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Understanding AMH and Low AMH: A Guide from Krishvi IVF Center, Ahmedabad
What is AMH?
Anti-Mullerian Hormone (AMH) is a protein hormone produced by granulosa cells within small ovarian follicles, specifically in the preantral to small antral stages. It serves as a reliable marker of ovarian reserve, reflecting roughly how many eggs remain in the ovaries. Measured via a simple blood test at any point in the menstrual cycle, AMH does not fluctuate day to day.
At Krishvi IVF, Ahmedabad, this test is a key part of our fertility evaluation process for couples from across Gujarat.
What Does Low AMH Mean?
The term “low AMH” refers to below-normal hormone levels, signifying a decreased ovarian reserve. A low AMH result often correlates with fewer recruitable follicles and may suggest a shorter reproductive window. It’s not a diagnosis of infertility, but rather a marker of diminished egg quantity. Our team at Krishvi IVF Ahmedabad provides personalized counseling for women with low AMH to help them understand their options.
What Can Cause Low AMH?
Primary causes of low AMH include:
- Age: The most common factor—AMH naturally declines as women approach their late 30s and 40s.
- Genetics & family history: Inherited early ovarian ageing.
- Medical history: Previous ovarian surgery, endometriosis, or chemotherapy.
- Lifestyle stressors: Poor diet, chronic stress, intense exercise and poor mental health.
- Autoimmune conditions: Some autoimmune diseases can impair ovarian follicle function.
Does Low AMH Cause Infertility?
Not directly. Low AMH reflects reduced egg quantity, but does not necessarily predict egg quality or prevent ovulation. Many women with low AMH still conceive naturally or through fertility treatments offered at Krishvi IVF.
Options for Conceiving with Low AMH
At Krishvi IVF, Ahmedabad, patients with low AMH have several options:
- Conservative management & natural conception: Younger women often conceive naturally even with low AMH. Only one healthy egg per cycle is needed for pregnancy.
- Standard IVF or modified protocols: AMH guides dosage planning—the lower the AMH, the higher the stimulation dose needed. While response may be limited, success is still possible.
- Natural IVF or minimal stimulation IVF: A gentler approach relying on a natural or near-natural cycle may be better suited when egg reserve is low.
- Donor eggs or surrogacy: In cases of severely diminished reserve and/or repeated IVF failure, use of donor eggs may be considered.
We frequently assist women from Ahmedabad, Surat, Rajkot, and other cities of Gujarat to find the most suitable treatment plan.
What Are My Chances with Low AMH?
Pregnancy chances depend on multiple factors:
- Age: Women under 35 with low AMH still have good prospects; success rates decrease in older age groups.
- Oocyte quality: AMH doesn’t measure this—and age remains the main determinant of egg health.
- Treatment customization: Tailoring protocols based on AMH, antral follicle count (AFC), FSH, and patient history improves outcomes.
Does High AMH Mean Very High Fertility?
Not necessarily. High AMH typically reflects a high ovarian reserve, which can be seen in conditions like PCOS (polycystic ovary syndrome). However, that does not always translate to higher natural fertility, with many women experiencing ovulatory dysfunction despite elevated AMH.
How Does AMH Impact IVF Treatment?
- Response prediction: Lower AMH levels often predict poor response to ovarian stimulation; higher levels may predict risk of excessive ovarian response.
- Multiple cycles: In low AMH cases, sometimes 2–3 egg pick-ups may be needed to achieve a good number of quality embryos.
This individualized planning is something we specialize in at Krishvi IVF, Ahmedabad, ensuring couples across Gujarat have realistic expectations and optimal treatment strategies.
Summary & Key Takeaways
- AMH is a marker of ovarian reserve, not an absolute measure of fertility.
- Low AMH does not equal infertility—natural conception and IVF remain viable paths.
- Causes include age, genetics, medical history, and lifestyle factors common in Gujarat’s modern urban lifestyle.
- Treatment options include natural conception, IVF with tailored protocols, or donor egg in select cases.
- Age and egg quality matter more than quantity alone.
- High AMH does not guarantee fertility, as seen with conditions like PCOS.
- At Krishvi IVF Ahmedabad, we provide personalized treatment plans guided by AMH, AFC, and FSH.
F.A.Q.
Get Clarity on IVF, Treatments, and More – Explore Our Frequently Asked Questions.
Yes—chronic stress, poor diet, and poor sleep quality can contribute to lower AMH levels.
Evidence is limited. Some studies explore DHEA, CoQ10, and vitamin D supplementation for supportive ovarian environments, but no method reliably raises egg count.
If faced with low AMH, consult a fertility specialist in Ahmedabad or across Gujarat. Krishvi IVF offers comprehensive assessment and tailored fertility planning.
Optimize your fertility journey with Krishvi IVF Ahmedabad:
We consider your AMH score alongside age, antral follicle count, hormonal profiles, and personal medical history to guide you toward the most appropriate fertility path. Whether it’s natural conception, IVF, or advanced reproductive options—we’re committed to offering hope and support to couples from Ahmedabad, Gujarat, and beyond.