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AMH, explained without the panic

Nathaniel Ashdown, MD

2 min read

Fertility testing

2 min read

AMH estimates how many eggs a stimulated cycle may give. It does not tell you whether you can get pregnant this year. Here is how we read it.

Nathaniel Ashdown, MD, reproductive endocrinologist, egg freezing at Aldercrest Fertility

Nathaniel Ashdown, MD

Reproductive endocrinologist, egg freezing

Anti-Müllerian hormone, or AMH, is a blood test that has turned into a kind of fertility score online. It is useful, but it answers a narrower question than most people think.

What AMH measures

AMH is made by the small follicles in your ovaries. A higher level usually means more follicles are waiting, which predicts how many eggs a stimulated IVF or egg freezing cycle may yield. It can be drawn on any day of your cycle.

What it does not measure

AMH does not measure egg quality, and on its own it does not predict whether you will conceive without treatment. Age remains the strongest factor for egg quality, so a low AMH at 32 and a low AMH at 42 mean very different things.

How we use it

We read AMH together with your age, an antral follicle count on ultrasound and your history. Together they tell us how your ovaries are likely to respond to medication and help set the right dose. If you are thinking about egg freezing, they give a realistic range for what one cycle may bring.

If your number is low

A low AMH is a reason to plan, not a verdict. Many people with a low AMH conceive, with or without treatment. Book a consult before you decide anything from a number in a lab portal.

Written by

Nathaniel Ashdown, MD, reproductive endocrinologist, egg freezing at Aldercrest Fertility

Nathaniel Ashdown, MD

Reproductive endocrinologist, egg freezing

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