Antimüllerian Hormone (AMH) and Ovarian Reserve


The field of fertility studies is constantly evolving and advancing.  In response to current research, we are happy to make Antimüllerian Hormone (AMH) testing available to our clients.  This hormone has been found to indicate ovarian reserve (the amount of follicles remaining) and predict challenges such as hyperstimulation and poor stimulation response.  This hormone does not greatly fluctuate during a cycle, and so it can be tested at any point.  The test required is a simple blood test, resulting in a number indicating the amount of hormone in the body.  Researchers have found a few interesting relationships between AMH levels and fertility:

  • When the level of AMH in the system decreases, so does ovarian reserve and fertility.
  • Age, obesity, administration of chemotherapy or radiation, and surgical of one or both of the ovaries, also decreases the level of AMH in the body.
  • Polycystic Ovarian Syndrome (PCOS) increases the level of AMH in the body.
  • Birth control pills, pregnancy, and day of cycle do not influence AMH.

After your simple blood test, you will receive a number indicating the amount of AMH within your body.  A level less than 0.2-0.5 nd/mL is commonly associated with an increased chance of cancelled IVF cycle, poor response, and fewer eggs retrieved from the ovaries.  Levels greater than 2.5 ng/mL are associated with greater egg production, and a better potential for fertility.  If your AMH is high, greater than 3.6 ng/mL, you may be at a higher risk for ovarian hyperstimulation.
If you are interested in testing your AMH level, please feel free to ask one of our nurses at your next visit.  We would be happy to further explain this test, its benefits, and limitations.

3 replies
  1. Beth
    Beth says:

    Hi! Just have a question as far as cost, as my insurance company does not cover any fertility procedures after age 44 and I am 46. I had my first child naturally at age 42 without fertility treatments or meds, and 2 pregnancies ending in miscarriage at 8 weeks, one before and after the birth of my son. I have endometriosis and have had 3 laparotomies, my last being approximately over 10 years ago. Have been taking clomid for several months via my OB/GYN, not sure what to do next as I am concerned about the status of my endometriosis and how it is affecting my fertility this time.
    Appreciate your help!

    • Lisa Stack
      Lisa Stack says:

      Hi Roopa.
      Thanks for your interest in our AMH testing. To get the best picture of your fertility, and the care that you may need, I suggest that you schedule a consultation with us. This can be done in person, or over the phone. Once we are able to take a look at your medical history and learn a little more about you, we will be able to make suggestions for treatment and guide you through your cycle.
      You can schedule an appointment here:
      Please let me know if there is anything else that I can do for you.

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