Predict Fertility and Menopause With This Test

Anti-Müllerian Hormone (AMH) levels are often used as an indicator of ovarian reserve. Ovarian reserve indicates fertility potential. However, AMH levels also can mean you are perimenopausal, menopausal, have PCOS, predict response to fertility medications, or have other ovarian conditions. Blood test results can be affected by being on oral contraceptives, and slight changes due to Mirena IUD use.

Predicting fertility is more than just an AMH level. Your age, prior fertility efforts, the early eggs developing in the ovary called the antral follicle count, and concentrations of follicle stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E2), and inhibin B contribute to successful prediction of getting pregnant.

Here’s a general guideline on AMH levels:

• High AMH levels (>4.0 ng/mL): May indicate a high ovarian reserve but could also suggest conditions like polycystic ovary syndrome (PCOS). Women with PCOS often have a higher number of follicles but may face challenges with regular ovulation.
• Normal AMH levels (1.0–4.0 ng/mL): This range is typically considered normal and indicates a healthy ovarian reserve. Most women in this range are still fertile, but age remains a key factor in overall fertility.
• Low AMH levels (0.5–1.0 ng/mL): Lower AMH levels suggest a declining ovarian reserve, which may indicate reduced fertility and perimenopause. However, pregnancy is still possible, especially with fertility assistance or treatment if needed.
• Very low AMH levels (<0.5 ng/mL): This may indicate a significantly reduced ovarian reserve, often seen in women approaching menopause. Fertility may be more challenging, but pregnancy can still occur in some cases, often with reproductive assistance. Symptoms of menopause with low AMH indicate low estrogen production.

Conclusion

It’s important to note that while AMH gives an idea of ovarian reserve, it does not predict the ability to conceive in a given month or cycle. Fertility is complex, and other tests or factors, like ovulation, egg quality, and sperm health, are also essential.

AMH may also be abnormal in cases of ovarian cysts, ovarian tumors, or infection.

If you’re concerned about your AMH levels and fertility, it’s a good idea to consult a specialist for a comprehensive evaluation.

AMH levels alone cannot definitively predict fertility, as factors such as age, overall health, and other reproductive factors also play significant roles.