Author: Dr. Shruti N Mane

Qualification: M.B.B.S, M.S (OBG), PG Diploma in ART AND Reproductive Medicine

Anti-Mullerian Hormone, commonly referred to as AMH, is a hormone produced by the ovaries that helps to regulate the menstrual cycle and controls the development of eggs in a woman’s body. AMH levels are an important indicator of a woman’s fertility and are often tested as part of fertility assessments. However, some women may have low AMH levels, which can affect their ability to conceive. In this blog, we will explore the causes, symptoms, and low AMH treatment.

Causes of Low AMH Low AMH levels can be caused by a variety of factors. Some of the most common causes include:
  1. Age: As women age, their AMH levels naturally decline, which can make it more difficult to conceive.
  2. Polycystic ovary syndrome (PCOS): PCOS is a hormonal disorder that can cause irregular periods, ovarian cysts, and high levels of androgens. Women with PCOS may have lower AMH levels.
  3. Premature ovarian failure (POF): POF is a condition in which a woman’s ovaries stop functioning before the age of 40. Women with POF typically have low AMH levels.
  4. Endometriosis: Endometriosis is a condition in which the tissue that lines the uterus grows outside of it. Women with endometriosis may have lower AMH levels.
  5. Cancer treatments: Chemotherapy and radiation therapy can damage the ovaries and decrease AMH levels.
Symptoms of Low AMH Low AMH levels do not typically cause any noticeable symptoms. However, women with low AMH levels may have difficulty conceiving. Low AMH levels may also be an indication of diminished ovarian reserve, which means that a woman has fewer eggs in her ovaries than expected for her age.

AMH Test
AMH test is a blood test that measures the levels of AMH in a woman’s body. The test is usually done on the second or third day of the menstrual cycle. High levels of AMH indicate that a woman has a higher number of eggs in her ovaries, while low levels of AMH suggest that a woman has fewer eggs.

The AMH test cost can vary depending on the location and the lab. In India, the average cost of an AMH test is around INR 1000- INR 2000.

Low AMH Treatment
There is no cure for low AMH levels, but there are several treatments that can help improve fertility for women with low AMH levels. Some of the most common treatments include:

  1. In Vitro Fertilization (IVF): IVF is a fertility treatment in which eggs are retrieved from a woman’s ovaries and fertilized with sperm in a lab. The resulting embryos are then transferred back into the woman’s uterus. IVF can be an effective treatment for women with low AMH levels, as it allows for the selection of the highest quality eggs.
  2. Egg Donation: Egg donation is a process in which a woman receives eggs from a donor. This can be a good option for women with very low AMH levels or who have gone through premature menopause.
  3. Lifestyle Changes: Women with low AMH levels may be able to improve their fertility by making lifestyle changes such as quitting smoking, reducing alcohol consumption, and maintaining a healthy weight.

How to Increase AMH Levels
There is no guaranteed way to increase AMH levels, but there are several things that women can do to help improve their fertility. Some of the most effective ways to increase AMH levels include:

  1. Anti-Inflammatory Diet: Eating a diet that is high in anti-inflammatory foods such as fruits, vegetables, whole grains, and healthy fats may help improve ovarian function and increase AMH levels.
  2. Exercise: Regular exercise can help improve overall health and may also help improve fertility. However, it is important to avoid over-exercising, as this can have a negative impact on fertility.
  3. Acupuncture: Acupuncture has been shown to improve fertility in some women by increasing blood flow to the ovaries and regulating hormone levels.
  4. Supplements: Certain supplements, such as CoQ10, DHEA, and myo-inositol, may help improve ovarian function and increase AMH levels.

It is important to note that while these methods may help improve fertility, they are not guaranteed to increase AMH levels.

In conclusion, low AMH levels can be a cause of infertility for women. While there is no cure for low AMH levels, there are several treatments that can help improve fertility. Women with low AMH levels may benefit from working with a fertility specialist to determine the best course of low AMH treatment.

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