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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.
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.
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.
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.
SOURCES AND REFERENCES:
- Things to remember when you start trying to conceive trying mother, Elawoman - 2017
- Symptoms, causes and treatments of low progesterone ovaries, Elawoman - 2018
- When and why women go for the donor eggs mature eggs, Elawoman - 2017
- How to prepare for your first fertility clinic fertility concerns., Elawoman - 2017
- Advantage and disadvantage of female condom birth control, Elawoman - 2017
- Natural remedies for polycystic ovary syndrome pcos PCOS, Elawoman - 2017
- Can infertility drugs cause premature menopause menopause, Elawoman - 2017
- What are the functions of uterus? uterus, Elawoman - 2017
- Causes, symptoms and treatment of bicornuate uterus bircornuate uterus, Elawoman - 2018
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