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Why Anti Mullerian Hormone (AMH) Test Is Important Before IVF?

Written and reviewed by
Dr. Ritu Prabhakar 87% (23 ratings)
MD - Obstetrtics & Gynaecology
IVF Specialist, Sonipat  •  25 years experience
Why Anti Mullerian Hormone (AMH) Test Is Important Before IVF?

Many couples are reaching IVF clinics due to infertility problems. IVF is a very useful process for those couples who are unable to conceive. A few tests will be done on both male and female, and then the treatment for infertility will start. Many people reach out to the doctor with a low AMH count. What actually is AMH count and how does it affect IVF treatment? Continue reading to know more about AMH:

What is an AMH test?
In the ovarian follicles, cells produce a protein called AMH or Anti Mullerian Hormone. AMH levels can be classified as below:

  • Very Low AMH levels means 0.5 ng/ml or below. This condition indicates severe fertility concerns and very low ovarian reserve.
  • Low AMH levels means 1.0 ng/ml to 1.5 ng/ml. This condition indicates that the ovarian reserve is low, but that chances of getting pregnant are still good.
  • Normal AMH levels mean 1.5 ng/ml to 4.0 ng/ml. This condition indicates a good ovarian reserve and very good chance of responding to IVF or other fertility treatments.

Many people have a misconception that low or very low levels of AMH do not indicate that the IVF treatment is suitable for the woman. Some women may have a low quantity of eggs due to low AMH levels, but the quality of the egg can be good and hence the chances of pregnancy are good.

Why is an AMH test important for IVF treatment?

  • One of the most reliable tests done for confirming if the woman will have a successful pregnancy is the AMH test. This test can be done at any time of the month irrespective of the monthly cycle and the lifestyle of the woman. The exact fertility health can be analyzed with the help of this test.
  • Blood samples are taken and tested for AMH levels. This is not included in your normal blood test reports and hence you need to ask the doctor if you want to know the AMH levels. A combination of Antral follicle count test with AMH tests will give you the best results.

Why do AMH levels drop?
There are many factors that are responsible for the AMH levels to drop and one of them is aging. Other factors include hormonal imbalance, low blood circulation to the ovaries, unhealthy food choices, stress, autoimmune diseases, genetic factors and your lifestyle.
One single test of AMH levels will not give you the exact results. You need to get the test done a few times to know the exact values. Though your birth control pills may not affect the AMH levels, you can stop them for a few months and then get the test done. Talk to the doctor regarding the other medications you take and other fertility drugs you have used in the past or presently. This helps the doctor to give you the right advice. In case you have a concern or query you can always consult an expert & get answers to your questions!

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