Can someone please explain the AMH score to me?

[Anonymous]

I'm 37, and have easily had two kids. But it's been over a year and I can't get pregnant. All hormone levels were fine. Ultrasound was fine. But my doctor just said my AMH score is 11, and I don't understand what this means. Thanks, and please know to those of you who are trying or number 1, I'm sorry if my "wah I can't have a third" post is insensitive. I have so many friends who haven't been able to conceive at all, and I can't imagine how hard that would be. Just providing a disclaimer.

[Anonymous]

11 is very high for AMH which is good unless you have PCOS. If you had PCOS you would have irregular periods, weight gain, etc, you can look up the symptoms. Otherwise this score alone is good, not bad, and does not help explain your infertility

[Anonymous]

OP here: she said they want the score to be between 1 and 4...and that 11 is extremely high. I don't have irregular periods, but I have gained a little weight (10 lbs in two years, which is not much but I've never gained that much).

[Anonymous]

AMH is supposed to measure ovarian reserve. Mine is about 8 and I have AFC of 30. What's your AFC?

I really pushed my doctor once about whether this is too high or whether it could mean I have some sort of asymptomatic PCOS, and she said no. I really have no other symptoms of pcos though. Period like clockwork.

At any rate, there is no treatment to change your AMH, just IVF to get pregnant. Presumably you have high reserve and should respond well to stims.

[Anonymous]

Wow, you all have really high AMHs. Mine is .30. Yes, not 3 but .3. My AFC is 10. I have been TTC for almost 3 years with no luck.

[Anonymous]

Op here: I don't know what my afc is. Is that the level they read on day 3 of the cycle?

My period is like clockwork and I get lh surges on the opk tests. I've been trying for a year, but off birth control for
three years.

I have an appt with a fertility clinic in July. What do they do if your amh is high and you haven't gotten pregnant. Does this mean I don't ovulate? They saw a perfect egg at my ob's office this month...but maybe it doesn't drop?

[Anonymous]

OP, have you been temping? That's the best way to see if you are ovulating.

[Anonymous]

Anonymous wrote:OP, have you been temping? That's the best way to see if you are ovulating.

I have not. I guess I'll try this cycle - I did it years ago, but haven't done it since then. Thanks for the suggestion.

[Anonymous]

No, high AMH does not mean you don't ovulate. You should really just google it, lots of infertility centers have webpages on it. If you get a surge on an OPK, you most likely ovulate but PP is right that temping is the best way to confirm.

It sounds like your infertility may just be unexplained which a lot of us are.

[Anonymous]

AMH of 11 is fantastic. AMH is a function of your ovarian reserve testing. No reason for concern there... wonder if your issue is a sperm/fertilization problem (doesn't mean anything that you've already had two kids, things can change) or if you have scarring/issues in your uterus that's preventing an embryo from implanting. I'm sure seeing a fertility doc would asses these things and hopefully give you some answers. Could be an easy fix!

[Anonymous]

If you get a period regularly each month, you are very likely ovulating. AMH of 11 is high but not THAT high. They dont 'treat' a high AMH, they are more concerned if it's low.

[Anonymous]

Here's a good article that explains it - http://www.whitelotusclinic.ca/blog/dr-fiona-nd/amh-pcos-test/

Check the units the lab used for measurement. If it's pmol/L, you're close to normal for your age. If it's the more common ng/dl, then it's way above normal and you should look into the possibility of pcos.

If there's a chance it's pcos, then check your vitamin D levels - studies show a link between pcos and low vitamin D levels. Vitamin D is known to impact ovarian function. You should supplement to get that up to a high normal level.

[Anonymous]

Anonymous wrote:If you get a period regularly each month, you are very likely ovulating. AMH of 11 is high but not THAT high. They dont 'treat' a high AMH, they are more concerned if it's low.

This isn't always true and I second and third posters who recommend temping, OP. I had regular periods and a spike on my OPK and it was only through temping that I realized I wasn't ovulating. Temp for a couple of months and good that you're seeing an RE.

[Anonymous]

Also, can I suggest not using the word "score?" to refer to the results of lab work that measures a hormone level in your body?
It reflects this idea that our bodies are good or bad - and it's just a number over which you have little control. The more we can move away from that kind of thinking or language in infertility world, the better.