Understanding Low AMH Levels: Causes, Diagnosis, and Treatment Options

Synopsis

Low Anti-Müllerian Hormone (AMH) levels can be alarming for women who are trying to conceive, as it often suggests a reduced ovarian reserve. AMH is a hormone produced by the ovaries, and its levels are indicative of the remaining egg supply. This blog will explore what low AMH levels mean, the causes, how it is diagnosed, and the treatment options available.

What Are Low AMH Levels?

AMH levels are a key indicator of a woman’s ovarian reserve, which is the number of viable eggs left in the ovaries. Low levels of AMH may indicate fewer eggs and, consequently, a lower chance of natural conception. However, it is important to note that low AMH does not entirely rule out the possibility of pregnancy.

Causes of Low AMH Levels

Several factors can lead to low AMH levels:

• Age: The most common cause is that AMH levels naturally decline with age, particularly after 35.
• Genetics: Some women have a genetically lower ovarian reserve.
• Medical Treatments: Procedures such as chemotherapy or radiation can adversely affect ovarian reserve.
• Ovarian Surgery: Surgeries involving the ovaries can reduce the number of follicles, thereby lowering AMH levels.

Diagnosis of Low AMH Levels

A blood test is used to measure AMH levels, usually as part of a broader fertility evaluation. The test can be done at any point in the menstrual cycle, and results are typically combined with other tests like antral follicle count and FSH levels to assess overall ovarian reserve.

Treatment Options for Low AMH Levels

Even with low AMH levels, there are several treatment options available:

• Fertility Medications: Medications like Clomiphene or gonadotropins can stimulate the ovaries to produce multiple eggs.
• In Vitro Fertilization (IVF): IVF is a common treatment for low AMH, allowing for the retrieval of eggs, which can then be fertilized in a lab.
• Donor Eggs: For women with very low AMH levels, using donor eggs might be recommended as it significantly improves the chances of a successful pregnancy.

A Word from Hegde Fertility

While low AMH levels can present challenges, understanding the condition and knowing the available treatments can empower women to make informed decisions about their fertility journey.