AMH levels

[Maverickx]

Hey- so i am 30 (as of october), and have just had my AMH tested as well as every other single hormone. Good news, all my hormones are normal, none in the lower or higher range. However, my AMH was 16.9 pmol and i am freaking out as the top end is 58, so i am not even half way into the normal range. Its in the normal range but the really lower side of normal. Does this mean i will struggle to conceive? I am not ready to have kids for a couple years yet but now i feel even more pressure. Any help or experiences welcome!

[Lelo3479]

Hi, I just want to say that's all excellent news, well done! I can understand why your AMH level could cause you concern when looking at your result within the extremes of the full scale range.

If your levels are normal and everything else is normal and you have no other Fertility concerns, you should conceive as easily as anyone else.

If you're not ready to conceive yet, it could be worth monitoring your AMH over the next few years (it can go up and down, usually staying within a range of +/- 4-8 over 6 months to a year) . If it drops significantly in 6 months it may signal for you to look into whether you need to bring forward your plans to conceive or look at trying to preserve your fertility somehow. (if you can only conceive via IVF, look at embryo banking now). If you have every chance of conceiving naturally try and stay as healthy as possible. Best wishes x

[Maverickx in reply to Lelo3479]

Thanks so much!! Everything else looks perfect all my other hormoanes are in line with the recommended amount so that is positive. Just the AMH was the one I was most nervous amount and would have liked it to be higher but suppose there is not much else I can do other than remain healthy and hope for the best when I do start trying! I will have it retested in 6 months and if it has dropped it will be a discussion me and my partner have on starting to try then! Just need in two minds whether to freeze now, but we did say to start trying in the next year to 2 years so I’m not sure how much it could drop by then if I try to do everything to remain healthy! I will be quitting vaping next week also! X

[Lelo3479 in reply to Maverickx]

You're welcome. It's good you're aware of your fertility and trying to plan for the future.

With regard freeze now, do you mean your eggs alone or embryo's? I think the data on egg freezing alone is negative at the moment. Will you definitely need IVF? If you have no clinical reasons for IVF then focus on natural conception.

It wouldn't harm you to start fully tracking your cycles, to get to know them very well. Ovusense helps track really well, either via a wearable temperature tracker or vaginal sensor, it records it all and can also indicate your progesterone levels etc.

I've heard Mira is good too, though I don't know anything about that one.

I really understand your worry about your AMH, in my non-medical trained opinion, if you have it tested in 6 months and it goes up, great, that means this recent test showed your lower level. If it goes down, then recent testing showed your higher level.

But I'm sure there are medically trained Fertility professionals who can advise you that could be worth a try?

Best wishes x

[Maverickx in reply to Lelo3479]

Hey! So absolutely no reason so far I’d ever need IVF- seeing as everything is seemingly normal in all my hormones and AMH have been classified as good and normal for 30. I have conceived twice before also (early 20’s), but due to circumstances had to have two abortions but it was certainly the right thing at the time as I was in a toxic relationship and at university. Was on contraception both times also just missed the pill once and injection I was at the end of it so should have been covered however I fell pregnant! So I feel a bit more pressure now I’ve made those two decisions. Obviously new partner now and been together 3 years so down to his fertility also but won’t know that until we try or he is tested. Health wise everything seems good for me to conceive, I have regular periods and as I said hormones all good. Just wanted to check incase anything is off to I could address it before we start trying if that’s makes sense. I suppose when the time comes we will see- but nothing for my to action until then other than be healthy and hope for the best! Thank you for your help ☺️

[Lelo3479 in reply to Maverickx]

You're welcome and I hope everything goes well x

[Here4ivfinfo in reply to Maverickx]

If you can persuade your partner to get himself checked I’d definitely recommend that as if there’s something wrong at his end not knowing slows everything down. I got myself checked at 34 and then we waited a year because my amh was high (46) and he wasn’t ready to start trying. He declined my idea of him getting himself checked. 18 months later when we couldn’t conceive he got checked and his sperm was extremely bad and he needed an operation however it takes 6 months-1 year to see a change so we proceeded with ICSI. Unfortunately due to his sperm quality many of our fertilised eggs didn’t make it to blastocyst. His sperm quality is a bit better now and it’s looking like a second egg collection and further sperm tests are on the horizon. My AMH dropped to 35 in that 18 month period which is slightly faster than you’d expect but it’s still high. I think if I were you’d I’d probably monitor it, get it checked again in 6 months and again in a year so you can see if it’s stable or declining and at what rate. X

[DianeArnold Partner Nurse Fertility Network UK]

Hi. In my book an ANH over 15 is perfect for a 30 year old. Diane

[Maverickx in reply to DianeArnold]

Phew this is so positive to hear! When I first saw the level went up to 58 in the optional range I cried as I thought mine was so low! But I’m glad it’s deemed normal! ☺️