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Fertility Facts: Anti-Mullerian Hormone (AMH) can help predict your ovarian reserve.

Fertility Fact: An AMH level greater than 1 suggests a good ovarian reserve.

What is Anti-Mullerian Hormone (AMH)?

anti-mullerian hormone (amh) can help predict ovarian reserveAnti-Mullerian Hormone (AMH) is a hormone produced by the cells that support the dormant pool of eggs in the ovaries. Therefore, a higher level of AMH suggests a larger pool of eggs (or a greater ovarian reserve). “This is a very useful test for us because it doesn’t tend to fluctuate as much as FSH levels and it gives us another angle to assess the ovarian reserve. As it pertains to an individual’s fertility, the higher the level, the better,” says Dr. Joseph Doyle. AMH levels are determined through a blood test and unlike other hormones, levels do not vary significantly through the menstrual cycle. This means that you can check it on any day of the cycle and it doesn’t tend to vary from cycle to cycle like FSH levels can.

Anti-Mullerian Hormone (AMH): Part of an Initial Fertility Evaluation

Anti-Mullerian Hormone is now a part of the initial fertility evaluation along with:

  • Ultrasound of ovaries to determine antral follicle count (AFC).
  • Bloodwork to evaluate hormones: follicle stimulating hormone (FSH), estradiol, and luteinizing hormone (LH).
  • Hysterosalpingogram (HSG) to check for any blockages of the fallopian tubes.
  • Semen analysis to test quality of sperm in the male partner.

These tests along with your medical, reproductive and family histories will help your fertility specialist determine the treatment best suited for you.

What is good ovarian reserve vs. decreased ovarian reserve?

Ovarian reserve testing is an indirect measure of the quality and number of oocytes. The ovarian reserve naturally decreases as women age. Each woman is different in where there ovarian reserve starts and the rate of change that occurs. This is partially genetically predetermined.

Good ovarian reserve would mean that you have a high number of oocytes with good function, while poor ovarian reserve would mean you have a lower number of oocytes with decreased function.

The most important modifying factor of ovarian reserve is age.  Decreased ovarian reserve in a younger patient (<35 years of age) is not necessarily the same as decreased ovarian reserve in an older patient. A younger woman may have decreased ovarian reserve and though the number of eggs present may be decreased, because of her age, the egg quality may still be high.  Age in combination with an assessment of ovarian reserve and the other elements of your fertility evaluation will determine your treatment path.

For more information or to schedule an appointment with one of our physicians, please speak with one of our New Patient Liaisons by calling 877-971-7755.

67 Comments

  1. monika

    February 3, 2013 - 1:17 pm
    Reply

    hi doctor
    i want to know is there any problem to conceive a baby with low AMH
    (1.72ng/ml). what will be the noremal range for 30years old women.what is the
    best diet for maintain AMH level.
    waiting for your reply.
    Monika

    • Shady Grove Fertility

      February 4, 2013 - 9:10 pm
      Reply

      Hi Monika – We like to see the AMH is at or above 1.0ng/ml, so you should feel pretty confident at a number closer to 2. As for the diet, there is no best diet for your AMH level, simply maintain a healthy, well-balanced diet.
      If you have any other questions, I encourage you to call 1-877-971-7755 to speak with our New Patient Center. They are there to assist you with any questions you may have.

      • Elizabeth

        May 8, 2013 - 1:07 pm
        Reply

        What are the options for a woman with an AMH of 0.16. I’ll be 39 in 3 months. I’ve already made my first appointment with SGF, but my appointment isn’t for a month. I took the test when I was on the pill. I’ve been off the pill for a month now. I’m interested in doing anything to have a baby using my egg and my husband’s sperm. Thank you.

        • Shady Grove Fertility

          May 8, 2013 - 1:22 pm
          Reply

          Hi Elizabeth – Our goal is the same as yours, to have you conceive with your own eggs. As for your AMH, .16ng/ml is low, but AMH is just one factor. Your physician is going to be looking at several other hormones, checking to make sure your tubes are clear, etc.
          I hope all goes well at your consultation.

          • Elizabeth

            May 24, 2013 - 5:35 pm

            Thank you.

        • Elly Ramirez

          November 11, 2013 - 12:24 pm
          Reply

          Im turning 38 this year , with one failed IVF, and i just found out that my AMH is 0.17 ng/ml. Il be having my appointment with my OB in 2days

          We are in the same situation with high hopes of getting pregnant… I hope we could share and compare are treatment.

  2. Linda

    October 30, 2013 - 9:33 pm
    Reply

    Hi I just turned 46, and my AMH is .52 FSH 13, estradiol wnl. I had one ovary removed last year. What is my prognosis for having more children at my age? I just had a miscarriage two months ago that ended at 8 weeks gestation.

    • dr suresh kothari

      January 5, 2014 - 3:04 pm
      Reply

      Dear linda
      u have fair chance of conceiving
      with ov.induction using gonadotrophin
      followed by ivf.only thing u have very high chance
      of chromosomal anomaly at this age.probably ur.miscarraige
      may be related to it, still other correctable
      causes should be shoght for immediately & corrected before next preg..

      • dd

        May 11, 2015 - 6:02 pm
        Reply

        What other precautions?
        I am almost 38 and my level is .6.
        I started taking Coq10 and DHEA, as well as acupuncture about 2 weeks ago.
        I have had 2 failed IUI and 2 failed IVF cycles.
        I have been on the highest doses of follistim and menopur.

        Also is there a difference between Follistim an dGonal F ? Have you noticed a difference in the results?

  3. Linda

    October 30, 2013 - 9:34 pm
    Reply

    One more thing I need to add, we need to use our own eggs and sperm.

  4. Christina

    November 2, 2013 - 4:35 am
    Reply

    What would cause AMH to fluctuate? Obviously I know different laboratories give different results / ranges but are there other causes. My AMH is high at 14.5 but I do not have PCOS. A year ago it was running at 7-8.

    • pooja rungta

      January 8, 2015 - 12:24 pm
      Reply

      hello,
      i am 27 years old n my husband age is 30.My fsh-25.88,amh-10.7ng/ml, prolactin-7.56,estradiol-54.89,progesterone-0.26,TSH-3.44 n doctor diagnosed me with pcos.My husband sperms count is normal.Please suggest me natural remedy to bring my amh level undercontrol as i am trying to conceive but not able to conceive.

  5. Sai Geetha

    November 16, 2013 - 10:38 am
    Reply

    Hi my age is 29 having PCOS, with normal ranges of FSH Prolactine. TSH levels are 5.88 and my AMH levels are 9.5.

    I want know what about my fertiliy chances with AMH levels arround 9.5, could you please explain me about AMH levels

  6. Nicole

    November 19, 2013 - 4:27 pm
    Reply

    I am curious to find out the reliability between fsh and amh. My FSH was 10.1 and 9.7 my amh 3.97 and I have 25+ follicles on each baseline u/s. I don’t understand why they do not correlate and what they each mean. I am 29 and used to be a social smoker so my fear Is that even though I have a lot of eggs, they are not of good quality.

  7. ashley

    December 20, 2013 - 9:03 pm
    Reply

    Hello. I am 26, and trying to have my 1st baby. My levels were 4.4. Is this 2 low?

    • dd

      May 11, 2015 - 6:04 pm
      Reply

      i was told 4 is an normal average

  8. Amanda

    January 5, 2014 - 11:02 pm
    Reply

    I’m 25 years old and my AMH level is 0.7, my FSH level is 14.7, and my LH level is 4.9. I had these tests taken on the 2nd day of my period. I had a full panel of blood work done because for about 2 years I’ve had irregular periods and some be only a week or 2 apart. Can someone please help me with explaining this and why my levels are where they are?

  9. Jay

    February 15, 2014 - 9:57 pm
    Reply

    Hi Dr,

    Good day!!!!

    I request your attention and early revert to my below queries numbered for easy reading.

    i am an Indian female aged 37, looking for a child.

    1. I have my blood sugar levels above 200 & i was suggested dimet 850 for a month., before was taking glycomet 500.

    i usually get regular menstruation 29 days cycle and after having dimet 850 , I have not got my periods yet .. is that a side effect or chance of being conceived.

    2. my other tests – amh – is optimal.

    Pls advise me whether i have a change for becoming pregnant naturally, normal or need to undergo some treatment like IUI or IVF.

    awaiting your revert to decide.

    • dd

      May 11, 2015 - 6:07 pm
      Reply

      I am also of Indian ethnicity. I was told that I should seek a donor, but have optimal uterus to carry.
      What are you experiencing?

  10. muntaha

    May 18, 2014 - 11:00 am
    Reply

    I am 41 years amh is 1.79 .I sufferered from frequnt abortion

  11. carrie

    July 1, 2014 - 11:22 pm
    Reply

    Hi.
    I am 41. my FSH is 7 and my AMH is 5.7 I had a miscarriage at 25 and then two healthy pregnancies. With each pregnancy I got pregnant in the first month after discontinuing birth control pills. I am wondering if it is better to try to conceive naturally or with IVF. It may sound like a dumb question. I am also wondering if my numbers are any indicator of egg quality or just of how well they would respond to stimulation. I am obviously very concerned about birth or chromosomal defects at my age. thanks in advance.

  12. chandrika

    September 5, 2014 - 5:22 pm
    Reply

    Hello Doctor,
    My AMH count is 1.45. I am in early 30’s. I had laprosocpic surgery for endometriosis. Had one IUI cycle with Clomid. But, no result. They all didn’t work on me.

    Do you suggest me to go for ovarain stimulation medicines such as follistim , gonadotrophin or clomid with IUI.

    Thanks,
    Chandrika

  13. Ana

    October 9, 2014 - 2:59 pm
    Reply

    Hi! My 3rd day hormonal test results were as follows: E2- 38.58 FSH 5.3 LH 1.6, AMH 2.049 ng/ml. My ‎thyroid hormone levels were: TSH 2.48, T4 1.23 and T3 3.57. I am 41 years old, and trying for my first. ‎BMI 35. What are my chances of getting pregnant with my own eggs? What can I do to improve my ‎chances and egg quality? Shall I go directly for IVF/ICSI or shall I still try on my own?‎
    Thank you for your help and advice!‎

  14. rosy

    October 24, 2014 - 5:28 am
    Reply

    i got married at 42 yrs at that time my tests were AMH-3.2ng/ml, estradiol 9.3 pg/ml,
    FSH-5.5mIU/ml..I havent really tried naturally as i have been living away from my husband since a year..
    we will b together soon so what is my chnace of conceiving naturally or shud i go straight to some treatment like IVF,IUI..
    My husband also has half sperms abnormal and he is 42 yrs
    please advice

  15. rosy

    October 24, 2014 - 5:48 am
    Reply

    i got married at 42 yrs at that time my tests were AMH-3.2ng/ml, estradiol 9.3 pg/ml,
    FSH-5.5mIU/ml..I havent really tried naturally as i have been living away from my husband since a year..
    we will b together soon so what is my chnace of conceiving naturally or shud i go straight to some treatment like IVF,IUI..
    My husband also has half sperms abnormal and he is 42 yrs
    please advice

  16. sushma

    January 29, 2015 - 4:10 pm
    Reply

    dear dr.
    I had two miscarriage one in 2011 and another in 2013(with ectoptic pregnancy) after that I am unable to conceive.

    my AMH is 2.72.

    pl advise me chances of conception. I am 36 years old.

  17. namita

    May 26, 2015 - 4:25 pm
    Reply

    hello . my age is 26 .my al test reports are normal bt my amh level is 14
    so do i have a pcod symptom n will i have to face problem in conceving
    my first child.
    plsreply

    • Shady Grove Fertility

      May 26, 2015 - 4:52 pm
      Reply

      Hi Namita – Thank you for reaching out. There is no one test to diagnose PCOS, but if you do have a higher AMH along with other symptoms (such as irregular cycle, excess hair growth, etc) then you may have PCOS. Some women with PCOS do have problems conceiving, but the severity of the issue varies greatly and dependent on a variety of factors. The best thing to do is speak with a specialist to get a diagnosis and complete fertility work-up.
      To schedule a consultation with a Shady Grove Fertility physician, please call 1.877.971.7755 or visit http://bit.ly/SGFappt.

      • namita

        May 26, 2015 - 5:42 pm
        Reply

        my haemoglobon is 10.8 gm %
        blood glucose fasting 86.1 mg/100ml
        tsh 1.76 uIU/ml
        serum prolactin 18.38 ng/ml
        fsh 8.44mIU/ml
        amh 16.64 ng/mL

        n i do have irregular periods bt not hair growth as u said
        pls suggest me what do i do further
        somebody suggest me to have a tvs test to know pcos

        • Shady Grove Fertility

          May 26, 2015 - 5:44 pm
          Reply

          Hi Namita – It sounds like you have been to a physician to get these tests. Was there not follow up about a diagnosis and your potential options? If you haven’t spoken with a specialist, you should schedule a consultation with a Shady Grove Fertility physician by calling 1.877.971.7755 or you can visit http://bit.ly/SGFappt.

  18. namita

    May 26, 2015 - 5:50 pm
    Reply

    m literally stressed out by getting these test .
    right know al i want to know that is there some
    possibity to get conceive or not if amh is high.

    • Shady Grove Fertility

      May 26, 2015 - 6:00 pm
      Reply

      Hi Namita – I understand your position, and although your AMH is higher than normal, that isn’t a recent you shouldn’t be able to conceive. A physician will be able to help determine what, if any, treatment would be necessary. You should speak with a physician to take the next step.

  19. Bianca

    May 31, 2015 - 5:07 pm
    Reply

    Stats… 0.16 AMH, 18.6 FSH, 1 Ovary, Large Fibroids….42

    If I get a myomectomy, should I just start looking to adopt. My periods are regular, you can set a clock on me. Please Advise.

    B

  20. Megan

    June 29, 2015 - 3:08 pm
    Reply

    Hello Dr.
    I will be 30 in August. I recently gave birth to my son in April after IVF. FSH 13 AMH 2.13. I would really like to give my son a sibling. My son was the only embryo to survive of the 12 eggs retrieved via IVF last April. I am 3 months post partum. How long should I wait? Should I be able to have another child??
    Megan

  21. shraddha verma

    July 31, 2015 - 7:34 am
    Reply

    Hello! I m a teenager girl of 15 and my AMH is 19.6 ng/ml
    What is the normal range for AMH?And also i dont have regular periods….pleade suggest me to regulate my periods and also tell me about my AMH

  22. jilly

    August 6, 2015 - 6:39 pm
    Reply

    I just got my test back. I just turned 36, non-smoker, non-drinker, exercise (nothing too extreme but I can run a few miles and I’m good) Weight 120lb. 5’7. Asian/French descent.

    My amh was 3.55 ng/ml
    FSH 7.6
    My estradiol is 36.6 pg/ml

    are these good numbers in your opinion?

    The doctor said I’m doing great, but when I read online it says that 3.5 could be borderline PCOS? I don’t have Pcos.

    My mother also bore 10 children with no miscarriages. I don’t know if this matters.

    Thanks.

  23. Carla

    August 11, 2015 - 3:38 am
    Reply

    Hello Doctor!

    I am 25 years old. I was diagnosed with a Wilm’s tumor when I was 6 and had chemo for about 4 months (dactinomycin). I had a termination due to multiple anomalies four years ago (but amino and chromosomal disorders weren’t found), I had an ectopic on February 2015 (I lost my left tube)and a miscarriage on April 2015. My RPL was normal. HSG was normal as well. My husbands sperm analysis was normal as well. However, today we found out my AMH is 1.3. What would you suggest? Do you think I will be able to get pregnant naturally? Is the outcome better since I am young?

    • Shady Grove Fertility

      August 11, 2015 - 12:10 pm
      Reply

      Hi Carla – Given your history and AMH levels, you should consider consulting with a reproductive endcorinologist to get a complete picture of our options (naturally and fertility treatment). Being younger typically does produce better pregnancy rates with fertility treatment. Please call 1-877-971-7755 or visit https://www.shadygrovefertility.com/webform/schedule-appointment to learn more.

  24. Reema Duneja

    August 17, 2015 - 4:49 pm
    Reply

    Hello Doctor, I am 33 years (1982, Aug) born and have a daughter who is 3.6 years but a CP patient due to delivery mishandling by Doctor. Now, when we have been trying again for 6-7 months with no success.. Also, my periods getting delayed every month by 4-5 days and this month were 10 days delayed however until 6 months back I had absolutely normal cycle.. I consulted a senior Gyne and she suggested me to go via some tests.. here is synopsis:

    FSH: 10:31
    LH : 4.55
    Antithrombian Activity : 77.60
    AMH : <0.16
    TSH : 4.431

    Doc has completely told me its almsot impossible for me to conceive now since I have very less to no eggs left and also she has said that even IVF might not be successfuly. I am completely broken today and loosing all my hope as we need a child .. Please let me know that I REALLY don't have any chance now

  25. mal

    September 8, 2015 - 11:44 am
    Reply

    i am 18 yrs and i hvnt got my periods i did amh test n it says above 21 i am confuesd help!!

  26. dec9th

    September 8, 2015 - 9:30 pm
    Reply

    Hi Dr.

    I m (29y) looking for pregnancy tips with FSH=88, AMH=14.5, e2=25, tsh normal.
    my RE is now out f option to induce my ovaries to get eggs for IVF.
    I tried femara and Menopur to induce egg production, no success.

    What should I do to get pregnant.

  27. jesse

    October 14, 2015 - 3:56 pm
    Reply

    I will be turning 30 in few months, my amh level is 0.63% but all the other levels are good, few months back i got a laproscopy done for endometerois, how many chances are there for me to get pregnant.

    • jesse

      October 15, 2015 - 6:17 pm
      Reply

      can somebody reply for the above

    • Shady Grove Fertility

      October 15, 2015 - 6:28 pm
      Reply

      Hi Jesse – It is great that you are being proactive about your family planning. There are so many factors that go into determining a patient’s chances of success, not to mention what type of treatment option they select, that a consultation with a physician is really needed to help provide you with the most informed answer. You should rest assured that given your age, you are a step ahead of most, and you will have a range of options to help you conceive in the future. Please call 1-877-971-7755 or visit https://www.shadygrovefertility.com/webform/schedule-appointment to learn more.

      • jesse

        October 20, 2015 - 2:33 pm
        Reply

        hello dr,
        can you explain me about this in detail.
        you had said
        “You should rest assured that given your age, you are a step ahead of most, and you will have a range of options to help you conceive in the future.”

  28. Nicole

    October 22, 2015 - 5:28 pm
    Reply

    I’m 39-years-old, turning 40 in February. I have an FSH of 20 and an AMH level of .13. What are my chances of conceiving with IVF?

  29. Sabrina

    November 2, 2015 - 6:56 am
    Reply

    1/5 year TTC one. I have a thyroid problem which it is hypo. I am 33 years old and taking syntroid for my thyroid. AMH is low 0.104 and FSH is 8.7 TSH is 1.4 I had one miscarriage 6 month ago and I got pregnant with clomid for first round. After that Clomid for 4 rounds didnt help anymore. Not sure what is my chances for pregnancy with this low AMH

  30. Auroba Bhatt

    November 6, 2015 - 9:15 am
    Reply

    Hello Doctor,

    I am 36 years of age and passed through a miscarriage seven months back. I have been detected with 7.78 ng/ml in this test. An ultrasound of my whole abdomen, and some blood test have also been done and my doctor says they are okay. But what does this 7.78 ng/ml mean and how can I understand what is my problem>

    • Shady Grove Fertility

      November 11, 2015 - 12:15 pm
      Reply

      Hi Auroba – If that testing is accurate, then your AMH levels are high and would indicate a strong ovarian reserve (meaning, that your pool of available eggs is still quite good). However, to learn why you may not be conceiving or experiencing miscarriage(s), you would need to review your complete history and testing with a reproductive endocrinologist. To schedule a consultation, please contact our New Patient Center at 1.877.971.7755 or visit http://bit.ly/SGFappt.

  31. Yogi

    November 24, 2015 - 4:05 pm
    Reply

    Hi doctor,
    My wife has AMH 1.98 .
    Last year she had a laproscopy for endometriosis. But it spread over overies.
    Is it ok to go with IVF with this level and endometriosis.

  32. Debra K

    February 29, 2016 - 8:55 am
    Reply

    Dear Dr
    i am 46.5 years old and would like to become pregnant naturally. My husband is 40 and fine. With the below figures is it possible or should i consider IVF?
    thank you for your time
    AMH 1.3.
    LH 6.8
    FSH 12.3
    Progesterone 45.7
    prolactin 189

  33. rachel

    February 29, 2016 - 9:31 pm
    Reply

    My amh level is a 4 they called me yesterday and said im 27 is that ok or good or bad

  34. priya

    April 2, 2016 - 2:59 am
    Reply

    Hi Sir,

    My name is priya, i have just get report of anti mullerin hormone. its around 0.2. i know its very low but is there any solution to get regular and i can be normal.

    I am worried about it and finding proper solution.

    Thanks,
    Priya

  35. Heather

    April 14, 2016 - 1:33 am
    Reply

    My AMH levels dropped from 6.48ng/ml in August 2015 to 3.82 ng/ml in January 2016. Im 26 years old and I have been trying to conceive for over a year. Is that kind of a difference a bad thing?

  36. Amanda

    April 24, 2016 - 8:48 pm
    Reply

    I’m 35 y/o female and my AMH just came back at 1.031.

    We’ve been trying for 8 years and this is the first AMH I’ve ever had done).

    Other than my AMH being this level…ALL other fertility tests have been completely normal. My husband is also completely normal.

    At 35 years of age…what do I make of this?

    Thanks.
    Amanda

  37. Amanda

    April 24, 2016 - 9:02 pm
    Reply

    I’m 35 y/o female and my AMH just came back at 1.031.

    We’ve been trying for 8 years and this is the first AMH I’ve ever had done).

    Other than my AMH being this level…ALL other fertility tests have been completely normal. My husband is also completely normal.

    At 35 years of age…what do I make of this AMH level?

    Thanks.
    Amanda

  38. Preeti Parmar

    June 1, 2016 - 3:30 pm
    Reply

    Hi,My AMH is 21 ng/ml, FSH Is 12.1 mlu/ml & LH is 14.6 mlu/ml. kindly let me know whether i can conceive? i also hav pcod problem & consulting a gynac.

  39. Priya

    June 9, 2016 - 4:29 pm
    Reply

    Hi Doc

    I am 33 my AMH is 1.45, do I have chances of natural pregnancy with some medication!?!

  40. Tara

    July 2, 2016 - 12:50 pm
    Reply

    Hello,

    My amh was checked in May and it was .49. I have had 6 follicles on each side every time I’ve had an ultrasound done. I just completed my first fresh ivf cycle which failed. We had 10 mature eggs retrieved and 8 fertilized. All made it to day 4 and 5 before 7 of them stopped growing. We had one transferred back that did not stick. They just ran my amh again and it was .18. What would cause such a drop in 2 months? What causes a low amh and yet still have a decent follicle count each cycle?

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    July 4, 2016 - 10:37 pm
    Reply

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    July 12, 2016 - 3:37 am
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  43. LW

    August 10, 2016 - 4:34 pm
    Reply

    Hi. My GYN requested day three blood work. I’m 34 years old and my FSH level was 9.5, LH 2.9, estradiol 46, and AMH 1.18. Given my age, should I visit a fertility specialist? From what I see online, I think my FSH level is high, but my AMH level is okay. I’m sort of self-diagnosing here (terrible, I know), but are these numbers cause for concern? I would like to be able to use my own egg. Thanks!

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