An Anti-Mullerian Hormone (AMH) Test measures the level of anti-mullerian hormone in the blood through a simple blood test. AMH is vital for reproductive organ development and is produced by the testes in males and the ovaries in females. In men, high levels during childhood gradually decrease through puberty. In contrast, in women, levels increase after puberty and correlate with the egg count in reproductive-age group women.

In women, the AMH test provides insights into ovarian function and ovarian reserve, indicating the number of eggs left in the ovaries. As ovarian function declines with age, conception can become more difficult. In men, AMH testing can detect fertility issues. This test is key for diagnosing reduced egg counts and understanding the limited time for conception. It supports proactive family planning and assists women in making informed decisions about fertility treatments.

Here are some preparations involved before taking an AMH Test in Noida:

Prerequisites

The AMH blood test requires no special preparation. The test does not require fasting. However, you should inform your doctor if you are taking oral contraceptives, as they can potentially alter the test results.

The Best Time to Get Tested

One can undergo an AMH test at any time of day that suits the schedule. Unlike other reproductive hormones, AMH levels are not affected by the menstrual cycle, which means the test can be done at any stage of the cycle in the entire month.

Who Should Get an AMH Test

The AMH blood test at home is recommended for individuals facing fertility challenges, those undergoing IVF, or those displaying symptoms of polycystic ovarian syndrome (PCOS). It is also suitable for women receiving ovarian cancer treatment. For infant boys and children, the test is used to evaluate the health of their reproductive organs.

Cautions Before Taking the AMH Test

It is important to understand that the AMH test does not provide an indication of fertility or predict pregnancy outcomes. For those trying to conceive or seeking detailed reproductive health information, additional testing as recommended by your doctor may be necessary.

The AMH test is a vital component in reproductive medicine, helping evaluate fertility and overall reproductive health. Here’s why it’s used and who might need it:

• Identifying Undescended Testicles: In infant boys with undescended testicles, the AMH test helps confirm if healthy testicles are present within the body.

• Evaluating Ambiguous Genitalia: For babies born with ambiguous genitalia, the AMH blood test, along with other diagnostic tests, helps in identifying the condition and confirming the sex.

• Assessing Ovarian Reserve: The test measures AMH levels to determine the ovarian reserve, which is the quantity of eggs remaining in the ovaries. This number declines as age increases.

• Detecting PCOS: The AMH test is useful for diagnosing polycystic ovarian syndrome in individuals with symptoms such as irregular menstrual cycles, acne, weight gain, and excessive hair growth.

• Anticipating Menopause Onset: Lowering AMH levels indicates an approaching menopause. The test helps in detecting early signs of premature menopause (before age 40) or early menopause (before age 45).

• Predicting Response to Fertility Treatments: For those undergoing procedures like IVF, AMH levels help predict the response of the ovaries to the fertility medicines, with higher levels indicating a better response. This assists in determining the doses for infertility treatments.

• Monitoring Ovarian Cancer Treatment: It is used to monitor the effectiveness of treatment in specific ovarian cancers.

For men, normal AMH levels fall between 0.9 and 13.89 ng/mL. In women, the normal range of AMH changes with 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:

• • In women, elevated AMH levels might indicate a larger ovarian reserve, which could facilitate conception or suggest the presence of PCOS; however, further tests are required for a definitive diagnosis.

  • For pubescent or prepubescent males, high AMH may indicate conditions like the McCune-Albright syndrome or varicocele (swollen veins in the scrotum).

• Decreased AMH:

• • In women, lower AMH might suggest a smaller ovarian reserve, indicating a limited window for conception. This means potentially approaching menopause, though the timing isn't precise. Women under 40 experiencing menopausal symptoms may have primary ovarian insufficiency.

  • In men, low AMH could suggest Klinefelter syndrome, severe congenital hypogonadotropic hypogonadism (especially during puberty), nonobstructive azoospermia, or an age-related decline in male reproductive function.

Additional Notes