AMH, or anti-Müllerian hormone, is a substance produced by granulosa cells in ovarian follicles. It is used as a biomarker for fertility potential. AMH levels can provide information about the number of follicles in a woman's ovaries and thus her egg reserve. An AMH test involves a blood draw to measure AMH levels. Higher AMH levels generally indicate better fertility and egg quality, while lower levels suggest reduced fertility and a smaller egg reserve. AMH testing can help assess fertility, the need for fertility treatments, and menopausal transition.

1. PRESENTED BY
MARTIN SHAJI
PHARM D
Anti Mullerian Hormone (AMH)
ALL FACTS YOU SHOULD KNOW | A CRUCIAL HORMONE
MEDICAL INFORMATION

2. AMH or antimullerian hormone is a substance that is produced
by granulosa cells in ovarian follicles. It is a member of
transforming Growth Factor (TGF).
It is one of the biomarker of fertility-i.e. fertility potential.
Since AMH is produced only in small ovarian follicles, blood levels
of this substance have been used to attempt to measure the size
of the pool of growing follicles in women.
Introduction

3. AMH or antimullerian hormone is a substance that is
produced by granulosa cells in ovarian follicles. It is a
member of transforming Growth Factor (TGF). It is one of
the biomarker of fertility-i.e. fertility potential.
Since AMH is produced only in small ovarian follicles,
blood levels of this substance have been used to attempt
to measure the size of the pool of growing follicles in
women.
Source of AMH?

4. What is a normal AMH level? And interpretation of anti-mullerian
hormone levels and chances for conception..
Interpretation AMH Blood Level
High (often PCOS) Over 3.0 ng/ml
Normal: Over 1.0 ng/ml
Low Normal Range: 0.7 - 0.9 ng/ml
Low: 0.3 - 0.6 ng/ml
Very Low: Less than 0.3 ng/ml

5. More will be learned regarding anti-mullerian hormone
levels and outcomes as we continue to use the AMH
fertility testand study the relationship between AMH
hormone values and fertility, ovarian responsiveness,
chances for IVF success, etc.

7. An AMH test is often used to check a woman's ability to produce
eggs that can be fertilized for pregnancy. A woman's ovaries can
make thousands of eggs during her childbearing years. The
number declines as a woman gets older. AMH levels help show
how many potential egg cells a woman has left

8. What happens during an AMH test?
A health care professional will take a blood sample from a vein in
your arm, using a small needle. After the needle is inserted, a
small amount of blood will be collected into a test tube or vial.
You may feel a little sting when the needle goes in or out. This
usually takes less than five minutes.

9. What do the results mean?
If you are a woman trying to get pregnant, your results can help
show what your chances are for conceiving. It can also help you
decide when to try to get pregnant. A high level of AMH can mean
your chances are better and you may have more time before trying
to get pregnant.
A high level of AMH may also mean you have polycystic ovary
syndrome (PCOS). There is no cure for PCOS, but symptoms can be
managed with medications and/or lifestyle changes, such as
maintaining a healthy diet and waxing or shaving to remove excess
body hair.

10. A low level can mean you may have trouble getting pregnant. It
can also mean that you are starting menopause. A low level of
AMH is normal in young girls and in women after menopause.
If you are being treated for ovarian cancer, your test can show
whether your treatment is working.
In a male infant, a low level of AMH may mean a genetic and/or
hormonal problem causing genitals that are not clearly male or
female. If AMH levels are normal, it may mean the baby has
working testicles, but they are not in the right location. This
condition can be treated with surgery and/or hormone therapy.

11. High Anti Mullerian Hormone
A high AMH level means that you have a higher number of eggs
than is expected for your age. It's also often linked to polycystic
ovary syndrome (PCOS): a common hormonal disorder that
impacts 1 in 10 people with ovaries.
High levels (over 1.0) are favorable, while low levels (less than
1.0) indicate decreased ovarian reserve. AMH may be the best
measure of the menopausal transition and ovarian age.