Low AMH - Causes, Symptoms and Treatment

What is Low AMH Test? Low AMH or Anti-Müllerian Hormone is an indicator of ovarian reserve in a partner. It is secreted through the Granulosa cells of the antral follicles, after which it is launched withinside the follicular fluid and blood vessels. Follicles are the cysts that contain young eggs. Low AMH is an indicator of low ovarian reserve. A blood test is done to check for the AMH value, which gives us an insight into ovarian responsiveness that is how many eggs are left in the ovaries. The Low AMH fee will assist to decide how urgently a lady desires to are searching for a remedy and the way she can be able to reply to it.

What is Low AMH?

AMH decreases with age because as a woman ages, her ovarian reserve gets wasted as well. And depleted ovarian reserve might lead to fertility issues. Critically low values would also indicate a reduced response to ART. So, during preparatory investigations, if a woman’s Low AMH content is found to be low, she must consider getting treatment without further delay.

Low AMH indicates that the woman’s ovarian reserve is fast declining, and she should seek fertility treatment now if she’s trying to have a baby.

The reference range for the Low AMH value should be within 2.20 – 6.80 ng/mL. The range can vary from laboratory to laboratory depending on the types of tools and testing methods. But, the age of the patient plays an important role in predicting the outcome as low AMH always does not predict low ART success in women under 35 years of age. Also, other laboratory parameters like imaging techniques and clinical decisions should be considered.

Do Low AMH levels Affect Fertility?

Low AMH level is not the cause of infertility, and it only means that there is a low ovarian reserve. That means that the number of eggs growing in the ovaries is limited, and the chance of a mature good quality egg publishing every month and getting fertilized decreases. Also, with age, the quality of eggs gets hit. So, the chances of early failures due to irregularities in the egg increases. Early pregnancy losses account for 85%.

Symptoms of Low AMH

There are no special low AMH indications that suggest that a woman may have a low AMH. But if a woman has irregular periods or has premature menopause, then she can get herself tested for AMH into a blood test.

Causes of Low AMH

AMH level is determined by the number of follicles that grow in the ovaries. But while studying the reason for low AMH levels, the age of the woman plays an important role. Ovarian reserve tends to decrease when a woman is in her mid-30’s and grows even lower in a woman who is 40 years and above.

Some of the points on what causes Low AMH include:

Age

Hormonal irregularity

Inherited hereditary causes

Endometriosis

Cancer treatment

Autoimmune attack on the ovaries

Other environmental causes

Treatment of Low AMH

There is no low AMH treatment, but there are ways in which a woman can improve her Low AMH before considering ART as an option, so that quantity and quality of eggs improve before IVF treatment.

The natural low AMH fertility treatment choices to improve AMH values may be suggested so that it might increase the ovarian answer during stimulation.

Some of the low AMH natural treatments are:

Regular exercise and yoga

Acupuncture

Having a balanced diet

Taking DHEA additions. DHEA (Dehydroepiandrosterone) is a hormone that can improve the number and quality of eggs.

Read Blog: Infertility Treatments: Questions to Ask Your Doctor

Some other Low AMH fertility treatment decisions for conceiving a baby include:

IVF with Low AMH levels – If the AMH level is low with abnormally raised FSH levels, then it is an indication that the ovaries are not growing the right quantity and good quality eggs, which would mean poor fertility outcomes. But with proper treatment that is if a woman maintains a healthy lifestyle takes a DHEA supplement, and with an appropriately designed ovarian stimulation protocol women have been able to conceive successfully through IVF.

IVF with Donor egg – And for women who have very limited eggs or no eggs at all, and where ovarian stimulation to retrieve good quality eggs have failed, then they should consider IVF with a donor egg.