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fertility basics

What is Anti - Mullerian Hormone or AMH?

  • 4.7 (5 Votes)

Anti - Mullerian Hormone (AMH) is the hormone produced by ovarian follicles. AMH level denotes ovarian reserves and quality of ovarian eggs for a female. It is also known as Mullerian Inhibiting Substance (MIS). Normal AMH levels of 1.5 to 4.0 ng/ml, is associated with good fertility and have been found to have better response rates to fertility treatments.Low AMH level is not a good indicator of fertility.

AMH & Fertility

If you are a trying mother then, you must have heard about or faced yourself the challenge posed by AMH levels to one’s fertility. But how does it affect fertility? Well, AMH or Anti Mullerian hormone is an essential hormone in developing pre-antral and antral follicles or egg follicles in ovaries. They are present in the follicles and looks after the maturation process. The role of AMH comes into play to stop the immature egg from releasing through ovulation and helping the mature one to get released.  As AMH is an indicator of mature eggs in the ovaries, it itself becomes an indicator of the Ovarian Reserve of a woman as well as its quality.

AMH is deeply connected to fertility as without a good quality mature egg reserve, a woman finds it difficult to conceive. The levels of AMH linked with fertility is as given below-

1- Normal AMH levels (1.5 to 4.0 ng/ml) are associated with increased fertility and better response rates to fertility treatments.

2- Low to Normal AMH levels (1.0 to 1.5 ng/ml) are associated with decreased ovarian reserve but chances can still be good for pregnancy outcomes.

3- Very low AMH levels (below .5 ng/ml) suggest diminished ovarian reserve and fertility concerns.

What is an AMH Test?

AMH Test is a modern day fertility test to determine the AMH level in our body. It was developed in 1990 during research on IVF & Fertility where AMH level was found a positive correlative between IVF & Fertility.

AMH Test

Normally AMH is a blood test. The entire procedure is very simple and results come back in 3-4 days. The best thing about AMH test is that you can get it done anytime, even during your menstruation or when you are on birth control.

Low AMH Levels and Associated Problems

Normally, with growing biological age and other health and lifestyle factors such as stress, poor diet, hormonal imbalances, illness, genetic factors etc., AMH level declines in women. The condition of low AMH level is called Diminished Ovarian Reserve (DOR) medically. Women with low level of AMH have very low chances of pregnancy. However, with Assisted Reproductive Technology (ART) treatments, such as IVF (In Vitro Fertilization), even woman with low AMH or diminishing ovarian reserve can also conceive successfully.

What happens when you have high AMH levels?

Although ovarian reserve diminishes with age, some women still have high level of AMH till their menopausal age. Very High AMH levels which are over 4ng/ml is also dangerous and can make a woman prone to breast cancer, PCOS (Polycystic Ovary Syndrome), ovarian cysts etc.

AMH levels

The greatest risk among these is the issue of Ovarian Hyper Stimulation or OHSS in which a woman super-ovulates and carries the risk of miscarrying. In such case, you need medical treatment to reduce the risk factors.

Factors affecting AMH level

AMH level is dependent mostly on internal factors such as age, stress, hormonal disruptions, lifestyle etc. However, with growing toxins in the environment, many women are experiencing premature ovarian aging where her ovarian reserves deplete sooner than the usual course of time. 

1- Lifestyle factors such as smoking, alcohol or over dependency on medicines lead to early menopause or lowering of AMH levels in women.

2- Apart from this, surgery such as chemotherapy where a woman is exposed to heavy rays depletes her ovarian reserve creating low AMH level in her body.

3- Exposure to environmental toxins in terms of pollution, artificial heating mechanism, processed food etc. also lower AMH levels in women.

How to increase AMH levels?

It is very hard to increase your AMH level as creating your egg reserve is almost impossible. However, you can monitor your egg health and quality and allow proper maturation through medical techniques such as DHEA supplements, fertility herbs, prenatal supplements and a good lifestyle.

Do you know when you get pregnant, the embryo gets implanted into the uterus! Some women can have bircornuate uterus which makes it harder to conceive. 

Hope this article has helped resolve issues associated with Anti Mullerian Hormone or AMH. Follow Elawoman blog to get regular updates on fertility health and treatments.

Dr. Kavita Jaggi Agrawal

About The Author

Infertility Specialist, Obstetrician Dr. Kavita Jaggi Agrawal

Dr. Kavita Jaggi Agrawal is an obstetrician, gynecologist and infertility specialist who is providing her valuable expertise in the field of gynecology and infertility issues. She ensures that the patients receive the required fertility treatments well on time. Dr. Kavita specializes in the treatments like High Risk Pregnancy Care, In Vitro Fertilization (IVF) and Reproductive Medicine. Currently, she is practicing at Amit Jaggi Memorial Hospital, Vibhav Nagar, Agra.


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Diksha Patel

I am 35 years old and my AMH level is 2.0. Will I be able to conceive?

Oct. 12, 2018, 8:23 p.m. 5.0


Barkha Chopra

I eat green vegetable on regular basis and avoid smoking and drinking. I have seen my AMH level increasing and it is completely in control.

Aug. 11, 2018, 4:26 p.m. 4.5


Vedika Sinha

Can I conceive a child at 40 years of age with low AMH level or If I conceive what are the chances that baby will be healthy?

July 23, 2018, 5 p.m. 4.5



I have low AMH level. How to increase it?

May 17, 2018, 5:43 p.m. 4.5


Sushmita Malakar

My AMH levels are very poor and the doctor has suggested me IVF. What shall I do to improve my AMH levels?

April 23, 2018, 4:26 p.m. 5.0

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