Overview
What matters most is your age, your AMH and antral follicle count together, and how long you have been trying. With the right plan, many women with low AMH have children.
What a low AMH means
- Fewer eggs remain, so there may be less time to conceive
- Fewer eggs are likely to be collected in an IVF cycle
- The quality of each egg depends mainly on age, not on AMH
What we check
- An ultrasound antral follicle count, which is read together with AMH
- Hormone tests early in the cycle
- Your partner's semen analysis and the health of your tubes and uterus
Treatment options
- Not waiting too long
With a low reserve, it is sensible to start tests and treatment sooner rather than later. - IVF with a protocol suited to a low reserve
Stimulation is tailored to the number of follicles; sometimes embryos from more than one cycle are frozen and transferred later. - Egg freezing
For younger women with low AMH who are not ready to conceive. - Donor eggs
Discussed sensitively when your own eggs are unlikely to give a good chance.
Supplements and add-on treatments are often promoted for low AMH, but the evidence for most of them is limited. Your doctor will explain what is and is not proven.
Questions about low AMH
Can I get pregnant naturally with low AMH?
Yes. If you ovulate, your tubes are open and your partner's semen is normal, natural pregnancy is possible. Low AMH means there may be less time, so do not wait too long before seeking advice.
What is a normal AMH level?
AMH falls naturally with age, so a normal level depends on how old you are. Your doctor interprets it together with your age and ultrasound.
Can AMH be increased?
No treatment reliably increases AMH. The aim is to use your remaining reserve well, with timely treatment.
Is IVF successful with low AMH?
It can be. Fewer eggs are usually collected, but younger women with low AMH often have good-quality eggs. Your doctor will discuss your chances based on age and test results.
