{"id":15449,"date":"2023-10-17T09:37:13","date_gmt":"2023-10-17T08:37:13","guid":{"rendered":"https:\/\/kinderwunschaerztin.de\/leistungen\/amh-test\/"},"modified":"2026-10-06T15:17:10","modified_gmt":"2026-10-06T14:17:10","slug":"amh-test","status":"publish","type":"leistungen","link":"https:\/\/kinderwunschaerztin.de\/en\/services\/diagnostics\/amh-test\/","title":{"rendered":"AMH test"},"content":{"rendered":"\n
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What does the AMH test show?<\/h2>\n\n\n\n

A woman\u2019s egg reser\u00adve is estab\u00adlished befo\u00adre birth and decrea\u00adses over the cour\u00adse of life. No new eggs are for\u00admed. Anti-M\u00fcl\u00adle\u00adri\u00adan hor\u00admo\u00adne (AMH) can be used to esti\u00adma\u00adte how lar\u00adge the remai\u00adning ova\u00adri\u00adan reser\u00adve is. <\/p>\n\n\n\n

AMH is pro\u00addu\u00adced by small, gro\u00adwing fol\u00adlic\u00adles in the ova\u00adries. In gene\u00adral: the lower the AMH level, the smal\u00adler the egg reser\u00adve is usual\u00adly. Howe\u00adver, the AMH level does not indi\u00adca\u00adte the qua\u00adli\u00adty of the eggs or how likely a spon\u00adta\u00adneous pregnan\u00adcy is in a given cycle. For a meaningful assess\u00adment, the value is the\u00adr\u00ade\u00adfo\u00adre always inter\u00adpre\u00adted tog\u00ade\u00adther with age and\u2014depending on the question\u2014additional fin\u00addings. <\/p>\n\n\n\n

Anti-M\u00fcl\u00adle\u00adri\u00adan hor\u00admo\u00adne (AMH) can be mea\u00adsu\u00adred with a simp\u00adle blood draw.<\/p>\n\n\n\n

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Who an AMH test is sui\u00adta\u00adble for<\/h3>\n\n\n\n
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\n\"Logo\n\n\n\nWomen try\u00ading to con\u00adcei\u00adve<\/strong><\/strong><\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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If you are curr\u00adent\u00adly try\u00ading to con\u00adcei\u00adve or plan\u00adning to do so, the AMH level can help assess your egg reser\u00adve. Tog\u00ade\u00adther with age, ultra\u00adsound fin\u00addings, and fur\u00adther tests, it is an important com\u00adpo\u00adnent of fer\u00adti\u00adli\u00adty dia\u00adgno\u00adstics. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

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\n\"Logo\n\n\n\nDELAYED FAMILY PLANNING<\/strong><\/strong><\/strong><\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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If you are not curr\u00adent\u00adly try\u00ading to con\u00adcei\u00adve or are post\u00adpo\u00adning fami\u00adly plan\u00adning to a later time, mea\u00adsu\u00adring AMH can be useful. Espe\u00adci\u00adal\u00adly from around age 30, the test can help assess whe\u00adther the egg reser\u00adve is appro\u00adpria\u00adte for your age or alre\u00ada\u00addy redu\u00adced. Howe\u00adver, the AMH level does not show egg qua\u00adli\u00adty and can\u00adnot pre\u00addict how long pregnan\u00adcy will still be pos\u00adsi\u00adble. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

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\n\"Logo\n\n\n\nASSESSING OVARIAN RESERVE<\/strong><\/strong><\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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Even wit\u00adhout a cur\u00adrent desi\u00adre to have child\u00adren, the AMH level can pro\u00advi\u00adde indi\u00adca\u00adti\u00adons as to whe\u00adther the egg reser\u00adve is appro\u00adpria\u00adte for your age or alre\u00ada\u00addy redu\u00adced. It does not mea\u00adsu\u00adre egg qua\u00adli\u00adty and does not allow a direct state\u00adment about how likely a spon\u00adta\u00adneous pregnan\u00adcy is. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

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\n\"Logo\n\n\n\nSOCIAL FREEZING<\/strong><\/strong><\/strong><\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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Befo\u00adre social free\u00adzing, the AMH level helps assess ova\u00adri\u00adan reser\u00adve and the expec\u00adted respon\u00adse to hor\u00admo\u00adn\u00adal sti\u00admu\u00adla\u00adti\u00adon. Tog\u00ade\u00adther with age and the num\u00adber of fol\u00adlic\u00adles visi\u00adble on ultra\u00adsound, it is pos\u00adsi\u00adble to esti\u00adma\u00adte how many eggs can likely be retrie\u00adved with sti\u00admu\u00adla\u00adti\u00adon and whe\u00adther mul\u00adti\u00adple tre\u00adat\u00adment cycles may be neces\u00adsa\u00adry to free\u00adze the indi\u00advi\u00addu\u00adal\u00adly desi\u00adred num\u00adber of eggs. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

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\n\"Logo\n\n\n\nBEFORE IVF OR ICSI TREATMENT<\/strong><\/strong><\/strong><\/strong><\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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Befo\u00adre IVF or ICSI<\/a>, the AMH level is one of the important para\u00adme\u00adters for tre\u00adat\u00adment plan\u00adning. It helps esti\u00adma\u00adte how the ova\u00adries are likely to respond to hor\u00admo\u00adn\u00adal sti\u00admu\u00adla\u00adti\u00adon and sup\u00adports the indi\u00advi\u00addu\u00adal choice of sti\u00admu\u00adla\u00adti\u00adon dose. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

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\n\"Logo\n\n\n\nCYCLE DISORDERS & SUSPECTED PCOS<\/strong><\/strong><\/strong><\/strong><\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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In the case of irre\u00adgu\u00adlar or absent cycles, mea\u00adsu\u00adring AMH can pro\u00advi\u00adde addi\u00adtio\u00adnal clues as to the cau\u00adse. A mark\u00aded\u00adly ele\u00adva\u00adted AMH level may indi\u00adca\u00adte PCOS<\/a>. For dia\u00adgno\u00adsis, the value is asses\u00adsed tog\u00ade\u00adther with the cycle pat\u00adtern, ultra\u00adsound fin\u00addings, and other hor\u00admo\u00adne levels. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

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\n\"Logo\n\n\n\nENDOMETRIOSIS & OVARIAN SURGERY<\/strong><\/strong><\/strong><\/strong><\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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In cases of endo\u00adme\u00adtrio\u00adsis<\/a>\u2014espe\u00adci\u00adal\u00adly endometriomas\u2014as well as befo\u00adre or after sur\u00adgery on the ova\u00adries, mea\u00adsu\u00adring AMH can be useful. It helps assess whe\u00adther ova\u00adri\u00adan reser\u00adve is redu\u00adced and may be rele\u00advant for fur\u00adther fer\u00adti\u00adli\u00adty or fami\u00adly plan\u00adning. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

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\n\"Logo\n\n\n\nEARLY MENOPAUSE IN THE FAMILY<\/strong><\/strong><\/strong><\/strong><\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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If your mother or clo\u00adse fema\u00adle rela\u00adti\u00adves ente\u00adred meno\u00adpau\u00adse unu\u00adsual\u00adly ear\u00adly, an ear\u00adly assess\u00adment of your own egg reser\u00adve may be useful. An AMH test can pro\u00advi\u00adde indi\u00adca\u00adti\u00adons of redu\u00adced ova\u00adri\u00adan reser\u00adve, but it can\u00adnot relia\u00adbly pre\u00addict the indi\u00advi\u00addu\u00adal timing of meno\u00adpau\u00adse. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

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\n\"Logo\n\n\n\nBEFORE OR AFTER FERTILITY-THREATENING TREATMENTS<\/strong><\/strong><\/strong><\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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Che\u00admo\u00adthe\u00adra\u00adpy and radio\u00adthe\u00adra\u00adpy, as well as cer\u00adtain sur\u00adge\u00adries, can impair ova\u00adri\u00adan func\u00adtion and egg reser\u00adve. Befo\u00adre such tre\u00adat\u00adment, the AMH level can be part of asses\u00adsing cur\u00adrent ova\u00adri\u00adan reser\u00adve and coun\u00adsel\u00adling on fer\u00adti\u00adli\u00adty pre\u00adser\u00adva\u00adti\u00adon. After tre\u00adat\u00adment, it can also be used for reas\u00adsess\u00adment of ova\u00adri\u00adan reser\u00adve. <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

\n\"Patient\n\n\n\n\"Blood\n<\/div>\n<\/div>\n\n
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Medi\u00adcal inter\u00adpre\u00adta\u00adti\u00adon of the AMH test<\/h2>\n\n\n\n

Gold stan\u00addard<\/span><\/p>\n\n\n\n

The AMH test is one of the most important mar\u00adkers for asses\u00adsing egg reser\u00adve and a key com\u00adpo\u00adnent of fer\u00adti\u00adli\u00adty dia\u00adgno\u00adstics. Howe\u00adver, on its own it does not ans\u00adwer all ques\u00adti\u00adons. The AMH level is most infor\u00adma\u00adti\u00adve when con\u00adside\u00adred tog\u00ade\u00adther with age, ultra\u00adsound fin\u00addings, and your indi\u00advi\u00addu\u00adal life situa\u00adti\u00adon. Only this medi\u00adcal inter\u00adpre\u00adta\u00adti\u00adon enables well-foun\u00added coun\u00adsel\u00adling and sup\u00adports decis\u00adi\u00adons about the next steps. <\/p>\n\n\n\n

Addi\u00adtio\u00adnal tests & opti\u00adons<\/h3>\n\n\n\n
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\nHor\u00admo\u00adne ana\u00adly\u00adses<\/strong><\/strong><\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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Addi\u00adtio\u00adnal hor\u00admo\u00adne levels can com\u00adple\u00adment the AMH test and pro\u00advi\u00adde infor\u00adma\u00adti\u00adon about cycle regu\u00adla\u00adti\u00adon, fol\u00adlic\u00adle matu\u00adra\u00adti\u00adon, and ovu\u00adla\u00adti\u00adon. This allows a more com\u00adpre\u00adhen\u00adsi\u00adve assess\u00adment of the hor\u00admo\u00adn\u00adal situa\u00adti\u00adon. <\/p>\n\n\n\n

\nMake an appoint\u00adment<\/span><\/span><\/a>\n\n\n\nMore about hor\u00admo\u00adne ana\u00adly\u00adsis<\/a>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n
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\nUltra\u00adsound of the ova\u00adries<\/strong><\/strong><\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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Ultra\u00adsound can be used to assess the ova\u00adries and the num\u00adber of small antral fol\u00adlic\u00adles (AFC). Tog\u00ade\u00adther with the AMH level, this enables a more pre\u00adcise assess\u00adment of ova\u00adri\u00adan reser\u00adve. <\/p>\n\n\n\n

\nMake an appoint\u00adment<\/span><\/span><\/a>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n
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\nCycle Moni\u00adto\u00adring<\/strong><\/strong><\/strong><\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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Ultra\u00adsound and hor\u00admo\u00adne mea\u00adsu\u00adre\u00adments can be used to exami\u00adne how fol\u00adlic\u00adles matu\u00adre, how the ute\u00adri\u00adne lining deve\u00adlo\u00adps, and whe\u00adther ovu\u00adla\u00adti\u00adon occurs. This is par\u00adti\u00adcu\u00adlar\u00adly useful if, in addi\u00adti\u00adon to egg reser\u00adve, the func\u00adtion of the cycle is also to be asses\u00adsed. <\/p>\n\n\n\n

\nMake an appoint\u00adment<\/span><\/span><\/a>\n\n\n\nMore about cycle moni\u00adto\u00adring<\/a>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n
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\nSocial Free\u00adzing (Free\u00adzing Eggs)<\/strong><\/strong><\/strong><\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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If fami\u00adly plan\u00adning is to be post\u00adpo\u00adned to a later time, the AMH level can pro\u00advi\u00adde an important basis for coun\u00adsel\u00adling on social free\u00adzing. Tog\u00ade\u00adther with age and ultra\u00adsound fin\u00addings, it is pos\u00adsi\u00adble to esti\u00adma\u00adte how the ova\u00adries are likely to respond to sti\u00admu\u00adla\u00adti\u00adon and how many eggs could be retrie\u00adved. <\/p>\n\n\n\n

\nMake an appoint\u00adment<\/span><\/span><\/a>\n\n\n\nMore about social free\u00adzing<\/a>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n
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AMH test pro\u00adce\u00addu\u00adre<\/h2>\n\n\n\n

From the blood draw to the eva\u00adlua\u00adti\u00adon of results, the AMH test is straight\u00adfor\u00adward and trans\u00adpa\u00adrent. You can have the blood draw per\u00adfor\u00admed direct\u00adly at our fer\u00adti\u00adli\u00adty cen\u00adter. After labo\u00adra\u00adto\u00adry ana\u00adly\u00adsis, your AMH level is inter\u00adpre\u00adted by a spe\u00adcia\u00adlist, taking into account your age and indi\u00advi\u00addu\u00adal situa\u00adti\u00adon. <\/p>\n\n\n\n

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Deter\u00admi\u00adning AMH levels<\/h4>\n<\/div>\n<\/div>\n\n\n\n
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  1. \n

    Appoint\u00adment sche\u00addu\u00adling<\/h4>\n\n\n\n

    For the AMH test, you can sche\u00addu\u00adle a short appoint\u00adment at our fer\u00adti\u00adli\u00adty cen\u00adter. Spe\u00adcial pre\u00adpa\u00adra\u00adti\u00adon or a spe\u00adci\u00adfic cycle day is usual\u00adly not requi\u00adred. <\/p>\n\n\n\nMake an appoint\u00adment<\/a>\n<\/li>\n\n\n\n

  2. \n

    Blood sam\u00adpling<\/h4>\n\n\n\n

    At your appoint\u00adment, the blood sam\u00adple is taken direct\u00adly on site and takes only a few minu\u00adtes.<\/p>\n<\/li>\n\n\n\n

  3. \n

    Ana\u00adly\u00adsis in the hor\u00admo\u00adne labo\u00adra\u00adto\u00adry<\/h4>\n\n\n\n

    The blood sam\u00adple is ana\u00adly\u00adsed in our in-house hor\u00admo\u00adne labo\u00adra\u00adto\u00adry. This is fol\u00adlo\u00adwed by spe\u00adcia\u00adlist medi\u00adcal inter\u00adpre\u00adta\u00adti\u00adon of the AMH level, taking into account your age and indi\u00advi\u00addu\u00adal situa\u00adti\u00adon. <\/p>\n<\/li>\n\n\n\n

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    Results report<\/h4>\n\n\n\n

    You will recei\u00adve the test result prompt\u00adly by email in digi\u00adtal, encrypt\u00aded form. If desi\u00adred, a per\u00adso\u00adnal con\u00adsul\u00adta\u00adti\u00adon appoint\u00adment can then be arran\u00adged to inter\u00adpret the results. <\/p>\n<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n

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    \n\"Union\"\n\n\n\n

    Anti-M\u00fcl\u00adle\u00adri\u00adan hor\u00admo\u00adne too low \u2013 what could be the reason?<\/h2>\n\n\n\n

    A low AMH level usual\u00adly indi\u00adca\u00adtes redu\u00adced ova\u00adri\u00adan reser\u00adve. The most com\u00admon cau\u00adse is incre\u00adasing age, but egg reser\u00adve can also be affec\u00adted by gene\u00adtic fac\u00adtors, medi\u00adcal con\u00addi\u00adti\u00adons, medi\u00adcal tre\u00adat\u00adments, and cer\u00adtain exter\u00adnal influen\u00adces. <\/p>\n<\/div>\n\n\n\n

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    \nAGE<\/strong><\/strong><\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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    Egg reser\u00adve decrea\u00adses con\u00adti\u00adnuous\u00adly even befo\u00adre birth. Of around 1\u20132 mil\u00adli\u00adon eggs at birth, appro\u00adxi\u00adm\u00adate\u00adly 300,000\u2013500,000 remain at the start of puber\u00adty. With incre\u00adasing age, the num\u00adber con\u00adti\u00adnues to decli\u00adne. This natu\u00adral loss occurs main\u00adly through fol\u00adlic\u00adle loss (atre\u00adsia) and not through month\u00adly ovu\u00adla\u00adti\u00adon. Over the cour\u00adse of repro\u00adduc\u00adti\u00adve life, the\u00adre are only about 400\u2013500 ovu\u00adla\u00adti\u00adons. At the same time, with incre\u00adasing age, not only the num\u00adber but also the qua\u00adli\u00adty of the eggs decrea\u00adses. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

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    \nGene\u00adtic and fami\u00adli\u00adal fac\u00adtors<\/strong><\/strong><\/strong><\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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    Gene\u00adtic fac\u00adtors influence both egg reser\u00adve and the age at which ova\u00adri\u00adan func\u00adtion decli\u00adnes. A fami\u00adly histo\u00adry of pre\u00adma\u00adtu\u00adre ova\u00adri\u00adan insuf\u00adfi\u00adci\u00aden\u00adcy or very ear\u00adly menopause\u2014especially in your mother or sister\u2014may indi\u00adca\u00adte an increased per\u00adso\u00adnal risk. <\/p>\n\n\n\n

    Cer\u00adtain gene\u00adtic chan\u00adges can also be asso\u00adcia\u00adted with redu\u00adced egg reser\u00adve and pre\u00adma\u00adtu\u00adre ova\u00adri\u00adan insuf\u00adfi\u00adci\u00aden\u00adcy. The\u00adse include, for exam\u00adp\u00adle, the fra\u00adgi\u00adle X pre\u00admu\u00adta\u00adti\u00adon and Tur\u00adner syn\u00addro\u00adme. In addi\u00adti\u00adon, num\u00ade\u00adrous other genes are now known that may be invol\u00adved in pre\u00adma\u00adtu\u00adre impair\u00adment of ova\u00adri\u00adan func\u00adtion. Whe\u00adther fur\u00adther gene\u00adtic dia\u00adgno\u00adstics are useful depends, among other things, on age, the ext\u00adent of redu\u00adced egg reser\u00adve, and per\u00adso\u00adnal and fami\u00adly histo\u00adry. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

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    \nOva\u00adri\u00adan sur\u00adgery<\/strong><\/strong><\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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    Sur\u00adgery on the ova\u00adry can redu\u00adce ova\u00adri\u00adan reser\u00adve. This appli\u00ades in par\u00adti\u00adcu\u00adlar to the rem\u00adoval of ova\u00adri\u00adan cysts or parts of an ova\u00adry. How stron\u00adgly egg reser\u00adve is affec\u00adted depends, among other things, on the type and ext\u00adent of the pro\u00adce\u00addu\u00adre and the initi\u00adal situa\u00adti\u00adon. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

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    \nChe\u00admo\u00adthe\u00adra\u00adpy and radio\u00adthe\u00adra\u00adpy<\/strong><\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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    Cer\u00adtain che\u00admo\u00adthe\u00adra\u00adpies and radia\u00adti\u00adon in the area of the ova\u00adries can dama\u00adge fol\u00adlic\u00adles and signi\u00adfi\u00adcant\u00adly redu\u00adce ova\u00adri\u00adan reser\u00adve. Befo\u00adre a poten\u00adti\u00adal\u00adly fer\u00adti\u00adli\u00adty-threa\u00adtening tre\u00adat\u00adment, opti\u00adons for fer\u00adti\u00adli\u00adty pre\u00adser\u00adva\u00adti\u00adon should the\u00adr\u00ade\u00adfo\u00adre be dis\u00adcus\u00adsed as ear\u00adly as pos\u00adsi\u00adble. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

    \n
    \nEndo\u00adme\u00adtrio\u00adsis<\/strong><\/strong><\/strong><\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
    \n
    \n

    Endometriosis\u2014especially endo\u00adme\u00adtrio\u00admas on the ovaries\u2014can be asso\u00adcia\u00adted with redu\u00adced ova\u00adri\u00adan reser\u00adve. In addi\u00adti\u00adon, sur\u00adgery for endo\u00adme\u00adtrio\u00admas can fur\u00adther affect egg reser\u00adve. If you are try\u00ading to con\u00adcei\u00adve or post\u00adpo\u00adning fami\u00adly plan\u00adning, an ear\u00adly assess\u00adment of ova\u00adri\u00adan reser\u00adve may the\u00adr\u00ade\u00adfo\u00adre be useful. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

    \n
    \nAuto\u00adim\u00admu\u00adne and other con\u00addi\u00adti\u00adons<\/strong><\/strong><\/strong><\/strong><\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
    \n
    \n

    Cer\u00adtain sys\u00adte\u00admic and auto\u00adim\u00admu\u00adne dise\u00ada\u00adses can also be asso\u00adcia\u00adted with redu\u00adced ova\u00adri\u00adan func\u00adtion. Par\u00adti\u00adcu\u00adlar\u00adly rele\u00advant are, for exam\u00adp\u00adle, dise\u00ada\u00adses of the thy\u00adro\u00adid or adre\u00adnal glands; asso\u00adcia\u00adti\u00adons have also been descri\u00adbed for con\u00addi\u00adti\u00adons such as dia\u00adbe\u00adtes, rheu\u00adma\u00adto\u00adid arthri\u00adtis, Crohn\u2019s dise\u00ada\u00adse, or lupus. Howe\u00adver, the sci\u00aden\u00adti\u00adfic evi\u00addence varies depen\u00adding on the con\u00addi\u00adti\u00adon, so a low AMH level should always be asses\u00adsed in the indi\u00advi\u00addu\u00adal medi\u00adcal con\u00adtext. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

    \n
    \nSmo\u00adking<\/strong><\/strong><\/strong><\/strong><\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
    \n
    \n

    Smo\u00adking is one of the bet\u00adter-docu\u00admen\u00adted modi\u00adfia\u00adble fac\u00adtors. Stu\u00addies show an asso\u00adcia\u00adti\u00adon with ear\u00adlier meno\u00adpau\u00adse and impair\u00adment of fema\u00adle fer\u00adti\u00adli\u00adty and ova\u00adri\u00adan func\u00adtion. Signi\u00adfi\u00adcant expo\u00adsure to second-hand smo\u00adke can also be unfa\u00advoura\u00adble. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

    \n
    \nEnvi\u00adron\u00admen\u00adtal fac\u00adtors and endo\u00adcri\u00adne dis\u00adrup\u00adt\u00adors<\/strong><\/strong><\/strong><\/strong><\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
    \n
    \n

    Cer\u00adtain envi\u00adron\u00admen\u00adtal che\u00admi\u00adcals such as bis\u00adphe\u00adnol A (BPA), phtha\u00adla\u00adtes, and per- and poly\u00adfluo\u00adro\u00adal\u00adkyl sub\u00ads\u00adtances (PFAS) are being stu\u00addi\u00aded for pos\u00adsi\u00adble effects on ova\u00adri\u00adan func\u00adtion. The\u00adre are indi\u00adca\u00adti\u00adons of such asso\u00adcia\u00adti\u00adons, but the evi\u00addence is not yet con\u00adclu\u00adsi\u00adve for all sub\u00ads\u00adtances. <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n

    \n
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    Can AMH levels be impro\u00adved?<\/h2>\n\n\n\n

    A low AMH level can\u00adnot be spe\u00adci\u00adfi\u00adcal\u00adly increased, and an alre\u00ada\u00addy redu\u00adced egg reser\u00adve can\u00adnot be rep\u00adle\u00adnis\u00adhed. Howe\u00adver, the mea\u00adsu\u00adred AMH level can fluc\u00adtua\u00adte and may be hig\u00adher or lower on repeat test\u00ading. This does not mean that new eggs have for\u00admed or that the actu\u00adal egg reser\u00adve has increased or decreased accor\u00addin\u00adgly. The key is the\u00adr\u00ade\u00adfo\u00adre not to \u201cimpro\u00adve\u201d the AMH level its\u00adelf, but to inter\u00adpret it cor\u00adrect\u00adly. <\/p>\n\n\n\n