Low AMH Treatment, Symptoms, and Low AMH Level Causes:

When women are planning to have a baby, they often consult their doctor or specialist and discuss fertility. One important hormone, called Anti-Müllerian Hormone (AMH), can be an indicator of a woman's ovarian reserve and is used to assess her long-term fertility. While some women may have lower-than-ideal levels of AMH, there are treatments available as well as lifestyle changes a woman can make that could help improve her AMH levels.

In this blog post, we will discuss the causes, symptoms, and treatments associated with low AMH so you can make informed decisions about your health moving forward.

What does mean of AMH?

AMH stands for Anti-Müllerian Hormone. It is a hormone secreted by the developing ovarian follicles in women, and it can be used to measure ovarian reserve. AMH levels are important indicators of fertility, as they help determine how many eggs a woman has available for fertilization.

AMH testing can be done to predict fertility potential and help couples make informed decisions about their family planning options. Additionally, it can be used to monitor the effects of fertility treatments. AMH is typically measured in the blood, and typically more than one test is done over time to monitor changes in hormone levels.

However, a normal level of AMH indicates that you are likely to respond well to treatments, as it is produced by healthy and fertile eggs in the ovary. To stimulate the ovaries during IUI and IVF cycles, doctors use different techniques. It's essential to understand that there are many factors involved in these tests. Women who receive low scores may still have pregnancies that are healthy, regardless of the reason.

Adequate Level of AMH:

For a healthy pregnancy, women need to have an adequate level of AMH in their bodies. This is because it is linked with the number and quality of eggs available for fertilization, as well as the ability to produce viable embryos. The American Society for Reproductive Medicine (ASRM) recommends the values are:
  • AMH levels ranging from 1 to 3.5 ng/ml are considered to be within the normal range.
  • An AMH level higher than 2ng/ml is a good value.
  • Your AMH level is less than 1ng/ml, indicating a low output.
  • Your AMH level is very low, indicating a level of less than 0.3 ng/ml.
  • Your AMH (Anti-Mullerian Hormone) level is higher than 3.5 ng/ml.
However, it is important to note that each woman's body is different and her AMH levels can vary depending on a variety of factors, including age, lifestyle, health conditions, medications, and genetics. As well, the results of an AMH test can change over time, so it is important to have tests done regularly to identify any changes or trends.

What does Low AMH mean?

Low Anti-Mullerian Hormone (AMH) is an indicator that a woman's ovaries may not be producing as many eggs, or as healthy eggs, as they should. This can lead to difficulty conceiving and an increased risk of infertility. Low AMH levels can also indicate early menopause or ovarian failure. It is usually diagnosed through a blood test that measures the levels of AMH in a woman's body.

How to determine Low AMH level?

Low AMH levels can be determined with a blood test. The amount of AMH in the blood can be used to assess ovarian reserve, which is the number and quality of eggs a woman has in her ovaries. Low AMH levels indicate that egg production may be reduced or diminished, thus leading to infertility. Additionally, doctors may also use AMH levels to determine the efficacy of medications or treatments related to fertility.

What are the causes of Low AMH levels?

Low AMH levels can occur naturally due to age or gender in both males and females. However, other conditions can also cause a decline in AMH levels. There are several potential causes of Low AMH levels. These include:
  • Genetic factors:
  • Genetic factors can play a part in low AMH levels. A person may inherit genes from their parents or grandparents that affect their hormones, resulting in decreased production of AMH. These genetic changes may be passed down through generations, so if one family member had low AMH then the condition could potentially be inherited by other family members. Additionally, some genetic disorders such as Turner Syndrome or Fragile X Syndrome can play a role in low AMH levels.
  • Polycystic ovary syndrome (PCOS): PCOS is a condition that affects women and can cause irregular periods, excessive hair growth, weight gain, acne, and low levels of AMH. This is because the disorder causes an imbalance in hormones, including estrogen and luteinizing hormones, which can lead to decreased production of AMH. Treatment for PCOS may involve lifestyle changes such as diet and exercise, as well as medications to help regulate hormones.
  • Premature ovarian insufficiency (POI): Premature ovarian insufficiency is a condition in which a woman's ovaries stop functioning before the age of 40. This can be caused by genetic factors, medical treatments such as radiation or chemotherapy, or other unknown causes. POI can result in decreased production of AMH and cause infertility. Treatment for POI typically includes hormone replacement therapy to help with symptoms associated with the condition.
  • Endometriosis: Endometriosis is a condition where tissue from the uterus grows outside of it. This can cause pain, irregular periods, and infertility in many cases. It can also lead to decreased production of AMH as endometriosis causes inflammation which affects the hormones involved in reproduction. Treatment for endometriosis usually involves hormone therapy or surgery.
  • Age: Age is also a factor in low AMH levels as reproductive hormone production naturally declines with age. Women under the age of 30 typically have higher levels of AMH than those over 40, and men over the age of 45 usually have lower levels compared to younger men. This age-related decline in AMH production can lead to infertility and other reproductive issues.
  • Chemotherapy: Chemotherapy is a medical treatment used to treat various forms of cancer. It can cause extensive damage to healthy cells, including those in the ovaries which produce AMH. This can lead to decreased production of AMH and infertility. Some chemotherapy medications may be adjusted or stopped if they are causing a significant reduction in AMH levels.
  • Lifestyle changes: Lifestyle factors such as smoking, alcohol use, and drug use can also affect AMH levels. These substances can damage cells in the ovaries which produce AMH, leading to a decrease in production. Additionally, excessive stress can lead to decreased production of reproductive hormones including AMH. Making lifestyle changes such as quitting smoking and reducing stress can help to improve AMH levels.

What are the symptoms of Low AMH?

Although there are no definitive symptoms of low AMH in women, some common symptoms could include:
  • Infertility or difficulty conceiving
  • Irregular menstrual cycles
  • Hot flashes
  • Low libido
  • Fatigue
  • Weight gain
  • Hair loss
In men, symptoms of low AMH could include:
  • Infertility or difficulty conceiving
  • Low libido
  • Decreased muscle mass
  • Hair loss
  • Weight gain
However, it is important to note that not all people with low AMH levels will experience symptoms. In some cases, the condition may be asymptomatic. Thus, if you suspect you may have low AMH levels it is important to speak with a healthcare professional for an accurate diagnosis and treatment plan.

What are the Low AMH Treatment options?

The primary treatment for low AMH levels depends on the underlying cause of the condition. Generally, treatments will involve treating any underlying medical conditions or making lifestyle changes to improve fertility and overall health. Some common treatments could include:
  • Hormone replacement therapy: Hormone replacement therapy (HRT) may be a helpful treatment option for women diagnosed with low AMH levels, indicating a low ovarian reserve. HRT involves using estrogen and progesterone to improve ovarian function and increase AMH levels naturally. Although there is no guaranteed way to increase AMH levels, HRT may help women with low AMH levels improve their chances of getting pregnant. Additionally, HRT can also be beneficial for women with premature ovarian failure or those facing low AMH due to high levels of androgens or abnormally raised FSH levels. Seeking proper treatment is required for women diagnosed with low AMH levels, including ovarian stimulation protocols, as well as lifestyle changes to improve their fertility.
  • Surgery to remove endometriosis or other reproductive abnormalities: The AMH value is an important indicator of ovarian reserve, and low AMH levels may indicate a lower chance of getting pregnant, especially as a woman ages. Surgery to remove endometriosis or other reproductive abnormalities is often the best treatment to improve AMH levels and increase the chances of pregnancy. A woman may have a low AMH level due to a variety of factors, such as the number of eggs in her ovarian reserve or high levels of androgens causing low AMH levels. Despite a low AMH level, there are ways to help increase AMH levels and improve fertility, including seeking fertility treatment or natural ways to improve AMH levels.
  • Adjustment of medications to reduce their effects on AMH production: Certain medications can negatively impact AMH production, leading to low AMH levels. By adjusting the dosage or switching to alternative medications, the woman's AMH levels can be improved. This can increase her chance of getting pregnant, especially if she has a low chance due to a low AMH level. It is important to note that low AMH levels may be caused by various factors, including low ovarian reserve and the natural decline of AMH levels as a woman ages. Therefore, proper diagnosis and treatment for women with low AMH levels are necessary to improve their fertility.
In addition to other treatments, natural remedies are available to elevate the AMH level:
  • Yoga and Regular Exercise
  • Balanced Diet
  • DHEA (Dehydroepiandrosterone) supplements
  • Herbal Supplements
  • Acupuncture
It is important to speak with a healthcare professional before beginning any treatment plan, as some treatments may not be suitable for all individuals. Additionally, natural remedies should always be discussed with a healthcare provider before use. If you are a young woman experiencing low AMH levels but still wish to conceive, there are treatment options available such as IVF with donor eggs or IVF with a low AMH protocol.

What is the relationship between low AMH levels and fertility?

Anti-Mullerian Hormone (AMH) is a hormone produced by ovarian follicles that helps determine the number of eggs in a woman's ovarian reserve. A low AMH level is indicative of a diminished ovarian reserve and can affect fertility. Women with low AMH levels may have a lower chance of getting pregnant compared to those with normal levels. However, a low AMH level does not necessarily mean infertility as women may still have good quality eggs. IVF treatment with a low AMH protocol is an innovative treatment option for women facing infertility due to low AMH levels. It involves using lower doses of stimulating medications to obtain fewer but higher-quality eggs, thereby increasing the chances of successful fertilization, implantation, and pregnancy.

IVF with Low AMH:

IVF with a low AMH protocol is an innovative treatment option for women with low AMH levels who struggle with infertility. The technique involves using lower doses of stimulating medications to obtain fewer but higher-quality eggs, improving the chances of successful fertilization, implantation, and pregnancy. This is especially helpful for women with diminished ovarian reserve due to cancer treatments or naturally low AMH levels. Despite having a lower chance of getting pregnant, IVF with low AMH can improve the chances of success, and with the help of fertility specialists, women can explore ways to improve their fertility and overcome low AMH levels.

IVF with donor eggs:

IVF with donor eggs is another option for women facing infertility due to low AMH levels. This technique involves using donor eggs from a healthy, young woman to increase the chances of successful fertilization, implantation, and pregnancy.

Furthermore, it is important to remember that it is possible to get pregnant with low AMH levels. With the right treatment plan and support from a healthcare professional, you can still achieve pregnancy goals.

The Bottom Line:

It is important to take any low AMH treatment seriously, as it can be indicative of underlying health issues that could become more serious if left untreated. Taking proactive action regarding low AMH levels will help diagnose and treat the real problem, allowing your body to resume optimal functioning. Speak with your doctor today to determine whether further testing is necessary and what potential options are available for treating low AMH levels. You may find out that simply making some dietary and lifestyle changes can do wonders for restoring balance in your hormones and overall well-being. Often, being proactive about your health pays off!

Can you get pregnant with low AMH??

For those with low AMH levels, there are a few lifestyle changes that can be made to improve egg quality and production:
  • Eating a balanced diet rich in antioxidants, proteins, vitamins, and minerals
  • Exercise regularly
  • Avoiding smoking and excessive alcohol consumption
  • Reducing stress
  • Taking supplements such as DHEA, CoQ10, and omega-3 fatty acid to support egg quality
  • Taking fertility drugs such as clomiphene citrate or gonadotropins
Making these lifestyle changes can improve the overall health of women and increase the chances of a successful pregnancy. It is, however, recommended to speak with a healthcare professional before making any changes or taking supplements as they may interact with other medications. Additionally, it is advised to seek emotional support from family and friends when dealing with infertility issues. Also, finding a support group can be immensely helpful in coping with infertility.

Frequently Asked Question (FAQs)

  • Yes, it is possible to get pregnant with low Anti-Müllerian hormone (AMH) levels. Although lower AMH levels can indicate a decreased number of remaining eggs or reduced ovarian reserve, pregnancy is still possible. It's important to note that your chances for conceiving increase when your AMH level is above 1 ng/ml. Low AMH in combination with other fertility issues may make getting pregnant more difficult and might require help from a fertility specialist.

  • Yes, it is possible to improve low levels of anti-Mullerian hormone (AMH). However, the amount of improvement varies depending on the individual’s medical history and current health status. It is important to note that not all fertility treatments are proven methods for improving AMH levels; be sure to talk with your doctor about what might be the best course of action if your goal is to raise them.

Yes, it is possible to ovulate regularly with low anti-Mullerian hormone (AMH) levels. Ovarian reserve functions independently of the AMH level; other hormones that play a role in ovulation are also important. These hormones create a complex chemical soup that determines whether or not regular ovulation will take place regardless of the amount of AMH present. An acute drop in the production of either FSH or LH can result in irregular cycles, but this does not necessarily mean there is an issue with ovarian reserve - just that those hormones need to be monitored more closely than usual.

Yes, low Anti-Mullerian Hormone (AMH) levels are associated with the development of polycystic ovarian syndrome (PCOS). Low AMH production is thought to be caused by elevated androgen hormones like testosterone in women. A study conducted on 1044 infertile women from 2011-2014 found that 53.5% of those with PCOS had lower than average AMH concentrations compared to 26.2% of those without PCOS. Additionally, it was discovered that low AMH levels increased the risk for PCOS more strongly than other known risk factors such as obesity or higher androgen levels.

Yes, stress can affect levels of the anti-Müllerian hormone (AMH). Studies have found that high levels of stress can reduce AMH concentrations and result in menstrual cycle irregularities. Furthermore, a meta-analysis involving 537 healthy women found that psychological distress was significantly associated with reduced AMH concentrations compared to those who had no distress or low distress levels. Therefore, it is important to manage your stress levels to maintain healthy AMH levels.

Related Services offered at Sparsha IVF


Book an Appointment

Fill in the details below to enable us contact you instantly


 Talk to Expert