Author: Dr. Priyanka Mohan

Qualification : MBBS, MS – Obstetrics & Gynaecology

What is AMH Test? How is it done?

For people who wish to have a family, infertility might seem like a hopeless scenario. But with the advancement of science and niche medical care, there is hope. The majority of the time, prevention is preferable to treatment. Keeping yourself educated about your health benefits you in a number of ways. If you allow it, infertility may become a ‘curse’ or it can be ‘cured’. Early detection and a few tests can aid in the execution of preventative measures. Almost anything may now be cured thanks to technological advancements. And, in every scenario, there is always a way out. As a result, a simple test called the anti-mullerian hormone (AMH) test may be used to diagnose infertility or indicators of the same.
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What is AMH Test?

AMH is a protein hormone produced by the cells that line the follicles (sacs that hold the eggs). Modest AMH levels indicate a low ovarian (egg) reserve, whereas high AMH levels imply a high chance of future fertility. The Anti-Mullerian Hormone (AMH) test means a simple blood test used to evaluate a woman’s ovarian reserve and detect issues such as PCOD and early menopause. Women have a finite number of eggs, as there is no way for a woman to conceive naturally when she has exhausted all of her eggs. When a woman reaches menopause, she usually becomes fully sterile. If a woman plans to have a child in the future, it is critical that she determines and assesses her ovarian reserve or fertility blood test. This test can provide some insight into the remaining amount of eggs and the length of fertility.

What is the ideal time for AMH test ?

An AMH blood test is used to determine ovarian (egg) reserve. As your AMH levels are consistent throughout the menstrual cycle, an Anti-Mullerian Hormone test (AMH) can be done at any point throughout it. Anti-Mullerian Hormone (AMH) test yields accurate results when done in conjunction with the antral follicle count (afc) test since the afc test assesses the quantity and quality of eggs. A fertility ultrasound scan is used to do antral follicle count (afc).

How can AMH test help diagnose infertility?

As AMH is only formed in tiny ovarian follicles, blood levels of the hormone have been used to estimate the size of a woman’s pool of developing follicles.
  • According to research, the number of surviving primordial follicles (microscopic follicles in “deep sleep”) has a significant impact on the size of the pool of expanding follicles.
  • A fertility specialist can estimate the quantity of the remaining egg supply – or “ovarian reserve” – by looking at the results of an AMH blood test. The number of tiny follicles left in a woman’s pool shrinks as she gets older. Their blood AMH levels drop, and so does the number of ovarian antral follicles seen on ultrasonography. Women with polycystic ovaries (PCOS) have high AMH hormone levels because they have tiny follicles. Anti-mullerian hormone levels are low in women with few surviving follicles and those entering menopause.

What is Normal and Low AMH level ?

  • High range (chances of PCOS) – Over 3.0 ng/ml
  • Normal range – Over 1.0 ng/ml
  • Low normal range – 0.7-0.9 ng/ml
  • Low range – 0.3 – 0.6 ng/ml
  • Very low range – less than 0.3 ng/ml

What are Low AMH levels treatment options?

There is no need to be disheartened with low AMH levels. In vitro fertilisation (IVF) is the most effective therapy for low AMH. Your doctor may propose IVF treatment using your own eggs or donor eggs, depending on your diagnosis. Poor AMH levels indicate a low egg reserve, making pregnancy more difficult; nonetheless, this does not rule out the possibility of spontaneous conception. To get pregnant, all it needs is one good egg. It does imply that getting a pregnancy on your own may be quite difficult. AMH levels fluctuate significantly from cycle to cycle, so you might be considered low one cycle and extremely low the next. A healthy lifestyle and adequate food intake, such as Vitamin D, can help to raise AMH levels.
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