Medically reviewed by Dr. Shwetha Y Baratikka, Fertility Specialist & IVF Consultant, Janisthaa IVF Bangalore Last updated: June 2026
You just received your AMH result. The number is lower than expected or lower than what you found on a reference chart and now you are sitting with more questions than answers.
What does this number actually mean? Does low AMH mean you cannot get pregnant? Do you need IVF immediately? Is it too late?
These are the questions most AMH pages do not answer clearly. This one does.
Anti-Müllerian Hormone (AMH) is produced by the small follicles in your ovaries. It is the most reliable single marker of ovarian reserve how many eggs you have remaining. A low reading means your egg count is below the expected range for your age. It does not mean your eggs are poor quality. It does not mean you cannot conceive. And in most cases, it does not mean IVF is your only option.
What low AMH does mean is that time is a factor and the right information, taken early, allows you to make the best possible decisions for your fertility.
This guide covers everything in one place: an age-specific AMH reference chart in both ng/mL and pmol/L (because lab units cause enormous confusion), what your specific number category actually means clinically, every evidence-based treatment option from lifestyle changes to IVF with specialised protocols, IVF success rates for low AMH by age group, and the exact approach Dr. Shwetha Y Baratikka uses at Janisthaa IVF for patients with low AMH.
Who is this guide for?
Women who have received a low AMH result and want to understand it clearly. Women over 30 considering fertility testing. Women planning IVF who have been told their AMH is a concern. And anyone considering egg freezing who wants to know if low AMH changes the picture.
What Is AMH and Why Does It Matter?
Anti-Müllerian Hormone is produced by granulosa cells in the small, developing follicles of your ovaries. Unlike other fertility hormones (FSH, LH, oestradiol), AMH does not fluctuate significantly across your menstrual cycle it can be measured on any day, making it a convenient and stable marker.
What AMH measures: Ovarian reserve specifically, the size of your pool of small antral follicles (the follicles that are responsive to FSH stimulation). More follicles = higher AMH. Fewer follicles = lower AMH.
What AMH does NOT measure: Egg quality. A woman with AMH of 0.6 ng/mL and a woman with AMH of 3.0 ng/mL can have equally good egg quality. AMH is a quantity marker, not a quality marker. This distinction matters enormously for how you interpret your result and plan treatment.
When to get tested: The AMH test is a simple blood draw that can be done on any day of your cycle. It is recommended for:
- Women over 30 planning pregnancy in the next 1–2 years
- Women who have been trying to conceive for 6 months or more without success
- Women with irregular cycles, family history of early menopause, or prior ovarian surgery
- Anyone planning IVF – AMH guides the stimulation protocol
- Women considering egg freezing and wanting to know urgency
AMH units – ng/mL vs pmol/L: Different laboratories in India report AMH in different units. This causes significant confusion when patients compare results across labs or reference charts.
| Unit | Typical scale | How to convert |
|---|---|---|
| ng/mL (nanograms per millilitre) | 0 – 10 | Most common in India |
| pmol/L (picomoles per litre) | 0 – 72 | Some labs, European reference ranges |
| Conversion formula | 1 ng/mL = 7.14 pmol/L | Divide pmol/L by 7.14 to get ng/mL |
Example: If your report says AMH = 10.71 pmol/L, that is 10.71 ÷ 7.14 = 1.5 ng/mL. Always check which unit your lab uses before comparing to any reference chart.
AMH Levels by Age: Full Reference Chart
The most important context for any AMH result is your age. An AMH of 1.2 ng/mL is concerning at 28 but expected at 42. The table below shows normal ranges and percentile data across age groups, based on a 2025 analysis of 22,920 women published in Frontiers in Endocrinology.
AMH Reference Chart – Normal Ranges by Age (ng/mL and pmol/L)
| Age | Low (below 10th percentile) | Normal range (25th–75th percentile) | Median | High (above 90th percentile) | Clinical interpretation |
|---|---|---|---|---|---|
| 20–24 | Below 1.4 ng/mL (10 pmol/L) | 2.4–7.0 ng/mL (17–50 pmol/L) | 4.2 ng/mL (30 pmol/L) | Above 8.0 ng/mL (57 pmol/L) | Peak reproductive years |
| 25–29 | Below 1.2 ng/mL (8.6 pmol/L) | 2.0–6.0 ng/mL (14–43 pmol/L) | 3.3 ng/mL (23.6 pmol/L) | Above 7.0 ng/mL (50 pmol/L) | Strong reserve expected |
| 30–34 | Below 0.9 ng/mL (6.4 pmol/L) | 1.4–4.8 ng/mL (10–34 pmol/L) | 2.5 ng/mL (17.9 pmol/L) | Above 6.0 ng/mL (43 pmol/L) | Natural decline beginning |
| 35–37 | Below 0.7 ng/mL (5 pmol/L) | 0.9–3.2 ng/mL (6.4–22.8 pmol/L) | 1.8 ng/mL (12.9 pmol/L) | Above 4.5 ng/mL (32 pmol/L) | Reassessment recommended |
| 38–40 | Below 0.5 ng/mL (3.6 pmol/L) | 0.6–2.0 ng/mL (4.3–14.3 pmol/L) | 1.0 ng/mL (7.1 pmol/L) | Above 3.0 ng/mL (21.4 pmol/L) | Fertility planning urgent |
| 41–42 | Below 0.3 ng/mL (2.1 pmol/L) | 0.4–1.4 ng/mL (2.9–10 pmol/L) | 0.7 ng/mL (5.0 pmol/L) | Above 2.0 ng/mL (14.3 pmol/L) | IVF assessment advised |
| 43–45 | Below 0.2 ng/mL (1.4 pmol/L) | 0.2–0.9 ng/mL (1.4–6.4 pmol/L) | 0.5 ng/mL (3.6 pmol/L) | Above 1.5 ng/mL (10.7 pmol/L) | DOR range — specialist required |
AMH Classification – What Your Result Means
| AMH level (ng/mL) | AMH level (pmol/L) | Classification | What it means |
|---|---|---|---|
| Above 3.5 | Above 25 | Optimal | Strong ovarian reserve. Good IVF response expected. |
| 1.5 – 3.5 | 10.7 – 25 | Normal | Adequate reserve for age. Natural conception and IVF both viable. |
| 1.0 – 1.5 | 7.1 – 10.7 | Low-normal | Below median for most ages under 38. Monitor and plan proactively. |
| 0.5 – 1.0 | 3.6 – 7.1 | Low | Diminished ovarian reserve. IVF assessment recommended. Natural conception possible. |
| 0.3 – 0.5 | 2.1 – 3.6 | Very low | Significantly reduced reserve. IVF with specialist protocol advised. Time-sensitive. |
| Below 0.3 | Below 2.1 | Critically low | DOR. IVF with own eggs still possible in some cases. Donor egg discussion warranted. |
What Causes Low AMH?
Low AMH is almost always the result of a reduced pool of antral follicles. Several factors can accelerate this natural decline or cause it to occur earlier than expected.
Cause 1: Age – the primary driver
All women are born with all the eggs they will ever have — approximately 1–2 million at birth, reducing to 300,000–400,000 at puberty, and declining continuously through reproductive life. AMH begins to fall detectably from the early 30s and drops sharply after 37. This is the most common cause of low AMH and the only one that is entirely predictable.
Cause 2: Premature Ovarian Insufficiency (POI)
POI previously called premature menopause occurs when the ovaries stop functioning normally before age 40. Women with POI have very low AMH, irregular or absent periods, and elevated FSH. It affects approximately 1–2% of women under 40 and can have a genetic basis (Turner syndrome, Fragile X premutation), autoimmune cause, or occur without a clear reason.
Learn more : PCOS and fertility
Cause 3: Endometriosis and ovarian surgery
Endometriosis particularly endometriomas (ovarian cysts caused by endometriosis) damages the ovarian cortex and destroys follicles. Surgical removal of endometriomas (cystectomy) further reduces AMH by removing healthy ovarian tissue alongside the cyst. Studies show AMH can fall by 30–40% after a single ovarian cystectomy. Women with endometriosis often have low AMH disproportionate to their age.
Read more : endometriosis treatment
Cause 4: Chemotherapy and radiation
Both chemotherapy (particularly alkylating agents like cyclophosphamide) and pelvic radiation cause direct follicle destruction. The degree of damage depends on the drug, dose, and patient’s age at treatment. Some women experience irreversible AMH loss; others may see partial recovery over 12–24 months post-treatment.
Cause 5: Genetics and family history
Women with a mother or sister who experienced early menopause or had fertility problems at a young age may have an inherited tendency toward lower ovarian reserve. Variants in genes regulating follicle development (FMR1, BMP15, GDF9) are increasingly recognised as causes of low AMH in younger women. Genetic testing is available in some specialist centres.
Cause 6: Tuberculosis – the India-specific cause
Genital tuberculosis (TB) is far more prevalent in India than in Western countries — estimated to affect 10–15% of infertile Indian women. Endometrial TB in particular can damage ovarian function and reduce AMH, often without classical TB symptoms. Women with unexplained low AMH, especially those in TB-endemic regions or with a history of TB exposure, should be screened with an endometrial biopsy (MGIT culture + TB PCR) before assuming the decline is age-related.
Cause 7: Lifestyle factors
Smoking is the most well documented lifestyle cause nicotine directly accelerates follicle loss and reduces AMH measurably even in young women. Extreme low body weight (BMI below 17.5), chronic high stress, and vitamin D deficiency have also been associated with lower AMH in population studies, though their individual effect is modest compared to structural causes.
IVF Success Rates with Low AMH - Real Numbers by Age
This is the section most patients cannot find when they need it most. The following data is drawn from published IVF outcome studies for patients with diminished ovarian reserve.
IVF Success Rate Table – Low AMH (<1.0 ng/mL) by Age Group
| Age group | Expected eggs retrieved | Expected embryos | Clinical pregnancy rate per cycle | Live birth rate per cycle |
|---|---|---|---|---|
| Under 35 | 3–6 eggs | 1–3 blastocysts | 35–45% | 28–38% |
| 35–37 | 2–5 eggs | 1–2 blastocysts | 25–35% | 20–28% |
| 38–40 | 1–4 eggs | 1–2 blastocysts | 18–25% | 14–20% |
| 41–42 | 1–3 eggs | 0–1 blastocysts | 10–18% | 7–13% |
| Over 42 | 0–2 eggs | 0–1 blastocysts | 5–10% | 3–7% |
Minimum AMH for IVF is there a threshold?
One of the most commonly searched questions is whether there is a minimum AMH level below which IVF will not work. The answer:
- There is no absolute AMH cutoff for attempting IVF with your own eggs
- AMH of 0.1 ng/mL is not a barrier — many women with levels this low have retrieved eggs and achieved pregnancies
- What matters more is antral follicle count (AFC) on Day 2–3 ultrasound and age
- At IVF treatment Janisthaa IVF we do not refuse IVF based on AMH level alone. Each case is assessed using AMH + AFC + age + previous cycle response
8 Evidence Based Treatments for Low AMH
Treatment 1: DHEA (Dehydroepiandrosterone) pre IVF supplementation
DHEA is the most evidence-supported supplement for improving IVF outcomes in women with low AMH and diminished ovarian reserve.
How it works: DHEA is an androgen precursor produced by the adrenal glands. Women with low AMH often have low intraovarian androgen levels, which impairs follicle development. Supplementing DHEA increases the androgen environment in the ovaries, improving follicle sensitivity to FSH and potentially increasing the number of follicles responding to stimulation.
Dosing: 75mg micronised DHEA daily for a minimum of 6–8 weeks before IVF stimulation. Some protocols use 25mg three times daily. Do not self-prescribe — DHEA is a hormonal supplement and should only be taken under specialist supervision.
Evidence: Multiple RCTs and meta-analyses have shown DHEA pre-treatment improves egg yield, embryo quality, and clinical pregnancy rates in poor responders. A 2019 meta-analysis in Human Reproduction Update found DHEA supplementation significantly improved live birth rates in poor responders.
Who benefits: Women with AMH below 1.0 ng/mL, poor responders in previous IVF cycles (fewer than 3 eggs retrieved), and women preparing for IVF who have 6–8 weeks before the planned cycle.
Learn more: IUI vs IVF
Treatment 2: Customised IVF stimulation protocols for low AMH
Standard IVF stimulation protocols (long GnRH agonist) are poorly suited to low-AMH patients — they suppress the ovaries at a time when maximum follicle recruitment is needed. Specialised low-AMH protocols include:
- Antagonist protocol with high-dose FSH/HMG — avoids pituitary suppression, uses higher stimulation doses (300–450 IU/day)
- Mini-IVF (minimal stimulation) — lower drug doses, fewer side effects, aims to collect 2–5 high-quality eggs rather than many average-quality eggs
- DuoStim protocol — two stimulation phases in a single menstrual cycle (follicular phase + luteal phase stimulation), doubling egg collection opportunity
- Natural cycle IVF — for AMH below 0.3 ng/mL, collects the single natural dominant follicle with no stimulation. Lower success per cycle but avoids poor stimulation response
At Janisthaa IVF, the protocol is selected based on the patient’s AMH level, antral follicle count, age, and previous IVF response history not a one-size-fits-all approach.
Read More: endometrial thickness for IVF
Treatment 3: CoQ10 (Coenzyme Q10) for egg quality
CoQ10 is a mitochondrial energy molecule that declines with age. Since egg maturation and fertilisation are energy-intensive processes, CoQ10 supplementation is theorised to improve the cellular energy available for egg development.
Dosing: 300–600mg ubiquinol (the active, reduced form of CoQ10) daily, started 8–12 weeks before IVF stimulation. Ubiquinol absorbs significantly better than standard CoQ10.
Evidence: A 2018 RCT in Aging found CoQ10 supplementation improved ovarian response, egg quality, and embryo quality in poor-prognosis patients. It does not increase AMH but may improve the quality of whatever eggs are available.
Best for: Women with AMH 0.3–1.5 ng/mL who are preparing for IVF and have 2–3 months before their cycle.
Treatment 4: Vitamin D optimisation
Vitamin D deficiency is exceptionally common in India — studies suggest 60–70% of Indian women are deficient. Vitamin D receptors are present in the ovaries and have been linked to follicle development, AMH production, and IVF outcomes.
What to do: Get a 25-OH Vitamin D blood test. Target: above 40 ng/mL (100 nmol/L) for optimal fertility. Supplement with Vitamin D3 (not D2) — typically 2,000–4,000 IU daily for deficiency, under doctor supervision.
Evidence: A 2019 study in Human Reproduction found women with Vitamin D levels above 20 ng/mL had significantly better IVF outcomes than deficient women. Correcting deficiency before IVF is a low-cost, high-value intervention.
Treatment 5: Embryo banking accumulation strategy
For women with very low AMH who produce only 1–2 eggs per IVF cycle, retrieving from a single cycle gives very low cumulative success. Embryo banking completing 2–3 stimulation cycles to accumulate multiple blastocysts before the first transfer increases the total number of embryos available and significantly improves cumulative live birth rates.
How it works: Each IVF stimulation cycle produces 1–2 blastocysts (or sometimes none). These are frozen. After 2–3 cycles, the patient has 2–4 embryos in storage. The best-quality embryo is then transferred. If it fails, the next is thawed and transferred — without another stimulation cycle.
Who it suits: Women with AMH below 0.5 ng/mL, women under 38 who can afford the time, and women who want to maximise their cumulative success before starting transfers.
Treatment 6: Lifestyle interventions diet, supplements, and smoking cessation
Priority interventions supported by evidence:
- Stop smoking immediately – the single highest-impact lifestyle change. Smoking reduces AMH by up to 30% in young women and the effect is dose-dependent
- Mediterranean diet – high in antioxidants, healthy fats, and plant protein. Associated with better IVF outcomes in multiple studies
- Folate (400–800 mcg daily) – essential for egg quality and early embryo development
- Omega-3 fatty acids (1g daily EPA+DHA) – supports oocyte membrane quality
- Iron-rich foods – important for women with menorrhagia (heavy periods) and associated low AMH
- Maintain BMI 20–25 – both underweight and overweight status impair ovarian response to IVF stimulation
Treatment 7: Egg freezing – preserving what you have now
For women who are not yet trying to conceive, egg freezing with low AMH is a time-sensitive decision. The later you freeze, the fewer eggs are available per cycle and the lower their quality.
When to consider: If AMH is below 1.0 ng/mL at any age under 38, a discussion about egg freezing is warranted — even if you are not planning pregnancy for 2–3 years. Each year of delay with low AMH compounds the reduction in both egg quantity and quality.
At Janisthaa IVF: Egg freezing is available with the same DuoStim and antagonist protocols used for IVF. Multiple freeze cycles can be done 4–6 weeks apart to accumulate eggs over a shorter period.
Treatment 8: Donor egg IVF when own-egg IVF is no longer viable
Donor egg IVF is the most effective treatment available for women with AMH below 0.1 ng/mL combined with poor IVF response, advanced age, or multiple failed own-egg cycles. Success rates with donor eggs are primarily determined by the donor’s age and egg quality not the recipient’s AMH level. Typical success rates are 50–65% per transfer.
At Janisthaa IVF, donor egg IVF is discussed openly as one option alongside own-egg IVF attempts so patients can make a fully informed decision based on their values, timeline, and budget.
Learn more: egg donation programme
Can You Get Pregnant with Low AMH Naturally?
Yes and this is critical to understand before planning any treatment.
AMH measures quantity, not the ability to ovulate. A woman with AMH of 0.7 ng/mL who ovulates regularly still releases an egg every cycle. Each of those eggs has the potential to be fertilised. Natural conception remains possible until AMH reaches levels where ovulation itself becomes irregular or absent — which typically does not happen until AMH approaches the very low range (below 0.1–0.2 ng/mL).
Conditions where natural conception with low AMH is realistic:
- You are under 38 and ovulating regularly (confirmed by cycle tracking or Day 21 progesterone)
- You have at least one open fallopian tube (confirmed by HSG)
- Your partner’s semen analysis is normal
- You have been trying for under 12 months
What to optimise for natural conception with low AMH:
- Track ovulation precisely – use LH strips, BBT charting, or a follicular monitoring scan to confirm ovulation timing
- Time intercourse within 24 hours of the LH surge
- Start CoQ10, folate, and Vitamin D now – these take 8–12 weeks to have effect on egg quality
- Book a fertility review after 6 months of trying (not 12) – low AMH makes earlier evaluation more appropriate
AMH Test in Bangalore What to Expect
Where to get tested: AMH can be tested at most pathology labs in Bangalore. At Janisthaa IVF, AMH testing is included as part of the initial fertility evaluation and is done on-site with results available within 24 hours.
Cost of AMH test in Bangalore: AMH tests at pathology labs in Bangalore typically cost ₹1,200–₹2,500. At fertility clinics, the test may be included as part of a fertility panel. Some labs offer discounted rates for walk-in testing.
fertility evaluation Bangalore
How to prepare: No fasting required. No specific cycle day required AMH can be drawn on any day. Bring any previous fertility investigation reports to your appointment so Dr. Shwetha can interpret the AMH result in full context.
What happens after your AMH test:
- AMH result interpreted alongside antral follicle count (Day 2–3 ultrasound) these two together give a complete ovarian reserve picture
- Medical history reviewed previous surgeries, cycle pattern, TB history, family history
- Partner semen analysis reviewed if available
- A personalised treatment pathway is outlined from active monitoring and lifestyle support to IUI, IVF, or egg freezing
Low AMH: Emotional Impact and How to Process It
Receiving a low AMH result is one of the most emotionally disorienting experiences in a fertility journey. It often arrives as a number on a lab report with minimal explanation and is then followed by a spiral of Google searches, conflicting information, and mounting anxiety.
A few things worth holding onto:
AMH is a number, not a verdict. Many women with AMH below 0.5 ng/mL conceive naturally and through IVF. The number tells you about supply, not about the quality of what is there or your body’s ability to sustain a pregnancy.
Urgency is not the same as hopelessness. If your AMH is low, acting sooner is better than waiting but acting sooner does not mean rushing into treatment you are not ready for. A well-planned approach taken with accurate information produces better outcomes than a panicked one.
You are not alone in India. Nearly half of Indian women aged 20–40 have AMH levels below 1.2 ng/mL a rate significantly higher than Western populations. This is a known clinical reality, not a personal failing.
At Janisthaa IVF, Dr. Shwetha takes as much time as needed to explain AMH results clearly including what they do and do not mean before any treatment decision is made.
Dr. Shwetha's Clinical Note on Low AMH
“Low AMH is one of the most misunderstood results we see at Janisthaa IVF. Patients arrive having been told they have ‘no hope’ with their own eggs, when in reality their AMH is 0.6 and they are 34 years old with a regular cycle and an open tube. On the other hand, we see patients who were reassured their AMH was ‘borderline’ at 1.1 who are now 40 and have a much narrower window.
The most important thing I tell every low-AMH patient is this: your AMH tells me how urgently we need to plan, not whether a plan is possible. In almost every case, there is a plan.
If your result is below 1.0 ng/mL and you want to conceive at any point in the next five years now is the time to have the conversation.”
— Dr. Shwetha Y Baratikka, Fertility Specialist & IVF Consultant, Janisthaa IVF Bangalore
At Janisthaa IVF, Bangalore, a low AMH consultation with Dr. Shwetha Y Baratikka gives you:
- A clear, plain-English explanation of your specific AMH result in context
- Antral follicle count (AFC) scan to give the complete ovarian reserve picture
- A personalised treatment plan — from lifestyle optimisation and DHEA to IVF with specialist protocol
- Honest IVF success rate estimates for your age and AMH level
- Discussion of egg freezing if appropriate for your timeline
Three clinic locations across Bangalore – Basaveshwaranagar, RR Nagar, and Malleshwaram.
Book your AMH consultation
AMH Levels by Age: What Every Woman Should Know
1. What is a normal AMH level in India?
For women aged 25–34, a normal AMH level ranges from approximately 1.4–4.8 ng/mL (10–34 pmol/L). AMH declines with age — at 38–40, levels of 0.6–2.0 ng/mL are within expected range. Nearly half of Indian women aged 20–40 have AMH below 1.2 ng/mL, which is higher than Western prevalence and partly related to higher rates of PCOS, endometriosis, and tuberculosis in the Indian population. Always interpret your result in the context of your age.
2. What AMH level is considered low?
An AMH below 1.0 ng/mL (7.1 pmol/L) is generally considered low, indicating diminished ovarian reserve. Below 0.5 ng/mL is classified as very low, and below 0.3 ng/mL as critically low. However, these thresholds must be interpreted alongside your age a result of 1.2 ng/mL is normal at 42 but low at 28. At Janisthaa IVF, AMH is always interpreted alongside antral follicle count (AFC) to give a complete picture.
3. Can I get pregnant naturally with low AMH?
Yes. Low AMH means fewer eggs remaining, but if you are ovulating regularly, each cycle still produces an egg with the potential for fertilisation. Natural conception remains possible with AMH as low as 0.3–0.5 ng/mL if you have open tubes, a normal uterus, and your partner’s semen is normal. Track ovulation precisely, start CoQ10 and folate supplementation, and seek a fertility review after 6 months of trying rather than waiting 12 months.
4. What is the minimum AMH level for IVF?
There is no absolute minimum AMH level below which IVF with your own eggs cannot be attempted. Women with AMH of 0.1 ng/mL have successfully conceived through IVF with specialised low-AMH protocols. What matters more than AMH alone is your age, antral follicle count, and how your ovaries respond to stimulation. At Janisthaa IVF, IVF is not refused based on AMH level alone.
5. Does DHEA help with low AMH?
DHEA (dehydroepiandrosterone) at 75mg daily for 6–8 weeks before IVF stimulation has been shown in multiple studies to improve egg yield, embryo quality, and clinical pregnancy rates in women with diminished ovarian reserve. It works by increasing intraovarian androgen levels, improving follicle sensitivity to FSH. DHEA must be used under medical supervision it is a hormonal supplement with potential side effects and interactions.
6. What is the IVF success rate with low AMH?
For women with AMH below 1.0 ng/mL, IVF success rates vary significantly by age: under 35 (clinical pregnancy rate 35–45% per cycle), 35–37 (25–35%), 38–40 (18–25%), 41–42 (10–18%), over 42 (5–10%). These figures assume specialised low-AMH protocols. Embryo banking across 2–3 cycles significantly improves cumulative success rates beyond these per-cycle figures.
7. Can AMH levels increase naturally?
AMH levels cannot be significantly increased it reflects your remaining egg pool, which only declines over time. However, AMH measurements can fluctuate modestly between labs and testing conditions. Correcting Vitamin D deficiency has been associated with modest AMH improvement in deficient women. Stopping smoking may slow the decline. DHEA does not raise AMH but improves how well the remaining follicles respond to stimulation.
8. How much does an AMH test cost in Bangalore?
An AMH blood test in Bangalore typically costs ₹1,200–₹2,500 at pathology labs. At Janisthaa IVF, AMH testing is part of the fertility evaluation and results are available within 24 hours. The test can be done on any day of your menstrual cycle no fasting or cycle-day timing is required.
9. What is the difference between AMH and FSH tests for ovarian reserve?
AMH and FSH both assess ovarian reserve but measure different things. AMH reflects the current pool of small antral follicles and is stable across the cycle it can be tested any day. FSH (Day 2–3 of cycle) reflects how hard the pituitary is working to stimulate the ovaries — elevated FSH suggests poor reserve but is less sensitive than AMH. AMH is generally considered the more accurate and convenient marker. At Janisthaa IVF, both are measured alongside antral follicle count for a complete assessment.
10. Should I freeze my eggs if I have low AMH?
If your AMH is below 1.0 ng/mL and you are under 38 and not yet trying to conceive, egg freezing is worth discussing seriously. Each year of delay further reduces both the number and quality of eggs available. DuoStim protocols allow two egg collections per cycle, approximately 4 weeks apart, increasing the number frozen in a shorter period. A fertility consultation at Janisthaa IVF can advise on whether egg freezing is appropriate for your specific AMH level, age, and timeline.
11. Is AMH 0.3 too low for IVF?
AMH of 0.3 ng/mL is very low but not an absolute barrier to IVF with own eggs. Success is highly age-dependent: a 33-year-old with AMH 0.3 has better prospects than a 42-year-old with the same result. A DuoStim protocol, DHEA pre-treatment, and embryo banking across 2 cycles are typically recommended. If own-egg IVF fails after 2–3 well-planned cycles, donor egg IVF (with 50–65% success per transfer) is discussed as the next step.
12. Can endometriosis cause low AMH?
Yes. Endometriosis particularly ovarian endometriomas damages follicle containing ovarian tissue and is one of the leading structural causes of low AMH in younger women. Surgical removal of endometriomas further reduces AMH by removing healthy ovarian cortex alongside the cyst, sometimes by 30–40% per surgery. Women with endometriosis and low AMH should be assessed by a fertility specialist experienced in both conditions before any surgical or IVF intervention.
