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    What is a Anti Mullerian Hormone (AMH) Test?

    The Anti-Mullerian Hormone (AMH) Test is a routine blood test that quantifies the amount of anti-mullerian hormone in the bloodstream. AMH is crucial for reproductive organ development in both men and women. In men, AMH is released by the testes, and in females, by the ovaries. In women, the AMH levels rise after puberty. They are highest during the reproductive age of women. AMH levels reflect the individual’s egg supply. AMH levels in men are high during childhood and drop off as puberty progresses.

    In men, AMH testing can identify fertility issues. In women, the AMH test helps evaluate reproductive health, particularly ovarian function and reserve, which means the count of remaining eggs. With age, ovarian reserve declines, making conception more challenging. This test is critical for diagnosing a decrease in egg count, recognizing the limited time left for conception. As a result, it supports proactive family planning and assists in making fertility treatment decisions for women.

    Anti Mullerian Hormone (AMH) Test Parameters

    The test determines only one parameter, the levels of Anti-Mullerian Hormone (AMH) in the bloodstream. AMH, produced by the follicles within the ovaries, helps the maturation of eggs and is recognized as the most accurate serum marker for evaluating ovarian function in women.

    It is crucial to understand that AMH levels do not forecast the likelihood of pregnancy but instead offer an approximation of the egg count based on the hormone's concentration in the follicular fluid.

    Anti Mullerian Hormone (AMH) Test Preparation

    Consider the following aspects before undergoing an AMH test in Mumbai:

    Prerequisites

    No special preparations are needed for an AMH blood test. Fasting is unnecessary before the test. However, it's crucial to inform your doctor if you are on oral contraceptives as they might influence the results of the test.

    The Best Time to Get Tested

    You are free to take the AMH test at any time during the day that suits you. Unlike other hormones related to reproduction, the menstrual cycle does not impact AMH levels, making it possible to conduct the test at any stage during the monthly cycle.

    Who Should Get an AMH Test

    The AMH test is appropriate for individuals experiencing fertility issues, those undergoing in vitro fertilization (IVF), or those showing symptoms of conditions such as polycystic ovarian syndrome (PCOS). Women undergoing treatment for ovarian cancer are also eligible for testing. In male infants and children, this test is useful for assessing the health of reproductive organs.

    Cautions Before Taking the AMH Test

    It’s vital to understand that the AMH blood test at home does not measure fertility or predict pregnancy chances. If you are trying to conceive or need detailed reproductive health information, your doctor might recommend additional tests.

    Why Take a Anti Mullerian Hormone (AMH) Test?

    The AMH test is essential in reproductive medicine as it helps to evaluate fertility and reproductive health. Here’s an overview of its importance and how it can be useful:

    • Assessing Ovarian Reserve: The AMH blood test measures the ovarian reserve, which is the count of eggs available in the ovaries for conception. This reserve declines with advancing age.

    • Anticipating Menopause: Declining AMH levels indicates nearing menopause. The test can detect early signs of premature menopause (before age 40) or early menopause (before age 45).

    • Diagnosing PCOS: AMH tests can help diagnose polycystic ovarian syndrome in those with symptoms like irregular periods, acne, weight gain, and excessive body hair.

    • Predicting Ovarian Response to Fertility Drugs: For individuals undergoing IVF, AMH levels can predict how well the ovaries will respond to fertility medications, with higher AMH indicating a better response. It also assists in determining the appropriate doses of fertility medication.

    • Monitoring Ovarian Cancer Treatment: It is used to track the treatment progress of certain ovarian cancers.

    • Evaluating Undescended Testicles: For infant boys whose testicles are not yet in the scrotum, the AMH test helps confirm if healthy testicles are present within the body.

    • Determining Ambiguous Genitalia: In newborns with ambiguous genitalia, AMH testing, along with other tests, helps identify a baby’s gender and also the potential cause.

    Anti Mullerian Hormone (AMH) Test Results & Interpretation

    The acceptable range for AMH levels in men is from 0.9 to 13.89 ng/mL. For women, AMH levels vary by age:

    • 18-24 Years: 1.62-9.95 ng/mL

    • 25-29 Years: 1.20-9.05 ng/mL

    • 30-34 Years: 0.80-8.18 ng/mL

    • 35-39 Years: 0.11-6.72 ng/mL

    • 40-44 Years: 0.10-5.78 ng/mL

    Interpretation

    • Elevated AMH Levels:

      • In young or prepubescent boys, high levels might be associated with varicocele (enlarged scrotal veins) or McCune-Albright syndrome.

      • In women, high AMH suggests a greater ovarian reserve, aiding conception, or may indicate polycystic ovary syndrome (PCOS), though additional diagnostic tests are necessary.

    • Reduced AMH Levels:

      • In women, low levels might reflect a decreased ovarian reserve, suggesting a shorter conception window and potentially indicating menopause is nearing, although the precise timing isn't predictable. For women under 40 with menopausal symptoms, it might point to primary ovarian insufficiency.

      • In men, decreased AMH levels could signal nonobstructive azoospermia, severe congenital hypogonadotropic hypogonadism (notably in puberty), age-related declines in male reproductive function or Klinefelter syndrome.

    Additional Notes

    1. Ovulation Issues: In cases of ovulation problems, AMH levels help better define the type of ovarian dysfunction, especially hyper gonadotropic anovulation linked to ovarian insufficiency like PCOS.

    2. Ovarian Reserve Monitoring: AMH levels are useful for assessing ovarian reserve.

    3. Diagnosing Male Infertility: Abnormal AMH levels in men aid in diagnosing various fertility issues such as delayed puberty, hormonal production issues, McCune-Albright syndrome, sperm production issues, varicocele, Klinefelter syndrome, and age-related male infertility.

    4. Follicle Estimation: The test helps estimate the number of antral and pre-antral follicles, independent of menstrual cycles.

    FAQs on Anti Mullerian Hormone (AMH) Test in Mumbai

    The price of the AMH test in Mumbai is ₹ 2100. This includes home sample collection within 60 minutes and the results are available in 76 hours.

    Home sample collection for AMH tests is available in Mumbai through Orange Health Labs. Collection can be arranged within 60 minutes of booking, depending on slot availability.

    The AMH test measures AMH levels to determine ovarian reserve and fertility potential in women, diagnose PCOS, and monitor ovarian cancer treatment.

    Fasting is not mandatory for an AMH test at home in Mumbai.

    To schedule an AMH blood test at home, in Mumbai, follow the steps given below:

    • Search for the Test: Find the AMH test in Mumbai or the AMH Test at home and select the appropriate listing.

    • Review and Book: Choose the test, verify any prerequisites, enter your address, and confirm the booking by selecting a convenient time slot for sample collection.

    • Sample Collection: A qualified eMedic from Orange Health will arrive at your home during the scheduled time slot to collect the sample.

    • Lab Processing: The sample will be sent to our NABL-accredited and ICMR-approved laboratories for analysis.

    • Receive Results: Reports will be sent via email or WhatsApp within 76 hours and will also be accessible on the Orange Health app.

    The AMH levels in females vary according to the age as follows:

    • Age 18-24 years: 1.62-9.95 ng/mL

    • Age 25-29 years: 1.20-9.05 ng/mL

    • Age 30-34 years: 0.80-8.18 ng/mL

    • Age 35-39 years: 0.11-6.72 ng/mL

    • Age 40-44 years: 0.10-5.78 ng/mL

    The normal range for AMH levels in men is between 0.9 and 13.89 ng/mL.

    You can expect to receive your AMH test results within 76 hours after the sample is collected.

    Your doctor will advise on the frequency of AMH testing according to your health needs.

    The AMH test involves measuring the concentration of one parameter, the Anti-Mullerian Hormone.

    Low levels of AMH may suggest reduced ovarian reserve but do not necessarily mean infertility. AMH levels also decrease as menopause approaches.

    By measuring hormone levels produced by ovarian follicles, the AMH test helps assess ovarian reserve, indicating the number of remaining eggs.

    By estimating ovarian reserve, the AMH test helps predict fertility potential and informs treatment decisions for conditions like PCOS and IVF planning. It also assesses fertility issues in males through AMH levels.

    AMH test is available but not limited to Colaba, Nariman Point, Marine Drive, Malabar Hill, Churchgate, Worli, Dadar, Parel, Byculla, Bandra, Andheri, Juhu, Ghatkopar, Powai, Chembur, Vashi, Belapur, Santacruz, Khar, Versova, Lokhandwala, Goregaon, Borivali, Kandivali, Mulund, Bhandup, Kurla.

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