Understanding Your AMH Chart

By TTC Warrior and Fertility Advocate Jennifer Jay Palumbo

IUI. IVF. PGT. BFP. FML. WTF. There are A LOT of acronyms in TTC. Learning them is like learning a whole new language. For example, those dealing with infertility could easily translate this sentence, “My DH and I did the BD when the OPK said so on CD14. I’m waiting to POS 10 DPO.”

However, when it comes to understanding your AMH levels fully, that’s a whole other matter

As part of your fertility treatment, your doctor may test your Anti-Müllerin Hormone levels. The Anti-Müllerin hormone is produced by the follicles in your ovaries and determines how many eggs they will make. These results will be expressed with an AMH level chart or AMH fertility scale. This information is very important to those trying to conceive, as it will help doctors measure the health of your ovarian reserve. In addition, through these results, doctors can determine whether or not you have enough eggs for IVF, if you should change your lifestyle to get pregnant, or if there are any underlying health issues causing infertility.

What is an AMH Test?

An AMH test is a blood test that measures Anti-Müllerin hormone levels. The test is very simple and only requires 3 ml of blood, and can be performed at any stage during your menstrual cycle. Usually, the results are available in a couple of hours. These test results will indicate the health of your follicles, which is linked to your ability to conceive. However, it is important to note that these tests only show the number of eggs, not their quality.

What Does My AMH Level Chart Mean?

Ok… get ready for some numbers (I’m not too fond of numbers, so I felt a heads up was warranted.)

Your AMH level chart will describe the levels of the anti-Müllerin hormone in your bloodstream. Generally, the AMH fertility scale ranges from 3.0 ng/ml to 0.7 ng/ml. These readings indicate a normal amount of AMH hormone. If you’re still having difficulty becoming pregnant, you may require further examination. However, if your AMH level chart shows readings above 3.0 ng/ml, it could indicate polycystic ovarian syndrome (PCOS). Furthermore, if you are currently undergoing fertility stimulation, you may be at risk of Ovarian Hyperstimulation Syndrome (OHSS).

If your AMH levels are below 0.7 ng/ml, you may require fertility treatment. This can include follicle-stimulating medication or IVF. In addition, your doctor may use the AMH fertility scale to measure the success of fertility treatments. From here, they will assess how to progress with your case.

Did you get all of that?

Normal AMH Levels at 40

Like everything else fertility-related, Anti-Müllerian hormone levels decrease with age. Below is a chart expressing normal AMH levels by age, including normal AMH levels at 40.

How Can I Increase my AMH Levels?

Ah, the magic question! Well, right after the “Will I ever be pregnant!?!?”

If you’ve decided to start a family “later in life” (I use that phrase lately as there’s a difference between ‘old’ and ‘fertility old’), you might be interested in how you can encourage your body to produce normal AMH levels at 40. Although it is a commonplace to have lower AMH levels over the age of 40, the following things may help increase your egg quality and count.

• Vitamin D supplements. Vitamin D deficiencies are linked to low AMH levels. You can increase your vitamin D intake with supplements or fatty fish, eggs, or mushrooms.
• L-arginine supplements. Research shows that L-arginine supplements are known to improve ovarian function. However, you need to consume between 4 to 5 mg of this vitamin to make a difference.
• Increasing circulation to the ovaries to important to good ovarian function. For example, gentle abdominal massage is a useful technique.
• Some studies suggest that homeopathy can improve ovarian function. Remember, always consult with your doctor before introducing any complementary medicines.
• Stress can harm conception. If you’re trying to get pregnant, try to find time to relax. The more you take care of yourself, both mentally and physically, the more likely you will raise your AMH levels and get pregnant.

 But obviously, you should speak to your doctor about all of the above!

What influences my AMH levels?

Several factors influence the quantity of anti-Müllerin hormone in your body. These include:

• Anti-Müllerin hormone naturally decreases as you get older, especially after the age of 35.
• Hormonal disorders. If you have a history of medical conditions relating to hormone balance, it may affect your AMH levels.
• You may have low AMH levels if you have had surgery on your reproductive system due to endometriosis, ovarian cysts, or an ectopic pregnancy.
• Stress can have a serious impact on Anti-Müllerin hormone levels. Women who experience high-stress levels often find it difficult to conceive.
• A healthy, balanced diet is important to conception. If your diet includes a high quantity of saturated fat and processed food, you are likely to have low AMH levels. Equally, obesity contributes to low AMH level chart readings.
• Vitamin D intake. Vitamin deficiencies, especially vitamin D, have a significant connection to Anti-Müllerin hormone levels, and thus fertility issues.

In closing, infertility, acronyms, and hormone levels can often feel like alphabet soup. However, the more you can (somewhat) understand your body, reproductive health and discuss options with your fertility doctor, the better you’ll be able to take an active role in your family-building journey!

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