Anti-Mullerian Hormone (AMH) Test
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What is the Anti-Mullerian Hormone (AMH) test?
This test analyzes the level of anti-Müllerian hormone (AMH) in the blood. This Anti-Mullerian Hormone (AMH) is made in the reproductive tissues of both males and females. It plays a very important role in the development of sex organs in an unborn baby. In women, the AMH levels can provide valuable information about egg counts and whether they have the ability to get pregnant or not. A woman's ovaries may produce thousands of eggs during her childbearing years. This number can decline as a woman gets older. The AMH levels will help in determining the potential of egg cells remaining in a woman's ovaries.
A high level of AMH indicates your chances are better of getting pregnant. A higher value is also an indication of polycystic ovary syndrome (PCOS). A low value means that you may have low ovarian reserve and a low chance of reproductive success.
What are the other names for Anti-Mullerian Hormone (AMH)test?
The other names are AMH hormone test, Mullerian-inhibiting hormone, MIH, Mullerian inhibiting factor, MIF, Mullerian-inhibiting substance, and MIS.
What are the test parameters included in the Anti-Mullerian Hormone(AMH) test?
There is only one parameter.
What does the Anti-Mullerian Hormone (AMH) test measure?
This anti-Müllerian hormone (AMH) is a hormone that is produced by reproductive tissues, including the testicles in males and the ovaries in females. The role of AMH and the amount that is normally present may vary depending upon sex and age. This test analyzes the AMH in the blood.
AMH is produced by the testicles at a very early stage in the developmentof a baby boy. AMH inhibits the development of female reproductive organswhile promoting the development of other male reproductive organs. Inboys, the level of the AMH remains high until puberty, after which itbegins to taper off.
In girls, low levels of AMH are produced, thus allowing the developmentof the female reproductive structures. The AMH level in young girlsremains low until puberty, when the ovaries begin to produce it and levelsincrease steadily. The AMH levels will then steadily decline in women overtheir reproductive years and become very low and eventually undetectableafter menopause.
AMH is very important for a woman during her childbearing years. Atbirth, a female has about one million eggs (oocytes), which will thennaturally decrease in number during her childhood to about 500,000. Only asmall number of these remaining eggs will go through a follicle maturationone at a time as part of a woman’s monthly menstrual cycle. AMH has abalancing effect on the monthly cyclical actions of follicle-stimulatinghormone and luteinizing hormone during the process of egg maturation andrelease (ovulation). The amount of Anti-Mullerian Hormone (AMH) present isa reflection of this follicular growth.
Elevated AMH levels have been associated with a condition affecting the ovaries known as polycystic ovary syndrome (PCOS).
If a sufficient amount of the AMH is not available or absent during this process, both the male and basic female organs might develop. The baby is born with ambiguous genitalia and may not be instantly recognized as either male or female.
This AMH can be elevated in some ovarian tumors (benign or cancerous). If a tumor manufactures the hormone, then this AMH test can be used as a tumor marker to monitor the effectiveness of treatment and to monitor the recurrence.
Who should get an Anti-Mullerian Hormone (AMH) test?
An AMH test can be recommended in women when evaluating ovarian function and fertility issues. This is especially important when considering assisted reproduction procedures such as in vitro fertilization (IVF). It can be recommended when a healthcare practitioner wants to determine whether a woman has entered menopause.
The AMH can be ordered when a woman has signs and symptoms of polycystic ovary syndrome (PCOS). Some of these include:
- Abnormal uterine bleeding
- A benign overgrowth of the stratum spinosum of the skin.
- Acne
- Absence of the menstrual cycle (amenorrhea)
- Decreased breast size
- Enlarged ovaries
- Excessive face and body hair (hirsutism) involving male hair growthpatterns, such as hair on the face, sideburn area, chin, upper lip,lower abdominal midline, chest, areola, lower back, buttock, and innerthigh.
- Weight gain and obesity with fat distribution in the center of thebody
- Skin tags in the armpits or neck
- Thinning hair with male pattern baldness
AMH may be recommended periodically for a woman with an AMH-producingovarian cancer to monitor the effectiveness of treatment and to monitorfor recurrence.
An AMH test might be ordered when an infant has ambiguous genitalia orwhen a male child’s testicles have not descended properly.
An AMH test might be recommended when a female begins to develop malecharacteristics (virilization).
Are preparations needed for the Anti-Mullerian Hormone (AMH) test?
No special preparation is required and fasting is not required.
What is the price of a Anti-Mullerian Hormone (AMH) test?
| Location | Price |
| AMH Test in Bangalore | ₹ 2,400 |
| AMH Test in Mumbai | ₹ 2400 |
| AMH Test in Delhi | ₹ 1,800 |
| AMH Test in Gurgaon | ₹ 1,800 |
| AMH Test in Noida | ₹ 1,800 |
| AMH Test in Hyderabad | ₹ 1,800 |
What is the type of sample required?
This test requires a blood sample.
Who performs an Anti-Mullerian Hormone (AMH) test?
A healthcare provider, who is also called a phlebotomist, usually performs blood draws, including those for an Anti-Mullerian Hormone (AMH)test, but any healthcare provider trained in drawing blood can perform this task. These samples are sent to a lab where a medical laboratory scientist prepares the samples and performs the tests on analyzers or manually.
What should I expect during my Anti-Mullerian Hormone (AMH)test?
You may expect to experience the following during the blood test or a blood draw:
- You have to sit comfortably on the chair, and the phlebotomist willcheck your arms for an easily accessible vein. It is the inner part ofthe arm on the other side of your elbow.
- Once they have found the vein, they will disinfect the area with an alcohol swab.
- They will insert a needle into your vein to draw a blood sample. This may feel like a small pinch.
- After the needle is inserted, the required amount of blood will be collected in a test tube.
- When the blood has been collected for the test, they’ll remove the needle and hold a cotton ball or gauze on the site to stop any bleeding.
- They will apply a band-aid over the pricked site, and the blood collection is finished.
This process takes less than five minutes.
What should I expect after my Anti-Mullerian Hormone (AMH)test?
Once the phlebotomist has collected the blood sample, it will be sent to the laboratory for processing or testing. When the reports are ready, your healthcare provider will share the results with you.
What is the risk of the Anti-Mullerian Hormone (AMH)test?
These blood tests are common and don’t carry any significant risks. You might have a slight pain like an ant bite when the needle gets pricked, and a small bruise can develop there.
When can I expect my Anti-Mullerian Hormone (AMH) test results?
The reports are available via email or WhatsApp within 6 hours of the collection of the blood sample.
What do the results of an Anti-Mullerian Hormone (AMH) test mean
Interpretations
Women
During the woman’s childbearing years, a decreased value of AMH can indicate a low number and quality of eggs (low ovarian reserve) with diminishing fertility, resulting in minimal or less responsiveness to IVF treatment. This can also indicate that the ovaries are not functioning normally (premature ovarian failure). Increased AMH can indicate increased or even more excessive responsiveness to IVF and it is needed to tailor the procedure accordingly.
A decreasing value and/or a significant decline in the AMH might signal the imminent onset of the menopause or that the woman has entered the menopause stage. Negative to low levels of AMH are normal in a female during infancy and after menopause.
Increased levels of AMH are often seen with PCOS but are not diagnostic of this condition.
When AMH is used as a tool to monitor an AMH-producing ovarian cancer, a decrease in AMH indicates a response to treatment, while an increase may indicate cancer recurrence.
Infants
In the male infant, the absence or low amount of AMH might indicate a problem with the AMH gene that is located on chromosome 19; it directs AMH production and can be seen with absent or dysfunctional testicles. A lack of male hormones might result in ambiguous genitalia and can cause an abnormal internal reproductive structure. The normal levels of AMH and the androgens in a male infant whose testicles have not descended indicate that they are present and functional but they are not physically located as they are supposed to be.
In a female who has developed male characteristics, if the AMH values are in the male reference range, they are most likely coming from a tumor or testicular tissue, and if the levels are in the female range, they are likely from the adrenal glands.
What other tests might I have along with this test?
Ultrasound abdomen (USG), FSH Test and LH Test.
How do I book an Anti-Mullerian Hormone (AMH) test at home?
Log on to www.orangehealth.in and submit your details. Our highly trained, professional, and vaccinated eMedics will be at your doorstep within 60 minutes or at the time booked by you.