AMH levels

[BlueSilver23]

Hello,

I have been doing some research on my AMH level and freaked myself out a bit as it appears to be lower than it should be for my age. I have FSH in normal ranges. Studies seem to be suggesting AMH is quite a good indicator of ovarian reserve and time to menopause.

Was wondering what stock people put in this as an indicator of how long you have left to try/before menopause?

AMH levels are really only a useful tool for IVF clinics to understand how you might respond to treatment- too high is an indication of possible PCOS and too low might mean you need higher level of drugs. you can't really guage egg quality or time until menopause with it

@tiggerwhocamefortea yes perhaps I am overthinking it! I just don’t like seeing any data ‘below average’, and I am getting on a little bit so considerations of how long I have left are playing on my mind a little I have heard it is really just a measure of egg quantity, rather than quality.

Hi @BlueSilver23

It's easy to terrify yourself Googling about AMH. I've done it myself many a time.

Like the poster above has said, AMH is used by doctors to work out how much medication you will need to stimulate your ovaries to produce an optimal number of eggs. However, it should be used in conjunction with other tests such as an antral follicle count scan, which together will give you a much better idea of how likely you are to respond to IVF medication.

It's also worth being aware that AMH can be affected by things such as having deficient vitamin D levels and being on the contraceptive pill. I've also seen some Doctors question the reliability of the test itself. As an example of this, I did a home finger prick AMH test which came back with an AMH of 9.4 pmol/L and later that same month I had it check by my fertility clinic and it came back at 15 pmol/L (this was at age 34).

It's also correct that AMH is just a measure of egg quantity and not egg quality.

We were referred for IVF as my AMH was low (5.9 pmol). I had 7 follicles on my initial antral follicle scan, they put me on max dose of stims (Meriofert) and they ended up collecting 18 eggs! So it really does depend on how you respond to the stims.

I was also recommended to take coenzyme q10 to improve my egg quality. As a couple of others have said, AMH is no predictor of egg quality. The saying ‘it only takes one good one’ used to drive me crazy, but it’s so true!

Thank you everyone, I had EC and got a decent number of eggs so that’s reassuring but it does make me wonder if I have less time than the average person my age now . Clinic didn’t seem bothered by it!