LOW AMH? “Natural conception is possible”

Starting at first menstrual cycle, the body recruits a group of follicles (each with small immature egg inside) that have the potential to respond to hormones to grow and ovulate.AMH or Anti mullerian hormone is secreted by granulosa cells of these ovarian follicles that have a diameter of less than 8 mm.AMH secretion stops when the follicle reaches a diameter of more than 8 mm.

Females are born with 1-2 million eggs and the number decreases with age. In healthy females of childbearing age, optimum (1-4 ng/ml) values of AMH means that the ovaries have a larger supply of eggs.

AMH is a reliable biomarker for assessing ovarian reserve and offers a promising tool to evaluate and predict responses to COS (controlled ovarian stimulation) in IVF process. Ovarian reserve describes the size of the primordial follicle pool and the number of oocytes that ovaries contain in a woman. Assessment of ovarian reserve prior to COS is vital to achieving an optimal IVF outcome. In IVF, AMH levels help doctor to know what dose of medicines you need to make your ovaries prepare many eggs at the same time for egg retrieval.

So, AMH level is good for understanding

  • Ovarian reserve (egg count)
  • Menopause timing
  • Response to IVF treatment.

AMH levels have a poor predictive value regarding natural pregnancy. An AMH test can tell you the size of your ovarian reserve but it can’t tell you about the health of your eggs. Compared to ovarian reserve, regular ovulation and egg quality hold greater significance in natural pregnancies.

Research shows that women attempting to conceive naturally, diminished ovarian reserve is not associated with infertility and AMH level is an indicator of ovarian reserve, not the ability to conceive.

A large study demonstrated that there was no difference in pregnancy rates in women with normal AMH values trying to conceive versus women with low AMH levels (less than 1 ng/ml) trying to conceive.

Despite lack of evidence of their utility, biomarker of ovarian reserve is being promoted as potential marker of reproductive or fertility potential.

If your AMH value is low today does not mean you can’t get pregnant tomorrow or in 3 months if you were to try natural conception.

Low AMH levels can be associated with ageing/menopause, ovarian surgery, OCPs, thyroid disease and autoimmune disorders while elevated AMH is associated with PCOS and some ovarian tumors.

If you are trying for natural conception, you need to focus more on your egg quality and overall reproductive and hormonal health and not to worry about your AMH value as only one good quality egg is enough for a successful conception.

Ayurvedic medicines along with diet and lifestyle correction can help you achieve successful pregnancy.

Take infertility treatments under the guidance of experienced Ayurvedic Gynecologist.

For any queries regarding Infertility treatment, you can contact SKK Ayurveda Front Desk at 09811441562, 09811440562, 011-45523443 and book your consultation with Dr Rani Gupta.

Dr. Rani Gupta is Medical Director and Ayurvedic Gynecologist at SKK AYURVEDA. She has completed her B.A.M.S. from Lucknow University in 2003. She completed her Post Graduation, M.D in Gynecology (Ayurveda) from Institute of Medical Sciences, Banaras Hindu University in 2006. She achieved first rank and received gold Medal from Vice President of India in her M.D.

She is successfully practicing Ayurvedic gynecology and has treated thousands of cases like Fibroids, PCOD/PCOS, Fallopian tubal blockages, Infertility, Endometriosis, Adenomyosis, Recurrent infections, Bartholin cysts etc. She is doing many panchkarma procedures like Vaman, Virechan, Vasti, Uttar vasti, yoni pichu, yoni prakshalana etc. to treat chronic gynecological disorders.

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