Ovarian Reserve Test
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Anti-Mullerian Hormone (AMH) is an indicator of the number of eggs available for fertilization in the ovaries, also known as ovarian reserve. The results of this test can provide information about whether the amount of eggs you have for your age is above or below average, an important marker of reproductive health.
Test Mode: Finger-prick
When to test: This test can be performed at any point in the menstrual cycle. It can also be performed by women using hormonal birth control.
What do we test for?
About Anti-Mullerian Hormone (AMH)
Anti-Mullerian Hormone (AMH) is a hormone produced in the reproductive organs of males and females. After puberty, the ovaries begin producing AMH, which is responsible for the growth of follicles, or sacs on the ovaries that contain an immature egg. During the menstrual cycle, one follicle will mature and rupture, releasing an egg. This is called ovulation. AMH levels are related to the number of follicles capable of maturing, providing an indication of the number of eggs available to be fertilized. The higher the AMH level in the blood, the more eggs are available for fertilization. Thus, an AMH test indicates how many potential egg cells a woman has left, also known as ovarian reserve.
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About the test
What is an Ovarian Reserve Test?
This test measures the level of anti-mullerian hormone (AMH) in your blood. The test requires a finger prick blood sample that you can easily take from home. Your sample will then be examined by a certified laboratory and you will receive the results within a matter of days, complete with an easy-to-understand explanation of AMH and a printable laboratory report that can be brought to your GP.
Who should use this test?
You should use this test if:
- You are interested in learning more about your ovarian reserve
- You have been considering fertility treatments such as IVF, as low AMH may mean you will not respond to treatment
- You have symptoms of PCOS
Please note that the results of this test alone cannot indicate the exact number of eggs that you have or provide information about your overall fertility. Further testing and consultation with fertility specialists are needed to gain a complete picture of your fertility.
Summary of Biomarkers
Anti-Mullerian Hormone (AMH)
Anti-Mullerian Hormone (AMH) is a hormone produced in the reproductive organs of males and females. After puberty, the ovaries begin producing AMH, which is responsible for the growth of follicles, or sacs on the ovaries that contain an immature egg. During the menstrual cycle, one follicle will mature and rupture, releasing an egg. This is called ovulation. AMH levels are related to the number of follicles capable of maturing, providing an indication of the number of eggs available to be fertilized. The higher the AMH level in the blood, the more eggs are available for fertilization. Thus, an AMH test indicates how many potential egg cells a woman has left, also known as ovarian reserve. As the number of eggs available for fertilization decreases with age, so does AMH. A low AMH level indicates that less potential egg cells are left, which is particularly important when trying to conceive. High AMH can also indicate certain reproductive health conditions like polycystic ovary syndrome (PCOS).
About the test results
What do the results of this test mean?
This test measures the level of anti-mullerian hormone (AMH) in your blood. The results of this test indicate the amount of eggs available to be fertilized for pregnancy. This is also known as ovarian reserve. A low AMH level can indicate that there are fewer available eggs for fertilization. But this value alone is not enough to predict the chance of pregnancy. Other factors, such as the quality of the egg cells, fallopian tubes, or the partner’s sperm, are also important. Low AMH indicates a lower ovarian reserve, but does not mean you are infertile, or will have problems getting pregnant naturally. If you have regular periods and are ovulating, it is still possible to get pregnant with low AMH levels. If your AMH is low, discuss your test results with your doctor.
It is also important to note that high AMH can indicate certain health conditions such as polycystic ovary syndrome (PCOS). If your AMH is high, consult your doctor for further testing and advice.
Falsely lowered AMH
While this test can be performed by women using hormonal birth control, research has shown that hormonal contraceptives can temporarily lower AMH. This means that your AMH may be lower while on hormonal birth control but return to normal after you stop using it. If your AMH level is on the lower end of the normal range but you are using birth control, this is no cause for concern.
- Having trouble getting pregnant
- Decreased menstrual bleeding
- Irregular menstrual cycles
- Permanent stop to the menstrual cycle
Polycystic Ovary Syndrome (PCOS):
- Irregular periods
- Excess body hair, usually on the face, chest, or buttocks
- Acne or oily skin
- Thinning hair or baldness
How does it work?
Frequently asked questions
What are signs of a low ovarian reserve?
Diminished ovarian reserve may have no symptoms other than not getting pregnant after months or years of regular unprotected sexual intercourse. Other symptoms may include:
- An irregular menstrual cycle, or one that gets shorter or stops completely
- If approaching menopause: Hot flashes or vaginal dryness
How can I improve my ovarian reserve?
At this time there is no way to improve ovarian reserve or make more eggs. If you are diagnosed with diminished ovarian reserve it is important to speak to your doctor about your options. If you are actively trying to conceive, they may recommend fertility treatments to help the process. If you plan to get pregnant in the future, it may be possible to freeze your eggs or use donor eggs for in-vitro fertilisation.
How accurate is this ovarian reserve test?
Homed-IQ’s Ovarian Reserve Test is a laboratory certified test that is validated for home use. This means it is equal in accuracy to tests from blood samples that were collected in a clinic or hospital. AMH is an accurate predictor of ovarian reserve, or the number of eggs in a woman’s ovaries. It should be noted that AMH is not a predictor of overall fertility, and it is still possible to conceive with lowered AMH levels.
What is a normal ovarian reserve level?
AMH levels change with age, rising during adolescence and declining towards menopause. Normal AMH levels can be between 1.0 and 8.0 ng/ml. Low AMH is defined as levels between 0.4 and 1.0 ng/ml. Very low AMH is less than 0.4 ng/ml. High AMH is defined as AMH greater than 8.0 ng/ml. This may indicate polycystic ovary syndrome (PCOS).
AMH levels by age group are as follows. It should be noted that hormonal birth control can slightly lower AMH temporarily, and low AMH does not necessarily mean you are infertile. If you have questions about your AMH level in relation to your age, speak to your doctor.
|Normal Range (ng/ml)
|0 – 0.26
Can an ovarian reserve test provide information on when I’ll enter menopause?
An ovarian reserve test checks the level of anti-müllerian hormone (AMH) in the blood. AMH levels can be used to check for premature menopause (menopause that occurs before age 40) as well as early menopause (menopause that occurs before age 45). However, an AMH test can’t predict when you’ll actually reach menopause or how long you have until menopause (MedlinePlus).
My AMH is high. Does that mean I am super fertile?
No- just as someone with low AMH isn’t infertile, high AMH does not make you extra fertile. Every woman only releases one egg per month during ovulation. AMH does not provide an indication of other factors that affect fertility, like the quality of the fallopian tubes or sperm. However, high AMH means you have a higher ovarian reserve, which means you are less likely to enter menopause early and the time period in which you can get pregnant is longer.
Very high AMH can also occur in women with polycystic ovary syndrome (PCOS). In some cases, PCOS can reduce your chances of getting pregnant. However, high AMH can improve the success rate of in-vitro-fertilization (IVF) treatment. If your AMH levels are above the normal range, speak to your doctor.
My AMH is low. Am I infertile?
No. If your AMH is low but you have regular periods and are ovulating each month, it is possible to get pregnant. Regardless of AMH level, only one egg is released by the ovaries each month. The number of eggs left being lowered does not mean an egg is not released each month. However, it could mean that the amount of time you have viable eggs is shorter than someone with higher AMH, and thus the window to get pregnant is shorter.
When is the best time in my cycle to test AMH?
You can do an AMH test at any point in your menstrual cycle. Unlike other hormones, AMH does not fluctuate throughout the month. You can also test AMH if you are using hormonal birth control, which is not possible with most other fertility hormones. However, it is important to note that hormonal birth control can temporarily lower your AMH levels while in use.
Can an AMH test provide information about my chances of getting pregnant right now?
No. AMH levels do not provide an indication of being able to conceive at that moment, only a measure of how many eggs you have. Conception depends on several factors, like ovulation, sperm quality, and the condition of the fallopian tubes. It is completely possible to get pregnant with low AMH as long as ovulation is occurring and you have regular menstrual cycles.
While AMH is an indicator of ovarian reserve, other hormone tests, such as follicle-stimulating hormone, estradiol, and luteinizing hormone can help provide more insight into fertility.
Does AMH provide information about the quality of my eggs?
No. An AMH test can indicate the number of eggs you have left, but not the quality or genetic health of those eggs. Currently, there is no test for egg quality. Both egg quality and quantity diminish with age.