Fertility Q&A Part 1: The Chance of Natural Conception with Low AMH Levels

Fertility Q&A Part 1: The Chance of Natural Conception with Low AMH Levels

Low AMH and Natural Conception Q&A 11. Q: My doctor says I have very low ovarian reserve, with AMH test results at 0.1ng/ml. Is there any hope for me to conceive naturally with my own eggs? Please help me, I am 43 years old, soon to be 44.

A: I certainly want every woman to have hope! What we know is that science has proven that fertility and egg health begins to decline rapidly around the age of 40 and after. AMH (Anti-Mullerian Hormone) levels also naturally decline with age. It is universally believed that an AMH level of less than 1ng/ml is indicative of decreased ovarian reserve, meaning the number of eggs present may be low. This, however, does not mean that the quality of the eggs that remain is also low. It is still possible for some women in their early 40s to conceive naturally with their own eggs, but no one has the ability to estimate the chances of achieving or sustaining a healthy pregnancy at any age.

Since we know the chances of conceiving naturally with our own eggs after the age of 40 (this increases with each year we age) are lower, we find it is always a good idea to have a time frame in which you are willing to try to conceive with your own eggs. During the time you are trying on your own, you may also want to create a “plan B”, where you consider and make a plan for alternatives such as IVF with your own eggs, or with donor eggs which may increase your chance of achieving pregnancy.

2. Q: I have been trying for a baby for the past 3 years. I am 36 years old and I just went to see my Obgyn to see what may be the problem. She did hormone testing and the only thing that came back of concern to her was my FSH which was 17 and AMH was 0.7. What does this mean? Am I in menopause? She said my egg health is low. Is there anyway I can improve my egg health? I really want to have a baby. Any help is appreciated.

A: Many doctors believe that FSH levels higher than 10-15 mIU/mL when the test is done on the third day of a menstrual period may indicate diminished fertility, poor egg health or low ovarian reserve (indicated by low AMH levels). These hormone levels do not indicate menopause.

It is important to know that follicle stimulating hormone (FSH) levels fluctuate throughout a woman’s menstrual cycle. According to the National Institutes of Health, normal FSH levels for menstruating women range should range from 4.7 to 21.5 mIU/ml (keeping in mind that normal ranges may vary among laboratories) during the follicular and luteal phases of the menstrual cycle. FSH levels should be between 30 and 50 IU/L mid-cycle right before ovulation and will naturally be higher in postmenopausal women, in general at 60 IU/L or more.

It may help to reach back out to your OB/GYN and ask why these test results concern her. High or low levels of FSH, in relation to the time of your cycle when they were run, can indicate an imbalance, or fertility health concern.

We feel that the health and current state of the endocrine system needs to be looked at first when egg health is a concern due to low or high FSH levels and decreased AMH levels.

A natural fertility program for low or high FSH and a 90-day egg health program both include:

  • creating a foundation for hormonal balance and a healthy uterus for implantation through Fertility Cleansing
  • supporting the pituitary gland and hypothalamus through nutrition with essential fatty acids (EFAs), dark green plant foods, bee pollen and following a Fertility Diet
  • using herbs like Vitex (Chaste Tree berry) and Maca (Lepidium meyenii)
  • utilizing natural therapies like fertility massage and acupuncture

Herbs, nutritional supplements and natural therapies are best able to support the body when stress is managed and a healthy weight is being maintained through a healthy, whole food diet and moderate daily exercise. If you’d like help in creating a well-rounded, holistic, fertility health program made specifically for you, consider a Fertility Consultation.

3. Q: I am 35 years old and my doctor wants to run an AMH test to see what my ovarian reserve is. Is this necessary at my age?

A: It may be helpful to know your AMH levels if you have been trying to conceive for a year without success and suspect infertility, anovulation, you are dealing with a fertility health issue that could impact ovarian health or function (like ovarian cysts or PCOS), or have had recurrent miscarriages.

Each woman has a dormant pool of eggs (follicles) in her ovaries, from which one is chosen to mature each menstrual cycle in preparation for ovulation. These eggs are surrounded by cells that produce the AMH hormone. AMH testing is, as you know, used to determine ovarian reserve, or remaining egg supply. A higher AMH level indicates a larger egg supply and hence good ovarian reserve and poor ovarian reserve means there is a smaller egg supply.

“The most important modifying factor of ovarian reserve is age. Decreased ovarian reserve in a younger patient (<35 years of age) is not necessarily the same as decreased ovarian reserve in an older patient. A younger woman may have decreased ovarian reserve and though the number of eggs present may be decreased, because of her age, the egg quality may still be high. Age in combination with an assessment of ovarian reserve and the other elements of your fertility evaluation will determine your treatment path." – Shady Grove Fertility

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[-] 14 Comments
  1. Greetings from Malaysia. I am 26 y/o and have a below AMH Levels 5.99 and narrowing & beaded Fallopian tube on my right side. Before i got married, I already faced with irregular period cycle since high school. I’ve been taking clomids for 6 times and no good news. Is it possible for me to get pregnant naturally and is there anything I can do to get my AMH level back to normal?

    • Hello Ija!

      I am sorry you are faced with these challenges! It is going to be most helpful to understand why this is happening for you. Has your doctor mentioned why he/she thinks your AMH levels are where they are? Often AMH levels above 3.0 ng/ml are considered high and linked to PCOS which is polycystic ovarian syndrome. There are other markers of PCOS that can be tested for. If the reason was PCOS, it is very important to address diet and lifestyle first and then consider natural therapies. Clomid alone will not address the underlying hormonal imbalance.

      Environmental toxins, poor food choices, lack of circulation, free-radicals, stress, hormonal balance, illness, injury, genetic factors, autoimmune disorders, etc. all impact hormonal balance and fertility health. So, while you learn why this is happening, a great place to start can be the tips in our guide Top 10 Natural Fertility Boosters.

      Regarding naturally supporting fallopian tube health, this may take special care. What is causing to the “beaded”? We share more in our fallopian tube health guide here…

      I hope this is all a helpful place to start!

  2. my amh is 0.14 . age 28 is it low. 1 years what about chances of pregnancy. plz tell me.

  3. Hello Dr. I m 34 year.my AMH leval is 1.59 ng/ml. So Dr.through Ivf is it possible i m pregant is my on egg.so plz explain what about chance of pregnancy.my histroscopy is good.

    • Hello Manju!

      First I must share that I am not a doctor and we do not have a doctor on staff.

      Most doctors feel that an AMH is considered normal if over 1.0 ng/ml, but under 3.0 ng/ml. Were you told that your reading is low?

      I can not know success rates for IVF for you. What I do know is that there are very attainable ways to naturally prepare for IVF should you choose that route. We share more in our guide How to Increase Your IVF Success Rate Naturally.

      I hope this is helpful!

  4. my amh is 1.44 . age 30 is it normal. what about chances of pregnancy. plz tell me.

    • Dear Revathi,

      In general doctors feel a normal AMH level is over 1.0 ng/ml, but not higher than 3.0 ng/ml. It would be good to talk to your doctor about what your test result means for you.

      I can not know or quantify chances of conception for anyone, even if not battling infertility. Whith an AMH level in the normal range, if you are is good health and not battling any chronic health or fertility issues, one would hope changes are good! I hope so for you!

  5. Hi, my age is 30 and my AMH level is 1.67. we have tried IUI process 3 times but it got failed. Also we have tried IVF with my own eggs but even the IVF got failed. Now our doctor has suggested that we need to get donar’s eggs for the preganancy. Kindly advice if there are no chance of pregnance with my own eggs. Please let me know as I have struggled a lot for having my own baby since last 2 years.

    • Dear Mayuri,

      I am sorry to hear of this challenge!

      We want you to have hope! I wish I could know if you will be able to conceive on your own, or offer odds. There is no way of offering a guarantee or of me knowing though. What I do know is that we have had clients commit to dietary and lifestyle changes and succeed at achieving their dreams of becoming a mother (both naturally and through medical fertility treatments.

      So, consider the information we offer in our guide AMH, Ovarian Reserve, & Continued Follicle Production and perhaps also working one on one with a fertility herbalist through a Fertility Consultation. To learn more or book a Fertility Consultation, click on this link: http://www.naturalfertilityshop.com/product-p/fc2.htm. It will be helpful to learn about your overall and fertility health to approach creating an entire natural fertility program for you from a holistic perspective. A Fertility Consultation allows for this.

      My best!

  6. me and my husband have been trying to have a baby for over a year i am 25 with two children already and he has two. i went for a check up and everything was normal besides my amh which was 1.2 will i still be able to get pregnant.

    • Dear Kacee,

      Thank you for reaching out for support. I have some questions.
      – Were you told that this AMH is low or high? We know that a normal AMH is generally over 1.0 ng/ml, but not more than 3.0 ng/ml.
      – Do you know when you ovulate each cycle and are you actively trying to conceive around and on that cycle day?
      – What did the check-up entail?

      Learning a bit more may help me better guide you. If you’d rather share these details in private, please contact me directly here…

  7. Hi im 29years old and my AMH level 1.0, LH level is 0.54 and FSH is 0.62 is there a chance for me to concieve naturally also is there any way to increase or improve these results?