Who should do the AMH Test?
The AMH test is appropriate if you are in perimenopause, worried about early menopause, or menopause or suspect premature ovarian failure. It is also appropriate if you are considering egg freezing. Combined with antral follicle scan, it will give a good indication of egg quality. An abnormally high AMH tends to be associated with PCOS, AMH test is now therefore increasingly seen as part of a fast turn round diagnostic tool for PCOS. Last but not least, an abnormally high or low AMH may warrant further hormone test to check if there is substantive hormonal imbalance in the system.
Treatment for low AMH – Is this possible?
At TCM HealthCare, we routinely treat patients with poor AMH test results successfully. Our treatment programmes have helped many to manage or get rid of their PCOS to achieve natural pregnancy or through IVF. We have also helped patients to improve egg quality and minimise issues associated with perimenopause. If you are primarily interested in treatment only, please go to treatment for low AMH.
What is AMH?
If you’re looking to do IVF, the chances are you will have come across the acronym AMH. This stands for Anti-Mullerian Hormone (AMH) and this is a hormone found in the blood, and produced by granulosa cells in ovarian follicles. It is first made in primary follicles that advance from the primordial follicle stage. It’s one of the things tested for as it gives a fairly good idea of the state of your ovaries. Because the level of AMH doesn’t vary much with the menstrual cycle, it’s a useful and reliable indicator for the level of your fertility. Very often AMH is combined with an Antral Follicle Count and an FSH test in order to assess egg quality.
It’s not a particularly expensive test to do and is a good predictor of the onset of menopause. You can have it done at any time during your cycle.
How much is the fee?
The test costs £98 which includes the test, sending the report to you and following it up with a phone call to explain the result and explore potential treatment options.
When should I take the test?
This test can be taken anytime in your cycle.
When can I do the test?
Mondays to Fridays 7.00 am to 6.30 pm
Saturdays 9.00 am to 5.00 pm
What are the preconditions for taking the test
If you are using contraceptives, it’s best to stop and wait till your first cycle starts.
When will the test result be available?
By the next day. We will send you a report and work with you to explore what next steps you might take. Since the test is carried out a reputable laboratory in this field, the results will be accepted by any doctor or clinic in the world.
What would the test tell you?
Exceptionally low AMH: Menopause and early menopause
An exceptionally low AMH means that your egg reserve is very low. It is also a good predictor for menopause but this should not be used solely to predict menopause. Other hormones such as FSH and Oestradiol are also important, as with the pattern of your menstrual cycles. The window for natural pregnancy will be collectively impacted upon by all these and not just a AMH score. An exceptionally low AMH score may mean IVF will become difficult to perform (see next section for more details). If you are in your twenties or thirties and experiencing perimenopause or suspect you may have an early menopause, this test is a relatively inexpensive one to make a start as it can also give you an indicative reading to see if further investigations are warranted. For early menopause treatment, please click here.
Low AMH: Perimenopause
A low AMH means that your egg reserve is low. This is particularly important for ART (Assisted Reproductive Technique) as good egg reserve means that your ovaries are likely to respond better and produce a sufficient number of eggs for IVF or egg freezing purposes. A low egg reserve may therefore compromise the success rate for IVF or egg freezing. For perimenopause and early menopause treatment, please click here. It is worth noting that low AMH is increasingly being used as a predictor for success rate for natural pregnancy. This can be misleading and seems to stem from ART reasoning which may not apply in the context of natural pregnancy. For scientific evidence and discussion, please click here
Good AMH: Satisfactory fertility status
A good AMH score means that your egg reserve is satisfactory. If all other hormones are fine and you have no other issues, natural pregnancy should not be a problem.
Exceptionally high AMH: PCOS
Abnormally high AMH is associated with PCOS. The test is therefore sometimes used as part of a diagnostic tool kit to see if you have PCOS.
It is worth noting that a proper diagnosis of PCOS will also involve other hormone tests such as testosterone and antral follicle scan (We can help arrange that if you like). It should also be interpreted in the light of your medical and reproductive history such as whether you have irregular period. After the test, we will send you a formal report and discuss the result alongside your personal circumstances to ensure a good understanding. All possible options are explored. We will also discuss how the test results can be improved. For PCOS treatment, please click here.
Can AMH test result tell us about egg quality?
AMH result alone will not tell us about egg quality. However, the test is often used as the starting point for investigating egg quality. Combined with FSH test result and antral follicle scan, it can give us a good indication of what you egg quality might be. This tends to the best option short of physically seeing the eggs themselves which is usually only feasible when eggs are collected during the IVF process.
Can AMH be improved?
Gynaecologists or IVF clinics seem to think that AMH cannot be altered. They are therefore unlikely to be able to administer medication to help. However, we at TCM HealthCare have an excellent track record of helping women to improve AMH. These results have been confirmed by IVF specialists. To see the results, please go to treatment to increase AMH.
In addition, to give you a flavour of what our patients say, here are what some of our patients told us:
Improving AMH result and treating perimenopause and early menopause:
‘I could not believe my AMH test result, It has gone up more than 3 times. I am very pleased with the treatment.’
Polly’s AMH was 0.7. After 3 months of treatment, it is now 2.3.
For more information, pleased click treatment to increase AMH.
Improving egg quality:
‘When the IVF Clinic collect my eggs, they say all my eggs are grade A. This is very rare in a woman of my age.’
Susan is 43 and has been with us for 4 months when she goes for IVF.
For more information about how we improve egg quality, please go to treatment to improve egg quality.
‘Some good news though–I had a scan last week and my ovaries are no longer polycystic! This means they can start me on a higher dose of FSH and hopefully collect more eggs this time. Fingers crossed’.
Lori has been with us for 6 months and is now going through with IVF.
To find out our track record and how we can increase your AMH which has been confirmed by IVF specialists, you may wish to go to treatment to increase AMH.
You can read more about patients’ testimonials here.
In addition, an abnormally high AMH is associated with PCOS. We have extensive experience in treating PCOS, please click treatment for PCOS.
How Do I arrange for the AMH test?
There is no need for a referral from GP or doctor. We can sort it all out for you (usually for the next working day) if you give us a call on 0207 096 0283
Professor Shun Au OBE
TCM Healthcare Fertility Clinic