What does the AMH test show?

A woman’s egg reserve is estab­lished before birth and decreas­es over the course of life. No new eggs are formed. Anti-Mül­ler­ian hor­mone (AMH) can be used to esti­mate how large the remain­ing ovar­i­an reserve is.

AMH is pro­duced by small, grow­ing fol­li­cles in the ovaries. In gen­er­al: the low­er the AMH lev­el, the small­er the egg reserve is usu­al­ly. How­ev­er, the AMH lev­el does not indi­cate the qual­i­ty of the eggs or how like­ly a spon­ta­neous preg­nan­cy is in a giv­en cycle. For a mean­ing­ful assess­ment, the val­ue is there­fore always inter­pret­ed togeth­er with age and—depending on the question—additional find­ings.

Anti-Mül­ler­ian hor­mone (AMH) can be mea­sured with a sim­ple blood draw.

Who an AMH test is suit­able for

Logo Ikon Women try­ing to con­ceive

If you are cur­rent­ly try­ing to con­ceive or plan­ning to do so, the AMH lev­el can help assess your egg reserve. Togeth­er with age, ultra­sound find­ings, and fur­ther tests, it is an impor­tant com­po­nent of fer­til­i­ty diag­nos­tics.

Logo Ikon DELAYED FAMILY PLANNING

If you are not cur­rent­ly try­ing to con­ceive or are post­pon­ing fam­i­ly plan­ning to a lat­er time, mea­sur­ing AMH can be use­ful. Espe­cial­ly from around age 30, the test can help assess whether the egg reserve is appro­pri­ate for your age or already reduced. How­ev­er, the AMH lev­el does not show egg qual­i­ty and can­not pre­dict how long preg­nan­cy will still be pos­si­ble.

Logo Ikon ASSESSING OVARIAN RESERVE

Even with­out a cur­rent desire to have chil­dren, the AMH lev­el can pro­vide indi­ca­tions as to whether the egg reserve is appro­pri­ate for your age or already reduced. It does not mea­sure egg qual­i­ty and does not allow a direct state­ment about how like­ly a spon­ta­neous preg­nan­cy is.

Logo Ikon SOCIAL FREEZING

Before social freez­ing, the AMH lev­el helps assess ovar­i­an reserve and the expect­ed response to hor­mon­al stim­u­la­tion. Togeth­er with age and the num­ber of fol­li­cles vis­i­ble on ultra­sound, it is pos­si­ble to esti­mate how many eggs can like­ly be retrieved with stim­u­la­tion and whether mul­ti­ple treat­ment cycles may be nec­es­sary to freeze the indi­vid­u­al­ly desired num­ber of eggs.

Logo Ikon BEFORE IVF OR ICSI TREATMENT

Before IVF or ICSI, the AMH lev­el is one of the impor­tant para­me­ters for treat­ment plan­ning. It helps esti­mate how the ovaries are like­ly to respond to hor­mon­al stim­u­la­tion and sup­ports the indi­vid­ual choice of stim­u­la­tion dose.

Logo Ikon CYCLE DISORDERS & SUSPECTED PCOS

In the case of irreg­u­lar or absent cycles, mea­sur­ing AMH can pro­vide addi­tion­al clues as to the cause. A marked­ly ele­vat­ed AMH lev­el may indi­cate PCOS. For diag­no­sis, the val­ue is assessed togeth­er with the cycle pat­tern, ultra­sound find­ings, and oth­er hor­mone lev­els.

Logo Ikon ENDOMETRIOSIS & OVARIAN SURGERY

In cas­es of endometrio­sis—espe­cial­ly endometriomas—as well as before or after surgery on the ovaries, mea­sur­ing AMH can be use­ful. It helps assess whether ovar­i­an reserve is reduced and may be rel­e­vant for fur­ther fer­til­i­ty or fam­i­ly plan­ning.

Logo Ikon EARLY MENOPAUSE IN THE FAMILY

If your moth­er or close female rel­a­tives entered menopause unusu­al­ly ear­ly, an ear­ly assess­ment of your own egg reserve may be use­ful. An AMH test can pro­vide indi­ca­tions of reduced ovar­i­an reserve, but it can­not reli­ably pre­dict the indi­vid­ual tim­ing of menopause.

Logo Ikon BEFORE OR AFTER FERTILITY-THREATENING TREATMENTS

Chemother­a­py and radio­ther­a­py, as well as cer­tain surg­eries, can impair ovar­i­an func­tion and egg reserve. Before such treat­ment, the AMH lev­el can be part of assess­ing cur­rent ovar­i­an reserve and coun­selling on fer­til­i­ty preser­va­tion. After treat­ment, it can also be used for reassess­ment of ovar­i­an reserve.

Patient in the waiting room of the fertility center Blood draw for hormone and fertility diagnostics at the private practice in Munich.

Med­ical inter­pre­ta­tion of the AMH test

Gold stan­dard

The AMH test is one of the most impor­tant mark­ers for assess­ing egg reserve and a key com­po­nent of fer­til­i­ty diag­nos­tics. How­ev­er, on its own it does not answer all ques­tions. The AMH lev­el is most infor­ma­tive when con­sid­ered togeth­er with age, ultra­sound find­ings, and your indi­vid­ual life sit­u­a­tion. Only this med­ical inter­pre­ta­tion enables well-found­ed coun­selling and sup­ports deci­sions about the next steps.

Addi­tion­al tests & options

Hor­mone analy­ses

Addi­tion­al hor­mone lev­els can com­ple­ment the AMH test and pro­vide infor­ma­tion about cycle reg­u­la­tion, fol­li­cle mat­u­ra­tion, and ovu­la­tion. This allows a more com­pre­hen­sive assess­ment of the hor­mon­al sit­u­a­tion.

Make an appoint­ment More about hor­mone analy­sis
Ultra­sound of the ovaries

Ultra­sound can be used to assess the ovaries and the num­ber of small antral fol­li­cles (AFC). Togeth­er with the AMH lev­el, this enables a more pre­cise assess­ment of ovar­i­an reserve.

Make an appoint­ment
Cycle Mon­i­tor­ing

Ultra­sound and hor­mone mea­sure­ments can be used to exam­ine how fol­li­cles mature, how the uter­ine lin­ing devel­ops, and whether ovu­la­tion occurs. This is par­tic­u­lar­ly use­ful if, in addi­tion to egg reserve, the func­tion of the cycle is also to be assessed.

Make an appoint­ment More about cycle mon­i­tor­ing
Social Freez­ing (Freez­ing Eggs)

If fam­i­ly plan­ning is to be post­poned to a lat­er time, the AMH lev­el can pro­vide an impor­tant basis for coun­selling on social freez­ing. Togeth­er with age and ultra­sound find­ings, it is pos­si­ble to esti­mate how the ovaries are like­ly to respond to stim­u­la­tion and how many eggs could be retrieved.

Make an appoint­ment More about social freez­ing

AMH test pro­ce­dure

From the blood draw to the eval­u­a­tion of results, the AMH test is straight­for­ward and trans­par­ent. You can have the blood draw per­formed direct­ly at our fer­til­i­ty cen­ter. After lab­o­ra­to­ry analy­sis, your AMH lev­el is inter­pret­ed by a spe­cial­ist, tak­ing into account your age and indi­vid­ual sit­u­a­tion.

  1. Appoint­ment sched­ul­ing

    For the AMH test, you can sched­ule a short appoint­ment at our fer­til­i­ty cen­ter. Spe­cial prepa­ra­tion or a spe­cif­ic cycle day is usu­al­ly not required.

    Make an appoint­ment

  2. Blood sam­pling

    At your appoint­ment, the blood sam­ple is tak­en direct­ly on site and takes only a few min­utes.

  3. Analy­sis in the hor­mone lab­o­ra­to­ry

    The blood sam­ple is analysed in our in-house hor­mone lab­o­ra­to­ry. This is fol­lowed by spe­cial­ist med­ical inter­pre­ta­tion of the AMH lev­el, tak­ing into account your age and indi­vid­ual sit­u­a­tion.

  4. Results report

    You will receive the test result prompt­ly by email in dig­i­tal, encrypt­ed form. If desired, a per­son­al con­sul­ta­tion appoint­ment can then be arranged to inter­pret the results.

Union

Anti-Mül­ler­ian hor­mone too low – what could be the rea­son?

A low AMH lev­el usu­al­ly indi­cates reduced ovar­i­an reserve. The most com­mon cause is increas­ing age, but egg reserve can also be affect­ed by genet­ic fac­tors, med­ical con­di­tions, med­ical treat­ments, and cer­tain exter­nal influ­ences.

AGE

Egg reserve decreas­es con­tin­u­ous­ly even before birth. Of around 1–2 mil­lion eggs at birth, approx­i­mate­ly 300,000–500,000 remain at the start of puber­ty. With increas­ing age, the num­ber con­tin­ues to decline. This nat­ur­al loss occurs main­ly through fol­li­cle loss (atre­sia) and not through month­ly ovu­la­tion. Over the course of repro­duc­tive life, there are only about 400–500 ovu­la­tions. At the same time, with increas­ing age, not only the num­ber but also the qual­i­ty of the eggs decreas­es.

Genet­ic and famil­ial fac­tors

Genet­ic fac­tors influ­ence both egg reserve and the age at which ovar­i­an func­tion declines. A fam­i­ly his­to­ry of pre­ma­ture ovar­i­an insuf­fi­cien­cy or very ear­ly menopause—especially in your moth­er or sister—may indi­cate an increased per­son­al risk.

Cer­tain genet­ic changes can also be asso­ci­at­ed with reduced egg reserve and pre­ma­ture ovar­i­an insuf­fi­cien­cy. These include, for exam­ple, the frag­ile X pre­mu­ta­tion and Turn­er syn­drome. In addi­tion, numer­ous oth­er genes are now known that may be involved in pre­ma­ture impair­ment of ovar­i­an func­tion. Whether fur­ther genet­ic diag­nos­tics are use­ful depends, among oth­er things, on age, the extent of reduced egg reserve, and per­son­al and fam­i­ly his­to­ry.

Ovar­i­an surgery

Surgery on the ovary can reduce ovar­i­an reserve. This applies in par­tic­u­lar to the removal of ovar­i­an cysts or parts of an ovary. How strong­ly egg reserve is affect­ed depends, among oth­er things, on the type and extent of the pro­ce­dure and the ini­tial sit­u­a­tion.

Chemother­a­py and radio­ther­a­py

Cer­tain chemother­a­pies and radi­a­tion in the area of the ovaries can dam­age fol­li­cles and sig­nif­i­cant­ly reduce ovar­i­an reserve. Before a poten­tial­ly fer­til­i­ty-threat­en­ing treat­ment, options for fer­til­i­ty preser­va­tion should there­fore be dis­cussed as ear­ly as pos­si­ble.

Endometrio­sis

Endometriosis—especially endometri­omas on the ovaries—can be asso­ci­at­ed with reduced ovar­i­an reserve. In addi­tion, surgery for endometri­omas can fur­ther affect egg reserve. If you are try­ing to con­ceive or post­pon­ing fam­i­ly plan­ning, an ear­ly assess­ment of ovar­i­an reserve may there­fore be use­ful.

Autoim­mune and oth­er con­di­tions

Cer­tain sys­temic and autoim­mune dis­eases can also be asso­ci­at­ed with reduced ovar­i­an func­tion. Par­tic­u­lar­ly rel­e­vant are, for exam­ple, dis­eases of the thy­roid or adren­al glands; asso­ci­a­tions have also been described for con­di­tions such as dia­betes, rheuma­toid arthri­tis, Crohn’s dis­ease, or lupus. How­ev­er, the sci­en­tif­ic evi­dence varies depend­ing on the con­di­tion, so a low AMH lev­el should always be assessed in the indi­vid­ual med­ical con­text.

Smok­ing

Smok­ing is one of the bet­ter-doc­u­ment­ed mod­i­fi­able fac­tors. Stud­ies show an asso­ci­a­tion with ear­li­er menopause and impair­ment of female fer­til­i­ty and ovar­i­an func­tion. Sig­nif­i­cant expo­sure to sec­ond-hand smoke can also be unfavourable.

Envi­ron­men­tal fac­tors and endocrine dis­rup­tors

Cer­tain envi­ron­men­tal chem­i­cals such as bisphe­nol A (BPA), phtha­lates, and per- and poly­flu­o­roalkyl sub­stances (PFAS) are being stud­ied for pos­si­ble effects on ovar­i­an func­tion. There are indi­ca­tions of such asso­ci­a­tions, but the evi­dence is not yet con­clu­sive for all sub­stances.

Can AMH lev­els be improved?

A low AMH lev­el can­not be specif­i­cal­ly increased, and an already reduced egg reserve can­not be replen­ished. How­ev­er, the mea­sured AMH lev­el can fluc­tu­ate and may be high­er or low­er on repeat test­ing. This does not mean that new eggs have formed or that the actu­al egg reserve has increased or decreased accord­ing­ly. The key is there­fore not to “improve” the AMH lev­el itself, but to inter­pret it cor­rect­ly.

  • AMH lev­els can fluc­tu­ate

    AMH is not a com­plete­ly con­stant lab­o­ra­to­ry val­ue. Bio­log­i­cal fluc­tu­a­tions, hor­mon­al influ­ences, and dif­fer­ences between mea­sure­ment meth­ods can lead to dif­fer­ing results on repeat test­ing. Espe­cial­ly in the case of unex­pect­ed results or val­ues that are unusu­al for age, a fol­low-up mea­sure­ment may there­fore be use­ful.

  • Reduce mod­i­fi­able risk fac­tors

    Even if this does not increase the exist­ing egg reserve, it is sen­si­ble to reduce mod­i­fi­able risk fac­tors for ovar­i­an func­tion and fer­til­i­ty as much as pos­si­ble. This includes, in par­tic­u­lar, not smok­ing and main­tain­ing an over­all healthy lifestyle.

  • Use dietary sup­ple­ments selec­tive­ly

    Dietary sup­ple­ments can­not restore reduced egg reserve. If a nutri­ent defi­cien­cy has been con­firmed, tar­get­ed sup­ple­men­ta­tion may still be use­ful. Whether and which prepa­ra­tions are rec­om­mend­ed in an indi­vid­ual case should be assessed by a physi­cian.

Modern treatment room at the fertility center
Close-up of a flower vase in the bright practice atmosphere at the fertility center in Munich for a relaxed consultation.

Why have the AMH test done with us in Munich?

Arrange a con­sul­ta­tion appoint­ment

  • In-house hor­mone lab­o­ra­to­ry

    Your AMH lev­el is mea­sured direct­ly in our own hor­mone lab­o­ra­to­ry. This allows us to com­bine lab­o­ra­to­ry analy­sis imme­di­ate­ly with the repro­duc­tive med­i­cine exper­tise of our fer­til­i­ty cen­ter.

  • Spe­cial­ist med­ical inter­pre­ta­tion

    An AMH lev­el alone does not say much. Our repro­duc­tive med­i­cine spe­cial­ists assess the result par­tic­u­lar­ly in rela­tion to your age and indi­vid­ual sit­u­a­tion and can rec­om­mend fur­ther exam­i­na­tions if need­ed.

  • Flex­i­ble: on site or from home

    You can have the blood draw per­formed direct­ly at our fer­til­i­ty cen­ter in Munich, or order the AMH test con­ve­nient­ly for home and send your blood sam­ple to us for analy­sis.

  • Cen­tral­ly Locat­ed in Munich

    Our pri­vate cen­ter Die Kinder­wun­schärztin is cen­tral­ly locat­ed between Marien­platz and Stachus and is very easy to reach by pub­lic trans­port.

 
  
 
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What Our Patients Say

 
 
 
 
 
 
 
 
 
 
 
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 Sandra B 
 
105 days ago
 
 
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Had a very good experience, I felt very well taken care of, everyone very professional, standardized routines, can definitely recommend
  
 
 
 
 
 
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 Lauren W 
 
141 days ago
 
 
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We flew from overseas to work with Dr Mann and her team. Everyone was so kind, empathetic and extremely helpful. Everyone spoke English and made us feel very welcome. We could not have asked for better care than what we received from Dr Mann and her team. Bonus, the offices are beautiful.
  
 
 
 
 
 
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 Andrea C 
 
185 days ago
 
 
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After visiting two other fertility clinics (one of which I left in tears), I had almost lost hope of finding a place where I would truly feel heard. Then I met Dr. Sarah Comploj, and everything changed.

From the very first consultation, I felt genuinely listened to and treated as an individual. Unlike my previous experiences, where I was quickly told I needed IVF without anyone really taking the time to understand my situation or carefully review my test results, here I felt that my case truly mattered. Every step was explained thoughtfully, and my concerns were taken seriously.

What stood out the most was that I never felt like just another patient or that the focus was on money. Instead, I felt that the entire team was committed to helping me achieve my dream in the most appropriate and personal way possible.

Today, I am holding my one-month-old baby in my arms, and I will forever be grateful for the care, compassion, and expertise I received here. I can only highly recommend this clinic and Dr. Comploj 🩷
  
 
 
 
 
 
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 Viktoria O 
 
323 days ago
 
 
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Every appointment I’ve had over the last few months has been consistently informative, professional, and conducted in a personal manner. The treatment plan was explained in detail and any concerns or questions always answered. She also speaks perfect English if required. I’m impressed with how well organised the clinic is and how quickly results are processed, and last-minute appointments made available. For anyone who is going through the struggle of infertility it’s a difficult and vulnerable time, but I always felt so reassured and in good hands with Dr Mann.
  
 
 
 
 
 
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 Local R 
 
331 days ago
 
 
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A heartfelt thank you to Dr. Gerber for the exceptional support and warmth during a very sensitive journey. I always felt respected and in good hands. Truly grateful.
  
 
 
 
 
 
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 V D 
 
452 days ago
 
 
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I'm very grateful for my experience, the staff from reception to the doctors were very kind. You can feel  accompanied during the treatment. Also, overall I had a successful treatment, especially considering my age, it's a costly treatment but it's worth it. So I'm very happy for the result, my doctor was Sara Comploj.
  
 
 
 
 
 
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 Marina 
 
489 days ago
 
 
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I had a wonderful experience with the Kinderwunsch practice, and especially with dr. Corina Mann. From the very beginning, dr Mann was attentive, knowledgeable, and truly invested in helping me achieve the best possible outcome. She took the time to understand my goals and tailored my treatment plan to make sure I had the best chance of success.

Thanks to her care and expertise, I was able to maximise my results and reach my goals. I always felt supported, informed, and in the best hands. Dr Mann always answered my countless questions with a smile :) I’m incredibly grateful for her dedication and would wholeheartedly recommend her to anyone starting their fertility journey.
  
 
 
 
 
 
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 Carmencita 
 
491 days ago
 
 
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I just want to say a big thank you to the whole team of Dr. Mann and Dr. Albrecht. I felt really taking care off  in this Praxis and really can recommend everyone to go to this clinic, as here you can get at least the most possible personalization and time dedicated to you! Thanks again for your support!
  
 
 
 
 
 
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 Maria K 
 
587 days ago
 
 
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Since my doctor was busy and couldn't do the procedure herself, I had an appointment with Sarah to have my fallopian tubes checked. I was very nervous before the procedure, but it turned out to be for nothing! Sarah described and explained every step of the procedure and was extremely friendly.
  
 
 
 
 
 
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 Jay B 
 
1149 days ago
 
 
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Our multiple years-long Kinderwunsch journey was spent under the care of Dr. Mann and her Kinderwunsch practice team. Dr. Mann is not only a highly competent expert in her field, she's also empathetic and kind. She treated each appointment with a sense of being genuinely invested — listening to concerns or questions, planning for my unique treatment needs, and explaining processes or procedures without rushing (because she knows it's likely your first time going through something ... even though it might be her 40000th time). Her practice is busy and it's because she's the best. The practice team is cheerful and helpful. The waiting area is comfortable with pleasant music, flowers, and they even laid out gingerbread during Christmas time. They have a lab on-site so results are often same-day. I particularly found the technology they use to share results via email quickly so helpful. And I always felt at ease speaking in my native language and not pressured to try to keep up with unfamiliar German terminology. I'm forever grateful to have found Dr. Mann. We plan to visit soon with our new plus-one :)

- RB & JB
  
 
 
 
 
 
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 Aparna P 
 
1649 days ago
 
 
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Dr.Albrecht is really good and friendly. She is best at her own way. But reception staff is very very very worst and disappointing. They themselves book an appointment and say it’s not booked. Luckily in Doctorlib my appointment was visible. Staff is very very rude. And they respond very rudely. I can give 0 rating for Staff at reception.
  
 
 
 
 
 
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 Cindy L 
 
1670 days ago
 
 
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We had an absolutely wonderful experience with Dr. Mann. Her positive energy and competence was so reassuring and much appreciated during the potentially stressful time of trying to have a baby. I really loved how we could communicate in either English or German over complicated and sensitive reproductive matters. She took the time to answer all of our questions and offered us a wealth of information regarding the treatments. And her staff brought the same good vibes and Expertise to the practice. Some of the best and painless blood draws I’ve ever had, and they were always very responsive through emails as well as telephone communication. Online appointment system was also great. Video consults super convenient. The setting of the practice itself is an oasis of peace and calmness. As soon as I stepped through the doors I felt relaxed with the music, green plant wall, and well designed and decorated space. Technology and quality of equipment is very good. Yes, sometimes the waiting time had been 30+ minutes, but because the patient care is so excellent, I’ll be back for future treatments as needed, and would highly recommend this practice and team to anyone.
  
 
 
 
 
 
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 Raluca O 
 
1854 days ago
 
 
 Trustindex verifies that the original source of the review is Google. 
I have only the best words to describe my experience at the clinic. I personally worked with Dr. Albrecht and she was amazing. Every appointment was done on time, informative and clear on what the next steps are. She offered details and support with my every question. Where I wasn’t sure of my German we swapped to English to make sure I understood everything.

The clinic is run in a very efficient way, organized, planned and as a process oriented person I loved it!
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How much does an AMH test cost?

To the cost overview
AMH Basic Check — approx. €87

The blood draw is per­formed direct­ly at our fer­til­i­ty cen­ter. The AMH Basic Check is used to assess your egg reserve and is suit­able both if you are try­ing to con­ceive and for pre­ven­tive assess­ment if you would like to post­pone fam­i­ly plan­ning to a lat­er time. You will then receive your result secure­ly and dig­i­tal­ly.

Book a con­sul­ta­tion
Notes on Billing

No fixed or flat-rate prices: We bill on the basis of the offi­cial scale of fees for doc­tors (GOÄ). Accord­ing to the GOÄ, we are not allowed to quote fixed or flat-rate prices for med­ical ser­vices. The prices men­tioned are intend­ed to pro­vide ori­en­ta­tion and are typ­i­cal for the treat­ments men­tioned.

Pos­si­ble VAT lia­bil­i­ty: Med­ical ser­vices may be sub­ject to VAT (cur­rent­ly 19%). This applies if, after diag­nos­tics have been car­ried out, no med­ical indi­ca­tion or con­firmed diag­no­sis is present and it is there­fore not a med­ical treat­ment in the strict sense. This can be the case in par­tic­u­lar with social freez­ing treat­ments, but also with the treat­ment of sin­gle moms and same-sex cou­ples.

Note on Cost Cov­er­age

We would be hap­py to pro­vide you with detailed cost infor­ma­tion for the planned treat­ment in advance. This allows you to clar­i­fy cost cov­er­age with your pri­vate health insur­ance (PKV) as best as pos­si­ble before­hand. Statu­to­ry health insur­ance (GKV) does not cov­er costs at our cen­ter.

Fre­quent­ly asked ques­tions about the AMH test

What is an AMH test?

The AMH test mea­sures anti-Mül­ler­ian hor­mone in the blood. The val­ue serves as a mark­er of ovar­i­an reserve and helps esti­mate how many fol­li­cles are still present in the ovaries. How­ev­er, it mea­sures nei­ther egg qual­i­ty nor direct­ly the like­li­hood of becom­ing preg­nant spon­ta­neous­ly.

When is it use­ful to have AMH mea­sured?

Mea­sur­ing AMH can be use­ful if you are cur­rent­ly try­ing to con­ceive or plan­ning to do so, before social freez­ing, when post­pon­ing fam­i­ly plan­ning, before IVF or ICSI treat­ment, or for cer­tain gynae­co­log­i­cal ques­tions. In par­tic­u­lar, the val­ue helps assess whether egg reserve is appro­pri­ate for your age.

On which cycle day can AMH be mea­sured?

In prin­ci­ple, AMH can be mea­sured on any cycle day. A blood draw at a spe­cif­ic time in the cycle is usu­al­ly not nec­es­sary.

What does a high AMH lev­el mean?

A high AMH lev­el may indi­cate a high ovar­i­an reserve. How­ev­er, marked­ly ele­vat­ed val­ues can also occur with PCOS. We there­fore always assess whether a high AMH lev­el is med­ical­ly rel­e­vant togeth­er with age, cycle pat­tern, ultra­sound find­ings, and oth­er hor­mone lev­els.

How quick­ly does AMH decline?

Over the course of life, AMH tends to decrease as egg reserve declines. How­ev­er, this pat­tern varies great­ly between indi­vid­u­als and is not uni­form. Indi­vid­ual mea­sure­ments can also fluc­tu­ate. A sin­gle AMH val­ue there­fore can­not reli­ably pre­dict how quick­ly egg reserve will con­tin­ue to decline or when menopause will occur.

Can you get preg­nant despite low AMH?

Yes. Even with a low AMH lev­el, a spon­ta­neous preg­nan­cy is very pos­si­ble. AMH pri­mar­i­ly describes egg reserve, but says lit­tle about how like­ly a woman is to become preg­nant nat­u­ral­ly at the present time. At a com­pa­ra­ble age and with oth­er­wise sim­i­lar con­di­tions, women with low AMH can have sim­i­lar chances of spon­ta­neous preg­nan­cy as women with nor­mal AMH. The deci­sive fac­tors are main­ly age and thus egg qual­i­ty, as well as oth­er fac­tors such as ovu­la­tion, tubal paten­cy, and semen qual­i­ty.

Can AMH indi­cate ear­ly menopause?

An AMH lev­el that is marked­ly low for age may indi­cate reduced ovar­i­an reserve and thus also be a sign of an increased risk of pre­ma­ture decline in ovar­i­an func­tion. Espe­cial­ly with very low val­ues at a young age, AMH can there­fore be an impor­tant mark­er for the risk of pre­ma­ture ovar­i­an insuf­fi­cien­cy (POI) or ear­ly menopause. How­ev­er, the indi­vid­ual tim­ing of menopause can­not be reli­ably pre­dict­ed based on AMH alone.

How much does the AMH test cost?

The AMH Basic Check at our fer­til­i­ty cen­ter costs approx­i­mate­ly 87 euros. If addi­tion­al hor­mones are to be mea­sured, we offer a more com­pre­hen­sive fer­til­i­ty test. Med­ical ser­vices are billed in accor­dance with the Ger­man Med­ical Fee Sched­ule (GOÄ). Whether costs can be cov­ered by health insur­ance depends on the med­ical indi­ca­tion and your indi­vid­ual insur­ance cov­er­age.

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