What are AMH levels and what do they mean?
If you have ever looked into having a fertility MOT you may have heard of Anti-Müllerian Hormone (AMH) levels. A fertility MOT — measuring AMH or antral follicle count (AFC) — will assess your ovarian reserve.
So what are AMH levels and what do they mean for you?
Developing egg sacs (ovarian follicles) secrete AMH. The more eggs there are remaining in the ovaries, the higher the level of AMH in your bloodstream. So a low level of AMH is thought to be a sign of low ovarian reserve (a low number of developing egg sacs). A low level of AMH is normal for a woman nearing the menopause.
A ‘normal’ AMH level is considered to be 1.0 ng/mL to 3.0 ng/mL. Very low AMH is considered to be an AMH below 1.05 ng/ml and anything below 0.16 ng/ml is said to be an ‘undetectably low’ AMH level.
Possible causes of a low AMH include:
- Your age — as you grow older your AMH levels will naturally decline
- Surgery for endometriosis or ovarian cysts
- An autoimmune condition
- Your DNA
How can AMH levels improve naturally?
It is well documented that increasing age correlates with a drop in AMH levels, reflecting poor ovarian reserve as the menopause approaches. However, it is normal for AMH levels to fluctuate from one cycle to another, which means that although certain factors cause a natural decline in levels, they can also improve naturally too, and this does not always follow what appears to be a traceable pattern. While it may be difficult to predict when you will have months with a higher or lower AMH level, one way to encourage your body to naturally raise levels of AMH is to eat a diet which is rich in necessary nutrients, such as vitamin D.
Can you get pregnant naturally with low AMH?
Yes. The good news is that although low AMH means that you have a low ovarian reserve, it doesn’t mean that you will not be able to conceive naturally. It is completely possible to get pregnant with your own eggs or donor eggs with low AMH. After all, it just takes one healthy egg.
Your AMH level won’t tell the whole of your fertility story — there are other ways to boost your fertility. If you are struggling you may be advised to try IVF, but it all depends on your personal situation. Getting pregnant naturally may be less likely if the levels fall below low, but you will be able to discuss all the options with your doctor.
Can AMH levels fluctuate?
Yes, AMH levels fluctuate. Being told that you have low AMH levels may feel very disheartening, but many women get pregnant naturally despite this. The AMH tests don’t tell the whole story because of the AMH fluctuation. Some months you may have higher levels of AMH (therefore higher levels of maturing eggs) compared to other months when you have lower AMH levels (fewer eggs maturing).
In addition, measurements of AMH can vary from lab to lab and from person to person. Even the way the blood is stored can affect the test results. It also does not necessarily predict the chances of conceiving using IVF.
Those with polycystic ovary syndrome (PCOS) often have raised levels of AMH so an AMH test may be less accurate in predicting ovarian reserve in those with PCOS.
When being tested, ask your doctor how much variability can be expected.
Low AMH levels with poor nutrient absorption
A study in 2013 found that women with Crohn’s Disease had much lower AMH levels than women who did not have Crohn’s. This was thought to be because those with Crohn’s disease struggle to absorb the essential nutrients needed for conception.
How Impryl can help
One way of helping you to boost your overall fertility, despite low AMH levels, PCOS or advancing age is to eat a diet rich in necessary nutrients or you can consider taking Impryl — an expertly targeted dietary supplement. Impryl is recommended for all men and women who are attempting to conceive. The nutrients in Impryl are in an active form, so easily absorbed. Impryl helps the sperm and egg to improve their natural antioxidant defences and high energy production — both of which are essential for producing the best quality sperm and eggs needed to create a baby.
Experiencing low AMH levels is a common problem for women when they are trying to conceive, but the micronutrients in Impryl have been proven to increase AMH levels — which can make all the difference to your success.