AMH blood test
AMH can generally be measured at different points in the menstrual cycle, unlike some ovarian reserve tests done on specific cycle days.
Ovarian reserve & fertility
Low AMH Treatment for Fertility
AMH (Anti-Müllerian Hormone) is produced by small follicles in the ovaries. An AMH blood test is commonly used as one marker of ovarian reserve, the approximate number of eggs remaining. A low AMH result does not mean pregnancy is impossible.
Medically reviewed by Dr. Ruchi Malhotra, MBBS, MS (Obstetrics & Gynaecology) · Reg. No. 6111 · Last reviewed October 2026
One number does not define your fertility.
When AMH is lower than expected for your age, it may indicate lower ovarian reserve, meaning the ovaries may produce fewer eggs in response to fertility medicines. But AMH is mainly a marker of egg quantity and ovarian response. It does not directly measure egg quality, and shouldn't be used alone to predict pregnancy. At Sehgal IVF Centre, decisions are based on your complete evaluation, not the AMH number alone.
What does AMH mean?
What an AMH test can and cannot tell you
AMH is produced by cells around developing follicles. Because these follicles generally decrease with age, AMH usually declines over the reproductive years. ASRM guidance states ovarian reserve markers are better predictors of egg yield than of reproductive potential, and age remains a stronger factor for reproductive success.
✓Useful information about
- Ovarian reserve
- Expected ovarian response to stimulation
- Potential number of eggs retrieved during IVF
- Planning an individualised treatment approach
✕Not a stand-alone measure of
- Egg quality
- Whether you can conceive naturally
- Whether IVF will succeed
- The exact timing of menopause
What is low AMH?
"Low" depends on you, and on the lab
There is no single AMH value that should be considered "low" for every woman. Different laboratories use different testing methods and reference ranges, so a result should be interpreted using the lab's reference range and your complete history, not a number seen online. AMH levels can vary according to:
- Age
- Laboratory and testing method
- Individual ovarian reserve
- Certain medical treatments
- Hormonal contraceptive use
- Other reproductive factors
Your specialist may also consider an antral follicle count (AFC) by ultrasound, along with other fertility information.
No.
Does low AMH mean infertility?
A low AMH level does not automatically mean a woman is infertile. Women with low AMH may still become pregnant naturally, depending on age, ovulation, egg quality and other factors.
ASRM notes that diminished ovarian reserve testing does not necessarily mean an inability to conceive or subfertility. Results should be interpreted alongside age, risk factors, previous treatment and other findings, so a low AMH report should not be viewed in isolation.
"Can I still get pregnant?"
Low AMH and pregnancy
In many cases, pregnancy may still be possible. AMH tells us about egg quantity and expected response, not whether an individual egg will fertilise, form a healthy embryo or lead to a live birth. Egg quality is strongly associated with age. Your doctor considers several factors together:
AMH leveljust one piece
AgeAntral follicle countMenstrual & ovulation historyPrevious pregnanciesPrevious fertility treatmentsFallopian tube conditionUterine healthSperm analysisDuration of tryingRelevant medical history
Causes & risk factors
Why might AMH be low?
AMH naturally decreases with age, but some women have lower ovarian reserve than expected for their age. The cause cannot always be identified from an AMH test alone; your specialist may recommend more evaluation if the result is unexpectedly low, particularly in a younger woman.
Age
The number of eggs naturally decreases with age, and egg quality also changes.
Previous ovarian surgery
Certain ovarian surgeries may affect ovarian tissue and reserve.
Chemotherapy or radiation
Some cancer treatments can affect ovarian function and egg supply.
Endometriosis
Endometriosis and its treatment may be associated with reduced reserve in some women.
Genetic factors
Some women naturally have lower ovarian reserve because of individual or genetic factors.
Primary ovarian insufficiency
In some younger women, reduced ovarian function may be associated with POI. A low AMH alone does not establish this diagnosis.
Other medical factors
Certain medical conditions and previous treatments can affect ovarian function.
Symptoms
Low AMH usually has no specific symptoms
Many women discover low AMH while undergoing:
- Fertility testing
- Preconception assessment
- IVF evaluation
- Egg-freezing assessment
- Evaluation after previous treatment
✕
"My periods are regular, so my ovarian reserve must be normal."
✕
"My periods are irregular, so my AMH must be low."
The reality
A woman may have regular periods and still have lower ovarian reserve. Regular periods don't necessarily mean reserve is normal, and irregular periods don't automatically mean AMH is low.
Diagnosis
How is low AMH diagnosed?
Low AMH is identified through a blood test, often combined with other assessments. The purpose is to understand the complete fertility picture, not just the AMH number.
Antral follicle count
An ultrasound assesses the number of small antral follicles. The 2025 ESHRE ovarian stimulation guideline recommends either AMH or AFC for predicting low or high ovarian response.
Complete fertility picture
Other hormonal tests
Depending on your situation: FSH, estradiol and other hormone tests where appropriate.
Fertility assessment
If trying to conceive: ovulation, uterine and tubal assessment, semen analysis and review of previous pregnancies or treatments.
Got a low AMH report?
Understand what your result really means
A fertility specialist can interpret your AMH alongside your age, AFC and history, and explain the options that make sense for you.
Treatment at Sehgal IVF Centre
Low AMH treatment options
Treatment focuses on using your available reproductive potential as appropriately as possible and addressing any other fertility factors. The plan depends on your age, AMH, AFC, fertility history and other findings.
There is no medicine that can simply increase the number of eggs and restore ovarian reserve to an earlier level.
Natural conception
If other factors are favourable, some women with low AMH still conceive naturally. Low AMH alone doesn't mean assisted treatment is automatically necessary; your doctor may discuss trying naturally for a time based on your age and history.
Ovulation treatment
If ovulation is irregular or absent, treatment to support ovulation may be recommended. This is different from treating low ovarian reserve itself.
IUI
May be considered for selected patients, depending on age, available follicles, sperm quality, tubal status, duration of infertility and previous treatment. Low AMH does not automatically rule out IUI. About IUI
IVF for low AMH
Considered when age, duration of infertility or other factors make it reasonable. The ovaries may respond with fewer follicles or eggs, but very low AMH should not automatically be used to refuse IVF; ASRM notes even extremely low AMH should not be used alone to deny treatment. About IVF
IVF with low AMH
IVF process for women with low AMH
The response to treatment varies from one woman to another.
- 1
Fertility assessment
Age, AMH, AFC, medical history, previous treatments, uterine and tubal factors, and sperm analysis.
- 2
Individualised stimulation
Medicines to stimulate the ovaries, with dose and protocol tailored to you.
- 3
Monitoring
Ultrasound and, when appropriate, hormone tests track follicle development.
- 4
Egg retrieval
Performed when follicles are ready. The number of eggs can vary considerably.
- 5
Fertilisation
Conventional IVF, or ICSI when clinically indicated.
- 6
Embryo development
Embryos are monitored in the laboratory.
- 7
Embryo transfer
When appropriate, an embryo is transferred into the uterus.
- 8
Pregnancy test
Performed after the appropriate interval following transfer.
Low AMH and egg quality
AMH mainly reflects egg quantity, not egg quality
Quantity
What AMH reflects
An estimate of remaining follicles and how the ovaries may respond to stimulation.
vs
Quality
What age strongly influences
Whether an egg is chromosomally normal or leads to a healthy pregnancy. AMH doesn't directly tell us this.
ASRM emphasises that ovarian reserve markers have limited ability to predict reproductive potential independently of age. Understanding this can help avoid unnecessary fear after a low AMH report.
Can AMH increase naturally?
AMH can vary between measurements, and different labs and methods can give different results. However, there is no proven treatment that can reliably restore the number of eggs or permanently increase ovarian reserve.
Be cautious of supplements, injections or online treatments advertised as guaranteed ways to "increase AMH" or "restore egg count".
If your AMH is unexpectedly low, it's more useful to discuss what it means for your individual plan with a specialist.
Does low AMH mean early menopause?
Not necessarily.
AMH generally declines with age and gives information about ovarian reserve, but it should not be used alone to predict the exact timing of menopause. ACOG states that AMH has limitations as a predictor of menopause timing.
If a younger woman has very low AMH with irregular or absent periods or other concerns, additional tests may be done to evaluate ovarian function.
Special situations
Low AMH in specific circumstances
Low AMH and egg freezing
AMH helps estimate how the ovaries may respond, but a low result may mean fewer eggs are expected per cycle. The decision should consider:
Egg freezing does not guarantee a future pregnancy.
About egg freezing
Low AMH after cancer treatment
Chemotherapy and radiation can affect ovarian function and fertility. Women about to receive potentially gonadotoxic treatment may benefit from discussing fertility preservation before treatment begins, when medically possible.
Options may include egg or embryo freezing and others. AMH should be interpreted with other clinical factors, and consultation should not be unnecessarily delayed.
Younger women
Low AMH in younger women
Finding low AMH at a younger age can be concerning, but one result doesn't give the complete picture. Your doctor may consider:
If ovarian function appears reduced, timely fertility counselling may be appropriate.
When to seek help
When should you see a fertility specialist?
A low AMH result is often a reason to have a timely fertility discussion, not a reason to assume pregnancy is impossible.
Talk to a specialist- Your AMH report is lower than expected
- You have been trying to conceive without success
- You are above 35 and planning pregnancy
- You have a history of ovarian surgery
- You have endometriosis
- You have undergone chemotherapy or radiation
- Family history of early loss of ovarian function
- You have irregular or absent periods
- You had a previous low response during IVF
- You are considering egg or embryo freezing
Why choose us
Why choose Sehgal IVF Centre for low AMH treatment?
Care planned around your individual ovarian reserve, age and reproductive goals. The aim is to understand what the AMH result means for you, rather than making decisions based on one laboratory value. Your evaluation may include:
- AMH interpretation
- Antral follicle count
- Fertility assessment
- Ovulation assessment
- Uterine and tubal evaluation
- Semen analysis
- Individualised treatment planning
- Ovulation induction when appropriate
- IUI when suitable
- IVF/ICSI when indicated
- Fertility preservation counselling
- Preconception counselling
What does low AMH mean?
Low AMH generally suggests that the number of remaining ovarian follicles may be lower than expected and that ovarian response to stimulation may be reduced. It does not, by itself, mean that pregnancy is impossible.
Can I get pregnant with low AMH?
Yes, pregnancy can still occur with low AMH. AMH is mainly a marker of ovarian reserve and response to stimulation, not a direct measure of whether a woman can or cannot become pregnant.
Is low AMH the same as infertility?
No. Low AMH and infertility are not the same thing. A woman can have low AMH and still conceive. Conversely, a woman can have a normal AMH and still experience infertility because of other factors.
Can low AMH be treated?
There is no established treatment that can permanently restore the number of eggs in the ovaries. Treatment focuses on addressing the patient's fertility needs and using appropriate options based on age, ovarian reserve and other factors.
Can IVF work with low AMH?
IVF may still be possible with low AMH. The ovarian response may be lower, and fewer eggs may be retrieved, but AMH alone should not be used to automatically exclude a woman from IVF.
Is IVF the only option for low AMH?
No. Depending on age, ovulation, sperm health, fallopian tubes and other factors, some women may try natural conception, ovulation treatment or IUI. IVF may be considered when clinically appropriate.
Does low AMH mean poor egg quality?
Not necessarily. AMH mainly provides information about egg quantity/ovarian reserve. It does not directly measure egg quality. Age is an important factor when discussing egg quality and reproductive outcomes.
Can low AMH cause irregular periods?
Low AMH itself does not necessarily cause irregular periods. Menstrual irregularity can have several causes and should be evaluated separately.
Can AMH increase naturally?
AMH can vary between tests, and different laboratories use different assays. There is no proven method that can reliably restore ovarian reserve or permanently increase the number of eggs.
Does low AMH mean I will have early menopause?
No. AMH alone cannot accurately predict the exact age at which menopause will occur.
Should I repeat my AMH test?
Sometimes a doctor may recommend repeating or confirming a result, particularly when the result does not fit the clinical picture or when treatment planning requires clarification. Your doctor can advise whether another test is useful.
What other tests are done with AMH?
Depending on the individual situation, your doctor may recommend antral follicle count, FSH, estradiol, pelvic ultrasound, ovulation assessment, tubal assessment and semen analysis. The exact tests depend on your fertility history and treatment goals.
Can I freeze my eggs if my AMH is low?
Egg freezing may still be considered in some women, but low AMH may indicate a lower expected response to ovarian stimulation. Age and the expected number of mature eggs are important when discussing the potential benefits and limitations.
Is very low AMH a reason not to try IVF?
Not necessarily. ASRM guidance states that even extremely low AMH should not be used alone to refuse IVF treatment. The decision should consider the complete clinical picture.
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Book a low AMH fertility consultation
A low AMH report can be worrying, but one number does not define your fertility
AMH gives useful information about ovarian reserve and expected response to treatment, but it should be interpreted together with age, AFC, reproductive history and other factors. Speak with a fertility specialist to discuss low AMH, ovarian reserve, treatment and your family-building plans.
Medical disclaimer: This page is intended for general educational purposes and does not replace consultation, diagnosis or treatment from a qualified medical professional. AMH results can vary between individuals and laboratories and should be interpreted in the context of age, medical history, ultrasound findings and other fertility factors. If you have a low AMH result or concerns about your fertility, consult a qualified fertility specialist before making treatment decisions.