High AMH levels - will it affect fertility?

[loopnoot]

I'm 28 and have recently done the Hertility blood test which has come back showing high AMH levels which they say suggests I could have PCOS.

I've never had any reason to believe I have any issues - no symptoms of PCOS and my periods are fairly regular and I don't get much pain with them.

I've been thinking of having a baby for a couple of years but to be honest have been putting it off due to fear of the unknown. This test result has made me wonder if I might experience difficulties getting pregnant.

Does anybody have any experiences of their own or advice for me?

Hi Op, I had a very similar experience to you, I had a hertility check when I was 32. My results came back with a very high AMH level (way off the chart). I booked a private ultrasound to be checked for ovarian cysts, which was clear. The consultant mentioned that high AMH can sometimes just mean you have a lot of eggs (not necessarily good quality ones) and isn’t always indicative of Pcos (though can be).

At 33 I fell pregnant first time which ended in a missed miscarriage. I then fell pregnant again before even getting a period after the miscarriage and my baby will be 1 in two weeks.

I had a major major panic following my hertility results, quite unnecessarily in my case. Were all your other levels fine? I’ll go back and check what my Amh levels were so that you have a number to compare to. I appreciate everyone is different but it definitely doesn’t have to translate to difficulties in conceiving.

Edited to add, I’ve checked my Hertility account. I had the tests in March 2021 and my AMH was 114 pmol/L. I didn’t start ttc until April 2022, so a year later

Thank you so much for your reply. That's reassuring to hear that you did end up with a successful pregnancy (congratulations) :)

I've checked my results again and my AMH levels are 43.29 pmol/L which is apparently high, but could be a lot higher looking at the scale. I'm hoping that means it's not really an issue then.

I've got a GP appointment tomorrow to talk about it, to be honest I'd be surprised if I have PCOS, but my main concern is having issues conceiving and it taking ages!

No problem at all! I remember scouring forums at the time really panicking that I might have undiagnosed issues and would struggle to conceive. I really struggled to find anyone with high AMH but regular cycles and no pcos symptoms.

Hopefully your appointment with the doctor goes well and they confirm you don’t have Pcos or anything :)

Hi @loopnoot , just seen your thread.

Do you mind sharing feedback from your doctor? I also did my hertility test 2 months ago and all was in range apart from my AMH levels which were 57.93. I have no symptoms of PCOS and have a regular cycle.

I’ve just turned 30 and my husband and I have started trying to conceive last month. I contacted the NHS and the doctor responded saying that these results are in range (3.74-61.88 for 26-30 year olds). Dr said that as long as there are no other symptoms to not be concerned and just carry on trying as normal. Is this in line with the feedback you got?

@Cdoc so lovely to hear that you managed to conceive despite the high AMH levels. I’m also in a bit of a panic and just wondering if there is anything I should be doing to improve my chances. Maybe I should book a scan too? Hertility suggested it but also mindful that they’re a business and could suggest these things willy nilly.

@ScarlettSloth I think if it will provide you any reassurance and you are able to, a scan isn’t a bad shout. It definitely reassured me, as the follow up consultation I had with Hertility I found quite worrying (some concerning reasons were thrown around for my levels being as high as they were), whereas the scan gave me a lot more peace of mind and face to face with a gynaecologist really helped. I also knew at this point from an earlier diagnosis that I do have endometriosis, so I wanted to be doubly sure. I do agree with your point around them being a business and so arranged a scan separately. I had the same concerns of them just encouraging more costly tests.

Having said that, mine really were very high! And if yours are in range and you have no other symptoms I would definitely find that reassuring. Perhaps if you are still trying to conceive in a few months then the scan may reassure you? But hopefully you won’t need to. Wishing this is the case for you!

I’ve had a hertility test that flagged high amh levels but all other tests were normal and we’ve now been trying for 13 months unsuccessfully. Until you actually start trying you won’t know if you have any issues. I do wish we’d started sooner and set expectations that it might not happens straight away. I’m 35 - so you’re much younger!

If you are concerned you could start tracking to see if you ovulate using body temp to get a feel for your rythm