Understanding Anti-Mullerian Hormone & Its Role
Anti-mullerian hormone (or Mullerian inhibiting factor (MIF)) is nothing but a protein hormone that develops in the reproductive tissues of both genders. It helps and plays a significant role in developing sex organs in the human fetus (unborn baby). In the initial few weeks of pregnancy, the baby starts to develop reproductive organs and can either become a male or a female, depending on the chromosomes.
According to doctors, if the fetus has male (XY chromosomes), it automatically releases high AMH, alongside the other necessary male hormones, preventing the development of female organs. However, once they hit puberty, their level of AMH starts declining.
On the contrary, if the unborn baby has female (XX chromosomes), the AMH produced is quite less, allowing the development of female organs. Once a female hits puberty, her ovaries start formulating AMH, and the higher the egg cells, the higher the level of AMH. However, as the reproductive years pass by, the level of AMH keeps decreasing, almost becoming undetectable post-menopause.
What is the Anti-Mullerian Hormone Test? What Does It Tell You?
Doctors recommend an AMH test (a simple blood test) in females to check their ability to produce eggs which can then later be fertilized for pregnancy. However, as a woman ages, she loses out on the number of eggs produced, so by knowing the AMH levels, the doctors can estimate the average count of potential eggs remaining (also known as ovarian reserve).
The doctors often combine the AMH test with other hormone tests, like estradiol and FSH, to estimate the remaining average time a woman has to conceive successfully. If the ovarian reserve is higher, a woman's pregnancy probability increases.
Doctors also recommend AMH tests to females who recently underwent chemotherapy or ovarian surgery and thus want to understand if the surgery affected their future fertility.
The test is also for women undertaking assisted reproductive procedures like in-vitro fertilization (IVF). The AMH level in this scenario helps determine a woman's responsiveness to treatment. If the number of eggs is low, doctors combine procedures like ultrasound to count the number of follicles, indirectly reflecting the average egg supply.
A thoroughly conducted AMH test online can help:
- Predict if a woman has entered her menopause phase or not. Generally, menopause for a woman starts after she has crossed 50 years of age.
- Evaluate signs of Polycystic Ovary Syndrome (PCOS) like acne, abnormal uterine bleeding, abrupt weight gain (especially in the middle part of the body), enlarged ovaries, etc. PCOS happens to be the most common cause of female infertility.
- Check infants with ambiguous genitalia (a medical condition when it’s unclear whether the baby has male or female genitals). In such cases, doctors recommend performing chromosome testing, hormone test, and imaging tests alongside AMH tests to accurately determine the baby’s sex.
- Detect AMH-producing ovarian cancer in women and monitor them consistently to identify the effectiveness of the treatment and signs of recurrence
- Closely monitor females who are developing male characteristics (a medical condition called virilization)
- Identify the reason behind amenorrhea (lack of menstruation). It is common in girls who haven’t started menstruation even after crossing 15 years of age and in women who missed several menstrual periods.
Varying Levels of Anti-Mullerian Hormone Test – An Insight
According to experts, AMH levels in your blood significantly depend on your age. For males, the AMH level starts dropping once they hit puberty. However, for females, the AMH level starts elevating post-puberty and then gradually declines as their reproductive years' pass.
Also, since different laboratories give different results, no specific range, according to the experts, can accurately justify the AMH level in your blood. However, the professionals have still tentatively categorized it into the following segments, namely:
- Above 3.0 ng/mL: Extremely high range of AMH in your bloodstream and can often indicate the presence of PCOS
- Between 1.0 ng/mL to 3.0 ng/mL: Your AMH level falls in the average category
- Between 0.7 ng/mL – 0.9 ng/mL & below 1.0 ng/mL: Your AMH level is on the lower side
- Between 0.3 ng/mL – 0.6 ng/mL: Your AMH level is further dropping to a critical stage.
- Below 0.3 ng/mL: Your blood has an extremely low AMH level
What is a good AMH level for your age?
Understanding if your AMH level is at par, higher, or lower than the standard AMH range is confusing for many individuals. Hence, if you’re also one of them, here’s a quick overview of the median AMH value for every age group;
- Age under 30 years: 2.91 is the average AMH level median for such individuals
- Age between 30 – 34 years: The average AMH level median is 2.42
- Age between 35 – 37 years: 2.03 is the best average median of AMH for this age group
- Age between 38 – 40 years: If you fall in this age bracket, your AMH level median should be 1.50
- Age of 41 or 42 years: For this range, 0.92 is the AMH level median
- Age over 42 years: The average median of AMH is 0.59
Note: Since there’s no international standard of AMH levels, the above ranges are just estimated values and might differ from laboratory to laboratory.
Improving Lower Levels of AMH: Best Treatment Options You Can Consider
Before we dive into the best treatment options for improving the AMH level, let's talk about the probable causes that trigger the downfall of AMH in an individual.
Some of the most common factors are:
- Age: It's widely known that age plays a significant role in defining your AMH levels, especially for females. As women age, their ovarian reserve starts decreasing, so the AMH level also falls down. According to the experts, women's fertility experiences a downfall once they've crossed the age of 35.
- Malnutrition or Unbalanced Diet: Time and again, it's proven that a healthy balanced diet can do wonders for an individual. Hence, if your diet includes processed food items with excess fat, it's got to impact your overall physique and your AMH level.
Plus, an unhealthy diet often makes you obese and triggers a number of reproductive issues, including low AMH levels. In addition, some experts also state that the absence of Vitamins, like Vitamin D, often hampers your fertility and the AMH level.
- Medical History: If you have a history of suffering from hormonal disorders and other adverse medical conditions, your chances of having a low AMH level are higher. There have been many instances wherein women in their 20s – 30s experienced low levels of AMH, while the ones above 30 had their AMH on the higher side.
Also, if a woman suffers from medical conditions like ovarian cancer, cysts, endometriosis, etc., and has undergone ovarian surgery, their chances of having a low AMH value are always higher.
- Anxiety & Stress: These are the two most common trigger points for multiple medical disorders and significantly AMH levels in your bloodstream. As a female, if you're trying to conceive, it's vital that you keep your mindset positive, are emotionally getting strong, and are keeping stress and anxiety at bay.
Burdening yourself with unnecessary mental pressure and stress can hamper your chances of getting pregnant and significantly fluctuate your AMH levels.
Possible treatment options that can help
If you’re experiencing low AMH levels, the following treatment options can work in your favor:
- Lifestyle Changes: The most successful workaround to improve your AMH level is to change your lifestyle. Include nutritious items in your diet, like the one which is rich in protein, low in calories, and contains fresh fruits and vegetables.
You can also consider folic acid and fish oil supplements for positive outcomes. In addition, you must also avoid consuming alcohol and smoking at all costs.
- Physical Workout: Indulge in a regular physical workout session to change your AMH levels. Exercising 40-minutes daily and practicing yoga, Pranayam, & other relaxation techniques can significantly help.
- In-vitro Fertilization (IVF): It's the best option for women with low ovarian reserve. The only constraint is that the matured egg (retrieved in the IVF cycle) is of optimal quality.
However, suppose there are no eggs, or they're of poor quality; in that case, the woman can consider going for IVF with a donor egg, which involves obtaining quality eggs from a stranger to carry out the IVF process & conceiving.
Is HealthcareOnTime AMH Test Price Worth it?
Looking for a affordable AMH test price? The AMH (Anti-mullerian hormone) test cost at HealthcareOnTime is worth every penny since by paying a nominal fee for the AMH test, you get a free sample collection facility from the comfort of your house or any other location of your choice.
Another factor that justifies AMH blood test cost by HealthcareOnTime is that more than 19,424 folks trust the brand for undertaking AMH tests since their entire process is seamless and convenient. Plus, it's an ICMR-approved lab offering you the best AMH test cost in India compared to its counterparts without compromising the service quality.
Also, the current Anti-mullerian hormone test price on the HealthcareOnTime website is just INR 1,880/- which surely is a catch. We work hard to give our customers the most accurate and pertinent reports. Our Anti Mullerian Hormone Test cost are consistently very competitive, and our Experts are available 24/7 to assist with your questions. So, stop procrastinating and book your AMH test with them today!