CAN LOW AMH STOP YOU FROM GETTING PREGNANT

One of the questions I am asked most often is whether AMH (Anti-Müllerian Hormone) levels can be improved. There is also a common misconception that AMH alone is enough to assess a woman’s fertility or determine her suitability for assisted reproductive treatments.
Generally, a normal AMH level is considered to be between 1.0 and 3.5 ng/mL, although reference ranges may vary between laboratories. However, AMH should never be interpreted in isolation. A proper assessment should take into account your age, LH (Luteinizing Hormone), FSH (Follicle-Stimulating Hormone), and other relevant clinical findings. One advantage of AMH testing is that it can be performed at any point during the menstrual cycle.
For example, consider two women—one under the age of 30 and another over the age of 35—who both have an AMH level of 1.0 ng/mL. Although the AMH values are identical, the interpretation should not necessarily be the same.
If the woman under 30 has LH and FSH levels within the normal range (approximately 4–10 IU/mL), her results may suggest an adequate ovarian reserve. However, if the woman over 35 has the same AMH level but significantly elevated FSH and LH levels (above 10 IU/mL), the overall assessment may indicate reduced ovarian function despite the AMH result. This could have implications for fertility treatment planning, including IVF.
For this reason, FSH, LH, age, AMH, and other clinical factors should all be considered together when evaluating ovarian reserve and discussing treatment options. These results can also help a fertility specialist determine whether lifestyle changes, supplements, or other interventions may be appropriate, although evidence for supplements improving egg quality varies.
If you are planning to undergo IVF, are over the age of 35, and your fertility evaluation shows significantly elevated FSH and LH levels despite a relatively reassuring AMH result, it is worth discussing all available options with your fertility specialist. Depending on your individual circumstances, this conversation may include the possibility of using donor eggs as a backup plan if treatment with your own eggs is unlikely to be successful.