Low AMH Guide – Causes, Symptoms, Treatment

Low AMH Guide - Causes, Symptoms, Treatment
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Every married couple has a dream of becoming parents and having a child. So, when it comes to fertility, you need to know about different indicators and signs. One such indicator is Anti-Mullerian Hormone (AMH) which is important in determining the ovarian reserve. Low levels of AMH can make it difficult for you to become pregnant, which leads to worries and concerns about the consequences and management of the condition.

We will explore the complexities of low AMH, including its causes, symptoms, and various treatments, in this blog.

What is AMH?

What is AMH

AMH stands for Anti-Mullerian Hormone which is a protein hormone that is mostly produced by the follicles in a woman’s ovaries. Each woman has a set amount of eggs in her body at birth. AMH test can be performed to find out how many eggs are still in a woman’s ovary on any day of her cycle.

AMH can be high, low, or normal. Patients with PCOS have high AMH which means there is an excess of eggs that do not mature on time, which leads to infertility. Moreover, people with low AMH are typically connected to ovarian ageing. Nowadays, women are facing this issue of low AMH at a young age. According to a survey conducted in India, nearly half of 29,621 women in the 20–40 age bracket had low AMH levels.

Causes of Low AMH

  • Age: Age is one of the main reasons for Low AMH levels. Low AMH mainly affects older mothers. Women’s ovarian reserve decreases with age, which lowers AMH levels. The women’s egg production starts to decline in their late 20s and early 30s. That’s why, the chance of becoming a mother also starts to decline at that point when her levels of AMH start to decline. 
  • Stress: Stress can be another reason for low AMH levels and leading to infertility. Nowadays, women are more active in their professional life and due to work, they are having mental health problems that naturally reduce a person’s likelihood of becoming pregnant. For conceiving, one must be in good physical and mental health. If you are facing issues in maintaining your stress level, you should consult a doctor.
  • Medical Treatments: Some ovarian procedures, like oophorectomy and cystectomies, may unintentionally reduce ovarian reserve and, as a result, AMH levels. Low AMH levels can also be due to other medical treatments like chemotherapy. 
  • Genetic Factors: AMH levels can also be influenced by some genetic diseases. AMH levels can be lowered by diseases like Turner syndrome or if your family members have low AMH levels.
  • Birth Control Pills: Research indicates that these medications can temporarily lower AMH levels, and do not have a negative long-term effect. You should consult your gynaecologist before taking these oral contraceptives.
  • Diet: AMH level is also affected due to poor diet. Consuming fat and processed foods is bad for maintaining proper AMH levels. Eating unhealthy food will make you fat, which can lead to various health problems including low AMH levels and directly affects the woman’s ability to conceive. 

Symptoms of Low AMH

Symptoms of Low AMH

  • Irregular Menstrual Cycles: Women who have low AMH levels can face the issue of irregular menstrual cycles and some may not menstruate at all.
  • Difficulty Conceiving: In general, people with low AMH levels experience difficulties in conceiving naturally which leads to infertility.
  • Elevated FSH Levels: Reduced ovarian reserve can result in an increase in follicle-stimulating hormone (FSH), which is a sign of low AMH levels.
  • Poor Response to Ovarian Stimulation: Women’s poor response to ovarian stimulation protocols in assisted reproductive methods (ARTs), such as in vitro fertilization (IVF) can be the reason for low AMH levels.
  • Early Menopause: Low AMH levels have occasionally been linked to early menopause onset or premature ovarian failure, which is defined as the end of menstruation before the age of forty. Hot flashes, anxiety, irritability, mood swings, and dry vagina are some of the early symptoms of menopause.

Low AMH Levels Treatment

For low AMH levels, there is no such complete treatment. There are different treatments such as various therapies, natural remedies and medical treatments to increase the level of AMH. It is possible to increase egg count and improve oocyte quality by living a healthy lifestyle and controlling weight. Mentioned below are the common techniques to increase egg quantity and quality: 

  • Healthy Lifestyle: Try to live a healthy lifestyle by exercising regularly along with yoga, managing stress levels and eating a balanced diet. 
  • Assisted Reproductive Technologies (ART): There are two ART techniques such as in-viro fertilization (IVF) and intracytoplasmic sperm injection (ICSI). They can provide possible ways to motherhood in situations where natural conception is rare.
  • IVF with insufficient AMH: The success of a pregnancy in women depends on the ovarian reserve. IVF is the finest method that makes efficient use of the few remaining eggs in the ovaries. This method is used when women’s ovaries are insufficiently producing healthy eggs along with low AMH levels. However, a woman can go to an IVF clinic in Lucknow to conceive if she lives a healthy lifestyle and takes DHEA supplements. 
  • Egg Donation or Surrogacy: This treatment is recommended to those people whose ovarian reserve is severely reduced. This process is done by using high-quality eggs from different people. 
  • Consume Supplements: You can take supplements containing dehydroepiandrosterone (DHEA). DHEA is primarily a hormone that can increase both the quantity and quality of eggs that women produce.

*Note* Before proceeding with any treatments, you should check your overall reproductive health, and people with low AMH should have thorough fertility testing.

Conclusion

planning for a baby

For those who are planning a baby, low AMH levels can create a big problem. Low AMH levels can lead to infertility and reduce the chance of conceiving naturally. It is important to understand the causes, symptoms, diagnosis, and possible treatments to effectively manage low AMH levels.

Modern methods in reproductive medicine have made it easier for people to have children. If your AMH level is low and you’re not yet ready to become a parent, you can safely freeze your eggs at Vansh IVF & Hospital in Lucknow. This way, you can plan your pregnancy for whenever suits you best.

Consult with an experienced fertility specialist at 740 841 5995 and get personalized care according to your needs to manage low AMH and increase the chance of a successful pregnancy.

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