Anti-Müllerian Hormone (AMH)FEMALE
A hormone produced by developing ovarian follicles — the best available marker of ovarian reserve (how many eggs remain).
The key fertility-planning marker for women, and also markedly elevated in PCOS. Unlike FSH, it can be drawn on any cycle day.
The plan of attack
In this order. Most people start at step four, which is why they change five things at once and learn nothing.
- Confirm the number is real
Assay generation and lab. AMH assays have changed repeatedly and older and newer platforms do not agree. A 'fall' between tests can be a change of assay. Compare only within the same lab and assay. - Read it with its partner
Can be drawn any cycle day, unlike FSH/LH — one of its practical advantages. Draw it alongside: LH & FSH, Estradiol, Standard (ECLIA), Total Testosterone. - Work out which direction is yours
If it's high — Often reflects PCOS (many small follicles) rather than superior fertility.
If it's low — Diminished ovarian reserve — relevant to family planning timelines. It predicts egg quantity, not quality, and does not by itself predict natural conception. - Fix it in this order
Nutrition. Nothing reliably raises AMH. Overall nutritional status and healthy body composition support reproductive function.
Lifestyle. Stop smoking — it accelerates ovarian aging measurably. Maintain healthy body composition.
Supplements. CoQ10 and DHEA are used in fertility clinics for egg quality in some protocols — evidence is mixed and this belongs with a reproductive endocrinologist.
Hormones. Family-planning decisions (including egg freezing) belong with a reproductive endocrinologist. Hormonal contraception can modestly lower measured AMH.
Compounds. No peptide application. Purely informational.
Work down the list, not across it. Adding a compound on top of an unfixed diet is why generic protocols fail. - Retest
As guided by a fertility specialist. Change one thing at a time, or the retest can't tell you which thing worked.
How to fix it
📚 Practice Committee, Fertil Steril — AMH in ovarian reserve testing.
🩸 Test your Anti-Müllerian Hormone (AMH)
Order directly through Marek Diagnostics — no doctor's visit needed, drawn at any Quest location in the US. Code CAMERON applies 10% off automatically.
Order this test — 10% off → Browse all 102 markers →What Anti-Müllerian Hormone (AMH) is usually tested alongside
On its own, one marker is a data point. These panels include Anti-Müllerian Hormone (AMH) plus the markers that make it interpretable — each names every test, why it is on the list, and loads the whole set into your cart in one click at 10% off.
includes this + 9 more markers · built for women — Planning a pregnancy, actively trying, or wanting to understand your ovarian reserve before making decisions about timing.
Would you feel it? Symptoms Anti-Müllerian Hormone (AMH) helps explain
People rarely search for a marker — they search for how they feel. These are the complaints where this marker is worth checking, and whether it is a first-line test or a follow-up once the obvious causes are ruled out.
Why your Anti-Müllerian Hormone (AMH) might be wrong
Most abnormal results are interference, not disease. These are the things that measurably move this specific marker — check them before you change anything. Each one says whether the number is wrong and should be repeated, badly timed and should be redrawn, or real with a cause worth explaining.
AMH assays have changed repeatedly and older and newer platforms do not agree. A 'fall' between tests can be a change of assay.
Compare only within the same lab and assay.
Lowers AMH by roughly 20–30% while you are on it, recovering after stopping.
A low AMH measured on the pill is not your true reserve.
AMH degrades with delayed processing and with repeated freeze-thaw cycles, both of which lower the reported value below your true reserve.
Use a lab that processes promptly, and stay with it for any repeat.
What Anti-Müllerian Hormone (AMH) means in combination
A single marker tells you a little. Combinations tell you the story — these are the named patterns this marker takes part in, and what each one points at.
Far less alarming than it feels. AMH describes egg quantity and predicts response to IVF stimulation well — it predicts natural conception poorly. Large cohort work found no association between low AMH and reduced chance of conceiving naturally within twelve months.
It matters for IVF planning, egg freezing and timing decisions. It does not tell a 32-year-old trying naturally whether this month will work. Read it with day-3 FSH and oestradiol, not alone.
What to test next
Markers rarely answer alone. These are the ones that put Anti-Müllerian Hormone (AMH) in context — each with its own full breakdown.
Frequently asked questions
Age-dependent: ~1.0–4.0 ng/mL in the late 20s–early 30s, declining with age. <1.0 suggests diminished reserve; >4–5 ng/mL is common in PCOS. Ranges vary by laboratory and assay — always compare to the range printed on your own report.
Age-appropriate. This is an informational marker for planning — not something to 'optimize'.
Often reflects PCOS (many small follicles) rather than superior fertility.
Diminished ovarian reserve — relevant to family planning timelines. It predicts egg quantity, not quality, and does not by itself predict natural conception.
You can order Anti-Müllerian Hormone (AMH) directly through Marek Diagnostics without a doctor's visit — drawn at any Quest Diagnostics location in the US. Code CAMERON applies 10% off automatically.