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Role of AMH in Evaluation of Female Fertility

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Anti-Mullerian Hormone (AMH) is a hormone measured in the blood which indicates the number of immature eggs a woman has left in her body. It is not an exact test but is a good indicator of the number of eggs a woman will have collected during an IVF cycle. As the number of eggs in a woman’s ovary reduces the AMH reduces as well.

Who is AMH Best Suited for?

AMH measurement is not 100% reliable and can be artificially lower in women who are very young, who are taking the contraceptive pill or who are very lean exercisers or those with pituitary problems.    

When can the Test be Performed?

It can be collected at any time of the menstrual cycle.  

Does AMH Predict if you’ll have a Baby?

AMH is not a predictor of whether a woman will have a live birth.  Age is the best predictor of whether a woman will have a live birth or not. AMH indicates the quantity of eggs remaining in a woman’s ovary and does not indicate the quality of the eggs in the ovary.  

What is a Good AMH Level?

It is age related and as age advances AMH level falls

Is there any Treatment for Low AMH?

Yes you can improve the AMH levels by

1.Nutrient supplements which includes anti oxidants and substances that increase overall blood flow as well as starting raw materials for hormone synthesis

2.platelet rich plasma therapy or ovarian rejuvenation which needs minimum 2-3 cycles to be effective. It is done by putting you to sleep under ultrasound guidance without any cuts on your body and you can be discharged ON the same day.

Is High AMH Good?

AMH  is a predictor of successful IVF which means that higher AMH implies higher proportion of expected eggs that can be retrieved.This is usually seen in PCOS patients.

What are the Reasons for Low AMH?

This can be due to autoimmune attack on the ovaries (the patient’s own immune system attacking the ovaries), or it can be genetic or environmental. Women with a particular type of FMR1 gene were more likely to develop decreased ovarian reserve at a younger age. Infertility specialists develop different treatment approaches in order to maximize the pregnancy chances with IVF for women with low AMH levels.