fertility basics

Anti mullerian hormone test - Factors affecting AMH Levels, High AMH Levels

  • 4.7   (5 Votes)
Medically Reviewed by Dr. Deepika Tiwari - MBBS on 28 Apr 2018 - Written by Dr. Kavita Jaggi Agrawal - MBBS - Grammatically Approved by Dr. Sailaja Vuppu - MBBS

Anti Mullerian Hormone Test is used to determine normal, low, and very low levels. In case of high AMH levels, a woman likely to be diagnosed with PCOD, breast cancer, and ovarian cysts. Ovarian Hyperstimulation is one of the common symptoms which can be seen in case of high AMH levels.

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

Written by

Infertility Specialist, Obstetrician

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.


  • How to conceive - things to remember when you are thinking how to conceive  trying mother, Elawoman - 2017
  • Low progesterone levels in females - symptoms, causes, and treatment  ovaries, Elawoman - 2018
  • Egg donation - procedure of egg donation, when to choose an egg donor?  mature eggs, Elawoman - 2017
  • How to choose the best fertility centers  fertility concerns., Elawoman - 2017
  • Female condoms - what are the advantages, disadvantages, effectiveness?  birth control, Elawoman - 2017
  • Pcod - causes and natural remedies of pcod  PCOS, Elawoman - 2017
  • Effect of infertility drugs on premature menopause - when to worry, what to do  menopause, Elawoman - 2017
  • Anatomy of uterus, functions and uterine conditions in women and pregnancy  uterus, Elawoman - 2017
  • Bicornuate uterus - symptoms, causes, and treatment of bicornuate uterus  bircornuate uterus, Elawoman - 2018



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

View all comments

Leave a Comment



The information displayed on this webpage covers general information on several medical conditions, fertility treatments, IVF ICSI, surrogacy procedure, home remedies, and their respective treatments. The exclusive purpose of the displayed information is for the sake of general understanding and it has been collected from open sources which heavily rely on research and laboratory tests. However, the information shared here should not be considered as a medical advice or an alternative to consultation with a registered medical practitioner or licensed healthcare professional.

It is not advised to self-diagnose or treat any medical condition or disease following the information given in this article. We insist you to consult a registered practitioner and never try to replace their advice or discontinue treatment in between by relying solely on the information obtained. External links to different websites as well as videos given on the website serve the purpose of sharing knowledge only. Ela being an Independent Medical Information platform is neither responsible nor guarantees the authenticity, reliability, and accuracy of these videos and websites in any way. We do not intend the information displayed here to be used for a medical emergency, if you seek medical attention for yourself (or any other person with whom you want to share the information with), we advise you to directly get in touch with the hospital or the doctor.

More From Author

Planning Baby
How to get pregnant fast - How often to have sex to get pregnant?

How to get pregnant fast - How often to have sex to get pregnant?

posted on 31 Dec 2017 4.7/ 5

If you thinking that how to get pregnant fast, then you can implement these tips and these can answer your query on how to become pregnant. Make sure that you keep a t...

Read More

Planning Baby
What are the top 6 risk factors of pregnancy after 30 and success rates?

What are the top 6 risk factors of pregnancy after 30 and success rates?

posted on 31 Dec 2017 4.7/ 5

Risk factors of pregnancy after 30 years of age includes miscarriage, premature birth, birth defects, increased chances of infertility, high blood pressure, gestationa...

Read More

Planning Baby
Top 3 Tips before you check out faint line on pregnancy test

Top 3 Tips before you check out faint line on pregnancy test

posted on 31 Dec 2017 4.7/ 5

If you are wondering about faint line on pregnancy test, then you need to make sure and follow 3 tips for the same. Wait for the right time to take the test to avoid n...

Read More

Related Article view all

Fertility Basics
Know about Human Reproduction with Fertility - Phases of Natural Human Reproduction

Human reproduction is mainly divided into 3 phases such as Ovulation, Fertilization, and Implantation. Symptoms of ovulation are crucial as they signify fertile period in a woman. Signs of implantation specify that there is a positive pregnancy. You need to consult your fertility doctor to make sure that you take proper care during your pregnancy.

Read More

Fertility Basics
Infertility profiling medical tests - Check for causes of infertility

Infertility profiling medical tests include ESR blood test, Thyroid Function Test, AMH test, Complete Blood Count Test, Prolactin, and LH test. Infertility profiling tests help in finding out causes of infertility and respective infertility treatment.

Read More

Fertility Basics
Male infertility - Diagnostic tests to detect male infertility

Diagnostic tests to detect male infertility includes CBC test, ESR test, Blood Sugar test, VDRL test, and Hepatitis test. These medical tests are essential to perform semen analysis, sperm morphology, semen quality, and sperm count. Diagnostic tests offer results based on which male infertility treatments are performed.

Read More

Trending Articles


5 Best Surrogacy Doctors in India

posted on 31 Dec 2017 4.5 / 5(1 Votes)

Find the list of best surrogacy doctors in India who offers the best treatment with the highest success rate. The list has been categorized on the basis of doctors fame, experience, reviews, ratings, and cost. Dr. Mohit Saraogi from Saraogi Hospitals and IRIS IVF Centre and Dr. Kaberi Banerjee from Advanced Fertility Centre top the list of the best surrogacy doctors in India.

Read More


Best IVF Doctors in India with Highest Success Rates

posted on 31 Dec 2017 4.7 / 5(3 Votes)

Find here the list of best IVF doctors in India on the basis of Ratings, Success Rate, Services offered, IVF cost packages and available Facilities. Dr. Nisha Bhatnagar, Dr. Kaberi Banerjee and Dr. Anjali A Deval top the list of such IVF doctors in India due to their unique pricing system, popularity and high success rate.

Read More


Top Surrogacy Centres in India with Highest Success Rates

posted on 31 Dec 2017 4.8 / 5(2 Votes)

In this article we bring you the best Surrogacy Centres and clinics in India with Review Ratings, Cost Estimates, and Surrogacy Success Rate to help you make the best choice. Aveya IVF and Surrogacy Centre and Advanced Fertility and Surrogacy Centre tops the list of such surrogacy centres in India due to their low treatment costs, popularity and high success rates.

Read More