Chances of Pregnancy with Low AMH: What You Need to Consider

One of the key factors affecting fertility is the level of Anti-Müllerian Hormone (AMH). While AMH helps determine the ovarian reserve, it is not the sole indicator of successful conception. Let's explore how low AMH affects pregnancy chances and what factors are crucial for successful pregnancy planning.

What is Anti-Müllerian Hormone?

Anti-Müllerian Hormone (AMH) is a hormone produced by the follicles in the ovaries. Its level helps assess ovarian reserve and determines how many eggs are left in a woman's ovaries. A low AMH level may indicate a decrease in reproductive potential, but other health factors must also be considered for an accurate assessment.

Chances of Pregnancy with Low AMH

The answer to how likely pregnancy is with low AMH depends on several factors:

• Age: As a woman ages, the quality of her eggs declines, which lowers the chances of pregnancy even if AMH levels are high.
• Health Conditions: Conditions like endometriosis, polycystic ovary syndrome (PCOS), insulin resistance, and others can negatively impact fertility.
• Ovulation: Regular ovulation is essential for conception. If ovulation is irregular, the chances of pregnancy decrease.
• Fallopian Tube Patency: Blocked or damaged fallopian tubes can also prevent pregnancy.

Examples of Situations with Low AMH

Let's consider some scenarios based on AMH levels and other factors:

1. A Woman Under 30 with an AMH of 0.5

• If ovulation is regular, the fallopian tubes are patent, and the endometrium is healthy, the chances of conception are very high, despite low AMH.
• In this case, the likelihood of getting pregnant naturally without assisted reproductive technologies is high.

2. A Woman Aged 38-40 with an AMH of 0.5

• Age starts to reduce egg quality, which may decrease the chances of successful conception.
• It is essential to closely monitor health and consult with a specialist.

3. A Woman Under 30 with an AMH of 0.5 and Endometriosis

• Endometriosis can significantly lower the chances of pregnancy, even if AMH levels are normal and other health indicators are good.

What to Do with Low AMH?

If you have low AMH, don't despair immediately. It's important to determine the next steps:

• If you're under 30: If AMH is low but you plan to conceive in the next few years, consult a doctor for an ovarian health assessment and possibly consider egg freezing.
• If you're over 35: It is recommended to undergo testing and not delay attempts to conceive, as chances decrease with age.

Conclusion

Chances of pregnancy with low AMH can vary greatly, as many factors affect fertility. It is essential not to rely solely on AMH levels but to consider all aspects of health, such as age, medical conditions, ovulation, and fallopian tube patency. For an accurate evaluation, it's advised to consult a doctor and undergo comprehensive testing.

If you're under 35 and haven't conceived after one year of trying, it's crucial to see a specialist. If you're over 35, attempts should not last longer than 6 months without medical intervention.