When it comes to fertility testing, the AMH (anti-mullerian hormone) test is just one of many options. But we know you’ll do your research and learn more about AMH and its levels. So, here’s everything you need to know about high AMH levels, including their causes, symptoms, and treatment.
What Is AMH?
AMH, or Anti Mullerian Hormone, is a hormone secreted by both male and female reproductive tissues. It is also known as Mullerian Inhibiting Substance (MIS). High levels of this hormone aid in the development of male reproductive organs in unborn males, while low levels of AMH aid in the development of female reproductive organs in a female foetus.
Females’ AMH levels rise during puberty as it is secreted by Antral follicles in the ovary, each of which has the potential to produce a mature egg.
Also, Read: Types of Infertility
Importance of AMH Level Testing
If you’re a woman having trouble getting pregnant, you might require an AMH test which can assist in determining your odds of conceiving a child. Your doctor may utilise the test if you already consult a fertility specialist to see whether you will respond favourably to a procedure like in vitro fertilisation (IVF).
High levels could indicate that you have more eggs available and will respond to treatment more favourably. You might have fewer eggs available and may not respond well to treatment if you have low levels of AMH.
AMH tests may also be used to:
- Predict the onset of menopause.
- Learn the cause of early menopause.
- Assist in determining the cause of amenorrhea, or the lack of menstruation. It is usually diagnosed in girls under the age of 15, as well as women who have missed several periods.
- Assist in the diagnosis of polycystic ovary syndrome (PCOS), a hormonal disorder that is a common cause of female infertility (inability to conceive).
- Examine infants with genitals that are not clearly identified as male or female and keep an eye on women with certain types of ovarian cancer.
Also, Read: Depression and Female Infertility
What are the Causes of High AMH Level?
AMH levels in the blood should be between 2.2 and 3.9 ng/ml to indicate optimal fertility. Values greater than 4 represent a higher range and may be considered pathological. The causes of extremely high AMH levels are usually seen in two conditions:
- Polycystic Ovarian Syndrome (PCOS): A hormonal imbalance condition characterised by irregular menstrual cycles, infertility, weight issues, excessive facial hair growth, and varying degrees of insulin resistance.
- Certain ovarian tumours, such as granulosa cell tumours: Monitoring AMH levels in these patients can help identify treatment response.
Are There Any High Amh Levels Treatment?
The AMH level merely reflects the number of eggs in your ovary. There are no medications that can be used to raise or lower this number. While you cannot increase your egg quantity, you can work to preserve egg quality by not smoking and maintaining a healthy weight as determined by your doctor.
AMH levels are used to calculate your ovarian reserve or the number of eggs you have at the time of testing. These levels decrease as you get older. Doctors may order an AMH test as a diagnostic tool to help initiate a fertility discussion. However, AMH levels alone cannot predict infertility. If you have any concerns about your AMH levels or fertility, you should consult your doctor or a reproductive endocrinologist and infertility specialist.
Also, Read: How common is infertility issue