Anti - Mullerian Hormone Test


Going through infertility treatment? Anti- Mullerian Hormone test gives basic answers to a few important questions.

Anti-Mullerian Hormone is basically a protein hormone developed by granulosa cells of growing follicles in the ovaries and testicles. It is also known as MIS or Mullerian inhibiting factor or Mullerian inhibiting substance. The Anti-Mullerian Hormone levels depend on the age and gender factor. The hormone determines the quantity and situation of ovarian reserve and can also be used as a PCOS marker. AMH levels are lower or average in the older women (particularly over the age of 40) and high in women with Polycystic Ovaries (PCO) or Polycystic Ovary Syndrome (PCOS).

In a woman, the Anti-Mullerian Hormone levels increase till adulthood and decrease with the increasing age i.e. 35 years until it becomes undetectable which is before menopause when the follicles start to get exhausted. Hence, the AMH test is gynecology approved and is the best test for ovarian reserve.

Getting the Anti-Mullerian Hormone test makes a couple understand their ability to produce eggs. It is a test to check the ovarian reserve offering an insight into the remaining quantity of eggs and the remaining years for fertility rather than the quality of eggs. In fact, it is another part of ovarian reserve testing which denotes the status of the female ovarian reserve since their birth. These AMH hormone test provides great predictions for early menopause, amenorrhea, and ovarian cancer. These tests are carried out in a laboratory test

Several of the fertility centers don’t use age-specific hormone levels for ovarian reserve testing, for as the woman age FSH and AMH level changes, so using a universal method to determine the low ovarian reserve may exclude the premature stages of ovarian aging. So AMH and FSH test are recommended for a more precise status of the ovarian reserve test.

So, planning to take the test? The AMH test price including PCO or PCOS or FSH or only AMH test differs.

Anti-Mullerian Hormone Infertility Assessment

Anti-Mullerian Hormone (AMH) test for female is a part of fertility assessment along with:

  • Semen analysis to check the quality and quantity of sperm in the male partner.
  • Blood testing to examine every reproductive hormone: estradiol, FSH, and luteinizing hormone (LH).
  • Check the blockages of fallopian tubes via Hysterosalpingogram (HSG).
  • Determine the Antral Follicle Count (AFC) through ovaries ultrasound.

The AMH Hormone test cost may differ from person to person, as the AMH fertility expert may suggest for a semen analysis or ovarian test reserve for more accuracy.

Preparation for AMH test

Ready for the AMH test? Few necessary preventions are to be taken before appearing for the AMH test. The fertility experts shall make a note of the bars, that needs to be followed:

  • Avoid intakes of marijuana, cocaine, drugs, excessive alcohol before a week.
  • Prevent intakes of herbal supplements.
  • Avoid any hormonal treatments during or before the AMH test.
  • Prevent the consumption of birth control three months earlier.

Factors influencing AMH levels

  • Age

    As we get older AMH level declines. The AMH level does have a link between age and fertility, as it starts to decline after 35 years of age. There are cases where women face the situation of high AMH and need to undergo high AMH levels treatment.
  • Deficiency in vitamin

    Deficiency in vitamin D has a connection with the Mullerian hormone test and fertility issue.
  • Excessive stress

    Stress has a negative influence on AMH. Women living under mental pressure often find it difficult to conceive, which urge them to take high AMH treatment.
  • Ovarian surgery

    Women who have endured ovarian surgery due to endometriosis or ovarian torsion, ovarian cyst, ectopic pregnancy faces a low AMH fertility.
  • Hormonal disorder

    Any medical or hormonal disorder related to the reproductive system affects the AMH hormone level.

Who can take the Anti-Mullerian Hormone Test?

  • Women facing difficulty in getting pregnant.
  • Women seeking IVF treatment.
  • Women suffering from polycystic ovary syndrome.
  • Female who has gained excessive weight, acne, menstrual disorders, and decreased breast size.
  • Find out the reasons for early menopause.
  • To examine the treatment of Ovarian cancer.
  • Check the infant’s genitals which cannot be clearly figured out as male or female.

Results of high AMH level and pregnancy, and low AMH level and IVF

AMH does not change during the menstrual cycle, so blood for AMH test can be taken any day of the month even by a woman under contraceptive pills. AMH blood test is needed which is withdrawn from arm veins. No high-level test preparation is needed for the AMH test.


AMH Blood Level

Very Low

Less than 0.3 ng/ml


0.3 – 0.6 ng/ml

Low normal range

0.7-0.9 ng/ml


Over 1.0 ng/ml

High (indicated as PCOS)

Over 3.0 ng/ml

Few inconsistencies requires to be considered when interpreting the AMH test level. There are situations where females encounter low or high AMH, for which the doctor recommends AMH high level treatment depending on the AMH test results.

  • AMH level between 0 and 0.6 ng/ml indicates a low ovarian reserve, with no or low chances of conceiving. This also indicates an early chance of menopause. In the situation of low AMH and IVF, well-managed IVF protocols are stated by the experts. Low AMH levels treatment involves DHEA supplementation which has proven to be effective for low AMH hormone treatment in females. Dehydroepiandrosterone (DHEA) showed significant improvement in the AMH level and indicated a positive pregnancy with IVF. While low AMH and IUI need a delicate balance for effective pregnancy without adjustment in health factors.
  • AMH level between 3.0 and 0.7 ng/ml indicates normal AMH levels. In this the ovarian reserve has a greater quantity of eggs with a high chance of pregnancy. The result obtained is positive there might be other reason that might have caused infertility. Further health examination is needed to improve health condition including change in nutrition, exercise and day to day activities.
  • AMH level over 3.0 ng/ml indicates high AMH levels and pregnancy positivity with the presence of several small follicles. While the abnormally high AMH level may indicate the risk of Ovarian Hyperstimulation Syndrome (OHSS), if planning for assisted reproductive treatment. There is no fertility treatment for high AMH levels and no definite cure for AMH test PCOS but a change in lifestyle, medications, adopting a healthy lifestyle the symptoms can be managed. To know the price of AMH test and PCOS contact Vatsalya. 

Building the overall picture of fertility health, the AMH level is important for fertility treatment. Women with PCOS respond well to IVF treatment, but there can be at risk of over-responding to the medication designed to stimulate the ovaries which can put them at risk. Therefore, one needs to ascertain their high AHM level and PCOS treatment to identify their hormone level for the women suffering from serious conditions such as high blood pressure, diabetes invites increased risk.

Wandering about the Anti- Mullerian Hormone test price in Nepal, you can contact us or send us a quick mail at [email protected]

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