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Conception

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Original poster

Are my AMH Levels low?

9 replies

pandapopk · 16/10/2021 21:37

Hi,
My mum and grandma went through early menopause so i thought i would do an AMH test just to put my mind at rest.
I am 32 and wasnt really planning to get pregnant just yet but my test came back at 5.8pmol/l which they said were normal for my age but some of the other sources i have found on the internet said it is low.

Does anyone know if that is low? Should i be starting to try for a baby immediately or am i ok to wait until i am ready? Will i need IVF for a chance to get pregnant?

Thanks x

OP posts:
99pctpractice · 17/10/2021 10:00

hello - i don't know what would be normal at age 32, but at 40 my amh is 2.7 and i was told that it was low. low amh doesn't necessarily mean you can't get pregnant naturally, it just means that you potentially have lower chances. you're only 32 so your eggs should be good quality, so you have more chance of a successful pregnancy at 32 with an amh of 5.8 than someone older with the same amh. so even if you're not ready for a baby now, it might be worth thinking about egg / embryo freezing if you're able to. i would also mention that where i live, you can only get ivf on the nhs if you have an amh of greater than 5.4, so if you might need help getting pregnant, then it would maybe be helpful to know now while you're eligible for nhs ivf. good luck! xx

primrosee · 17/10/2021 10:26

Pmol and actual number are totally different things

My number is 70 and that's too high. I'm not sure what normal Pmol is but it's NOT the same as actual egg count

Totallydefeated · 17/10/2021 10:46

It does, on the face of it, seem a bit low for your age, but please bear in mind that AMH is ONE indicator of ovarian reserve. To get a more accurate picture of your ovarian reserve you need to also check the number of antral follicles in the ovaries and look at both numbers.

If I were you, I would get the basic checks, including an ovarian scan, done at a fertility clinic, to get the full picture. This would mean you are as informed as you can be about where to go from here.

Please don’t panic - as PP said, at 32, you are likely to have much better quality eggs than an older woman and it’s quality rather than quantity that counts with both natural conception and IVF.

You can’t change the quantity of your eggs, but you can make adjustments to increase their quality. There’s a lot of information on this in a book called ‘It Starts with the Egg’ by Rebecca Fett.

Original poster
pandapopk · 17/10/2021 10:52

thanks so much - all of your replies have been so helpful . really appreciate it :)

OP posts:
Juno231 · 17/10/2021 17:46

I'd definitely get going with baby making as it's very much on the low end, especially for your age. To put it into perspective, if you were to need IVF then you're already at the cut off point for NHS funded IVF as they have minimum AMH requirements in most CCGs.

CDiamond · 15/01/2023 21:56

When I was 32, we put off having kids and only started trying at 34.5 yrs of age. I am 35 now and we have just found out I have AMH of 4.1 and c. 8 AFC, both of which I was told was low given my age and OH having Oligoasthenoteratozoospermia. We are now looking at IVF+ICSI, etc and just getting started on what could be a long painful road which may or may not involve children in the end.

My suggestion to you (and any future friend/children of mine) would be to do all the tests and make informed decisions on putting off having kids. If my husband and I had known our stats at 32 (esp. his Oligoasthenoteratozoospermia), I think we will have made different choices.

If you have a male partner, get them to do a SA. You have done the AMH but as others here have suggested, AMH on its own doesn't say much so get an AFC scan as well and get a consultant's view on how the two (AMH-AFC) look given your age, demoraphic, family history, your partner's SA, etc.

Good luck!

CDiamond · 15/01/2023 22:06

I agree with what @Juno231 has said by the way; if you rely on NHS (ie. not being able to fund privately), that makes it tougher. NHS eligibility criteria will expect you to have been trying for 1 year, AMH cut off is 5.4, etc.

OneAndDon3 · 15/01/2023 22:08

I had AMH of 2.4 at 37 and needed ICIS to get pregnant.

Truthfully I'd start trying now and consider intervention sooner rather than later. It might all work out fine.

jhop · 16/01/2023 03:45

If you definitely want children then I wouldn't delay. It took us nearly 18 months to conceive our first (with a miscarriage along the way) and that was with starting to try at 30 years old, having already been off contraception for years and knowing my cycle inside and out. Also my AMH was 28 and my husband sperm analysis was really great. We were both had healthy diet etc. Not smokers or drinkers. Healthy weight and generally fit, well and active. So just goes to show it can take a lot longer than you expect and the journey was so painful emotionally, I wouldn't wish it on anyone. (And ours was not even a long or difficult journey compared to many!)
So it all depends if you really want children... then yes go for it asap. If you're on the fence or could be open minded to a child free life, and still have things you really want to do for now then it's fair to gamble and see what happens. I knew I wanted children more than anything so they stakes were high for us and the whole thing felt very stressful. I kicked myself every day for not starting sooner. Thankfully it's all worked out in the end for me

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