Description of blood Analysis: 

Anti-Müllerian Hormone (AMH) is a protein hormone produced by the granulosa cells of small, developing follicles (antral and pre-antral follicles) in the ovaries. Unlike other reproductive hormones, AMH levels remain relatively stable throughout the menstrual cycle, making it a reliable indicator of the “ovarian reserve”—the remaining quantity of a woman’s eggs. In clinical diagnostics, AMH is the primary tool for assessing fertility potential. A higher concentration typically suggests a greater number of remaining follicles, while a declining level reflects the natural decrease in egg supply as a woman ages. Furthermore, AMH is a vital marker in assisted reproduction (IVF) to predict how the ovaries will respond to stimulation.

What does the analysis represent?

• Purpose: To quantify the hormone that reflects the quantity of the remaining egg supply (ovarian reserve).
• Primary Application: Assessing fertility status, predicting the onset of menopause, investigating Polycystic Ovary Syndrome (PCOS), and planning assisted reproductive treatments (IVF).
• Method: Automated immunoassay (ELISA or CLIA) using a venous blood sample.

Recommendations for the Test (General)

• Timing: The test can be performed on any day of the menstrual cycle, as AMH levels do not fluctuate significantly with the cycle’s phases.
• Fasting: A 12-hour fast is required; water is permitted.
• Rest: Avoid intense physical exertion and high emotional stress for 24 hours prior to the test.
• Specific Rules: Refrain from alcohol consumption for 24 hours before the procedure. It is important to note if you are taking oral contraceptives, as long-term use can sometimes suppress AMH levels.

What can affect the results?

• Factors altering levels: Use of hormonal birth control, vitamin D deficiency, and smoking have been associated with lower AMH readings.
• Conversely: Conditions such as Polycystic Ovary Syndrome (PCOS) often result in abnormally high AMH levels due to the large number of small follicles present.

When to take the test?

• Recommendations: This test is recommended for women planning a pregnancy, those experiencing difficulty conceiving, or individuals considering egg freezing.
• Preparation: The test should be scheduled when the patient is in a state of stable health. It is often measured alongside FSH and Estradiol for a complete fertility profile.

How to interpret the results?

• The interpretation of your laboratory results is the exclusive responsibility of a qualified physician.
• An AMH value should not be viewed in isolation; it indicates egg quantity, not necessarily egg quality.
• Your doctor will evaluate the result in the context of your age, medical history, and ultrasound findings (Antral Follicle Count).
• Only a professional medical review can integrate these findings with your clinical history to determine if fertility preservation or specific treatments are necessary.

Possible further investigations

• FSH and Estradiol Tests: To assess the overall hormonal “drive” of the reproductive system.
• Antral Follicle Count (AFC): An ultrasound scan to physically count the follicles in the ovaries.
• Vitamin D Test: To ensure low levels are not artificially suppressing the AMH result.
• Reproductive Endocrinology Consultation: To develop a personalized family planning or treatment strategy.

When does the next step make sense?

• If AMH levels are found to be low for the patient’s age, the findings are reviewed by a physician to discuss the timeline for conception or fertility preservation.
• All medical decisions are personalized based on the patient’s reproductive goals.

👉 If necessary, you can discuss the analysis results with a specialist such as an endocrinologist (Doctors – TAMC) or a gynecologist  (Doctors – TAMC).