potentially strong response to fertility medications

• Rarely, ovarian tumors

 Can You Get Pregnant with Low AMH?

Yes, it's possible. AMH reflects quantity, not quality, of eggs. Some women with low AMH still conceive naturally or with assisted reproductive techniques like IVF or IUI.

 Additional Tests Often Ordered with AMH

 Important Tips Before the Test

• Do not stop taking fertility medications or hormones unless advised by your doctor.

• Choose a reliable lab for accurate results, as the test is sensitive.

• Never interpret results on your own—factors like age and medical history must be considered by a specialist.

❓ Frequently Asked Questions (FAQ)

Is the AMH test painful?
No, it’s a simple blood test that takes a few minutes.

Does AMH testing confirm pregnancy?
No, it's for assessing fertility, not for confirming pregnancy.

Do AMH levels change monthly?
AMH levels remain relatively stable and are not significantly affected by the menstrual cycle.

Can AMH levels be increased?
There’s no proven treatment to increase AMH. However, Vitamin D and DHEA supplements may be used under medical supervision.

✅ Conclusion:

The AMH test is one of the most valuable tools in modern fertility assessment. It offers a reliable view of ovarian reserve and helps in planning for conception, whether naturally or with medical assistance. Low or high AMH levels are not a diagnosis—they are indicators that must be interpreted in the context of your full medical profile.If you're trying to conceive or exploring fertility options, speak to your doctor about whether the AMH test is right for you. It could be a key step in designing the best reproductive plan for your future.