AMH fluctuations over a few months while planning to try for a baby

[Spinkyttc]

Hi everyone. I'm 30, looking to start trying for a baby in the next year, and have become really anxious about my fertility, so I've had my AMH checked a few times over the last couple of years. My results have been:

• 29.5 pmol/L (venous, 2024)
• 28.7 pmol/L (Randox finger-prick, March 2026)
• 37.11 pmol/L (Newfoundland finger-prick, June 2026)
• 27.6 pmol/L (Randox QuickDraw, July 2026)

I know the drop from 28.7 to 27.6 is only 1.1 pmol/L, but I can't stop worrying that it's declined over just 4 months and that this is the start of my ovarian reserve dropping. The Newfoundland result being much higher has confused me even more.

I have a Mirena coil, but I've read mixed things about whether it can lower AMH slightly. I've also previously conceived naturally, so I'm struggling to make sense of all these results.

Has anyone had similar fluctuations in AMH over a few months? Would a fertility specialist see these results as reassuring overall, or would they be concerned about the slight drop? I'm really spiralling and would appreciate any honest experiences or advice. 💕

You're only 30 and haven't even tried to conceive yet. Instead of causing yourself lots of anxiety over fertility when you haven't any reason to suspect there's a problem, just try to conceive naturally without all the tracking nonsense. Obviously if you find after too long that it's not working, then get yourself tested. I don't understand why women stress themselves out this way when there isn't a problem to begin with. Honestly, stress will only make it harder. Relax and let nature do it's thing

If it makes you feel better I got mine tested when ttc #2 and it was 2.4 pmol/l and I was 34 at the time. I conceived shortly after the test. Got tested again recently 3+ years later and it's 4.4 pmol/l which doesn't make a lot of sense but apparently fluctuations do happen and it doesn't predict likelihood of conceiving as its a combination of quantity and quality. Hard not to stress but genuinely seems to be one of the less meaningful measures.

Best of luck!