AMH Test- info and query

raisin · Apr 23, 2012

Dear ladies,

This might be something you already know or something entirely new to you. Please read.

I have been ttc for 2 years now. I met 3 gynaecs and an IF splst till date. My husband met 2 urologists and went for painful USG for low motility.

One of my ovary was operated for ovarian cyst and I have been found to be ovulating. HSG is normal and so are my routine blood tests. After the gyneac experimentation, I finally met and IS Splst. He told me to do AMH test to see my ovarian reserve and then on to decide any treatment. He said my operated ovary will never work and that it is gone. (The surgeon who operated had said it will start working.) If it is gone then I think I will not have optimal AMH in any way. The doc also says that my husband's motility problem is not an issue.

If have any info regarding this, please share.

I am posting this as an info for those who are not aware. If you are TTC please do not waste time with gynaecs. Go to IF specialist and get started asap. If you are planning, DONT. The more you delay the more difficult it becomes.

Vasumathy · Apr 24, 2012

Hi Raisin,
Hope your AMH results will come better! Be positive. All the best to your attempts!

With age, all our stuffs will go down! Thanks for the info!
Take care!

cj1980 · Apr 25, 2012

Not sure what your question really is...but if it helps, I was diagnosed with a low ovarian reserve (AMH result was in the 'low fertility' range) in Feb 2011 and of course, I felt my world collapse around me. By the grace of God I conceived naturally in December 2011. So, even if your AMH is low, it is not the end of your TTC journey! Be strong and have some faith. All the best.

Kiya · Apr 26, 2012

I have been in TTC for several years now with lots of failures.

My feel its important to be open minded when starting infertility treatments. Be strong emotionally and physically.
Some people find instant success after seeing a infertility specialist, but some might have to spend years on this.
Sometimes its frustrating and you feel the years go by and the need to feel rushed into next set of treatments. But its also important to take enough time in between treatments, give your body and mind to heal itself.

AMH
We started with male factor..but now it has all come down to eggs and just like how your doc says male factor is not a issue when doing IVF. I just met up with my fertility doc and had a discussion about AMH and egg quality.

My doc said AMH is one of the markers to analyze egg quality, but its not everything. You cannot be certain and base your decision/conclusion looking solely at the AMH number. When it is very low like < 0.6, the chances of success are very low and he would suggest looking for alternative options
(like donor eggs/adoption etc). But on the contrary higher numbers does not mean eggs are all fine. My doc also said that whatever the AMH is there is still a chance of success.

Vasumathy · Apr 22, 2014

Anti-Müllerian Hormone (AMH) test help to predict whether a woman may have a faster biological clock. This test helps to estimate what is called ‘ovarian reserve’ by measuring the number of follicles developing in the ovary at a particular time. AMH is a hormone made by small follicles as they grow in the ovaries. AMH actually shows how many Antral Folicles are present in the ovaries in that particular cycle. Antral Folicles are the folicles that can and may get matured in a particular cycle.

With increasing female age, the size of their pool of remaining follicles decreases. Likewise, their blood AMH levels and the number of ovarian antral follicles visible on ultrasound also decrease. Women with higher AMH values will tend to have better response to ovarian stimulation

[TABLE]
[TR]
[TD]
Interpretation

[/TD]
[TD="width: 319"]
AMH Blood Level

[/TD]
[/TR]
[TR]
[TD="width: 319"]High (often PCOS)
[/TD]
[TD="width: 319"]Over 3.0 ng/ml[/TD]
[/TR]
[TR]
[TD="width: 319"]Normal
[/TD]
[TD="width: 319"]Over 1.0 ng/ml[/TD]
[/TR]
[TR]
[TD="width: 319"]Low Normal Range
[/TD]
[TD="width: 319"]0.7 – 0.9 ng/ml[/TD]
[/TR]
[TR]
[TD="width: 319"]Low
[/TD]
[TD="width: 319"]0.3 – 0.6 ng/ml[/TD]
[/TR]
[TR]
[TD="width: 319"]Very Low
[/TD]
[TD="width: 319"]Less than 0.3 ng/ml[/TD]
[/TR]
[/TABLE]

Women with many small follicles, such as those with polycystic ovaries have high AMH hormone values and women that have few remaining follicles and those that are close to menopause have low anti-mullerian hormone levels.