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Low AMH levels and fertility treatment: How we can help

6th September 2013 in Advice

If you have a low AMH level - the substance made by the ovarian follicle which contains the egg - it doesn’t mean you can’t have a baby.

At Manchester Fertility your AMH levels are tested as part of your initial screening when you begin treatment via a simple blood test. Your results will tell us how well you will respond to ovarian stimulation and give us an indication of how many eggs you have in your ovaries – your ovarian reserve.

If you have a low or very lowblood AMH level, this typically means you don’t have many available eggs. However, low egg reserve should always be confirmed by other tests such as ultrasound scans.

But it doesn’t mean the eggs you do have can’t successfully result in a baby – lots of women who have low AMH levels have babies. Considering your age, fertility history, and any previous treatment response we can advise on your individual chances for different treatment methods, or even natural conception.

It’s very important to remember that low ovarian egg reserve does not necessarily affect your natural fertility, especially at a younger age, and your potential for conceiving is influenced by a number of factors - AMH assessment is only a part of it.

If your level shows poor ovarian reserve, then we may recommend a course of DHEA, the dose of which will be determined by many factors, not just your AMH level. In many clinical studies the hormone supplement DHEA – dehydroepiandrosterone - has been proven to benefit women who have poor ovarian reserve. For more details on DHEA and how it may help you, click here. You should not take DHEA yourself until you have had a full fertility assessment and health check and a full explanation of your AMH result.

So don’t panic if you have low AMH levels. It is still possible to have a baby, but it may mean a different treatment approach and that traditional IVF isn’t the best treatment for you.

If you have any questions about fertility, you can use our free Ask the Expert feature to anonymously ask anything you want to know, in confidence. Our expert team reviews all questions and we will post a reply online.

Last updated: 20th January 2020