When couples begin their fertility journey, one of the first tests doctors recommend for women is the AMH Level test, also known as the “egg count” test. This simple blood test can reveal valuable insights into a woman’s ovarian reserve — essentially, how many eggs are still available for potential fertilization.

At Dr. Rajeev Agarwal’s Fertility Centre, this test is often the starting point for understanding a woman’s reproductive health and planning the right fertility treatment, whether it’s natural conception, IUI or IVF.

What Is AMH and Why Is It Called the “Egg Count” Test?

AMH (Anti-Müllerian Hormone) is a hormone produced by small follicles in a woman’s ovaries. The amount of AMH in your blood gives doctors an estimate of your egg reserve — the number of eggs left in your ovaries.

The reason it’s often called the “egg count” test is because it helps predict how well your ovaries might respond to stimulation during treatments like IVF. Unlike other hormone tests, AMH levels remain fairly stable throughout your cycle, so it can be done at any time of the month.

Women usually undergo an AMH test as part of their fertility consultation to assess reproductive potential, especially if they are:

• Planning to delay pregnancy,
• Trying to conceive for over a year, or
• Preparing for fertility treatments such as IVF or egg freezing.

What AMH Tells You About Fertility

AMH levels provide a window into your fertility potential, but it’s important to understand what they really mean.

• Normal AMH: Suggests a healthy egg reserve and a good response to ovarian stimulation.
• Low AMH: Indicates a reduced number of eggs but doesn’t necessarily mean you cannot conceive.
• High AMH: Often seen in women with PCOS (Polycystic Ovary Syndrome), where there are many immature follicles.

AMH reflects quantity, not quality — meaning even with low AMH, your eggs can still be healthy and capable of producing a successful pregnancy.

As women age, their AMH levels naturally decline. This is why fertility specialists recommend testing early, especially if you plan to conceive later in life or want to explore options like egg preservation.

Why AMH Is Important in Fertility Planning

Your AMH test result plays a vital role in guiding your fertility journey. It helps doctors at Dr. Rajeev Agarwal’s IVF Centre understand how your ovaries might respond to stimulation and which protocols will suit you best.

Here’s how AMH helps in fertility planning:

• Predicts Response to IVF Treatment: Women with higher AMH typically respond better to ovarian stimulation.
• Helps Personalize Fertility Treatments: Doctors can tailor medication doses and treatment plans.
• Assists in Timing Pregnancy: Knowing your AMH helps you plan whether to conceive naturally or through assisted methods.
• Supports Egg Freezing Decisions: Women considering fertility preservation can use AMH levels to determine the best time to freeze eggs.

Doctors generally recommend AMH testing if you have irregular periods, family history of early menopause, or have undergone treatments that could impact fertility (like chemotherapy).

Common Misconceptions About AMH

A common myth is that low AMH equals infertility, but this isn’t true. Many women with low AMH conceive naturally or with mild fertility assistance. AMH is just one indicator and must be interpreted alongside other tests.

Some key points to remember:

• Low AMH doesn’t mean poor egg quality.
• Lifestyle, stress, and other hormonal factors (like FSH and LH) also affect fertility.
• Women with PCOS may have high AMH but still face difficulty in ovulation.

Your fertility journey depends on multiple factors, including uterine health, hormonal balance, and your partner’s sperm parameters. Hence, AMH is an important piece of the puzzle — but not the entire picture.

Dr. Rajeev Agarwal’s Insights

According to Dr. Rajeev Agarwal, Senior Fertility Specialist and IVF Expert in Kolkata and Jamshedpur:

“AMH is a powerful diagnostic tool, but it should always be interpreted in context. A single number doesn’t define your fertility. We look at the complete profile — AMH, FSH, LH, antral follicle count (AFC), and clinical symptoms — before making any conclusions.”

Even women with low AMH have options. Treatments like IUI and IVF, combined with tailored hormonal stimulation and careful monitoring, have helped many achieve successful pregnancies.

For some, ovulation induction, egg freezing, or lifestyle modification may be the right approach. The key is early evaluation and expert guidance.

When Should You Take the AMH Test?

• If you’re under 35 and planning pregnancy, AMH testing can help you understand your fertility window.
  
• If you’re over 35, it’s strongly recommended as fertility starts to decline more rapidly.
  
• If you’ve had irregular periods, PCOS, or ovarian surgery, AMH can provide crucial insight into your current ovarian reserve.

The test is simple, quick, and can be done any day of your cycle — but interpreting it correctly requires an experienced fertility specialist.

Conclusion

Understanding your AMH level is an empowering step in your fertility journey. It helps you make informed decisions, plan ahead, and explore treatments with clarity. Remember — AMH gives an estimate of egg quantity, not your ability to become a mother.

At Dr. Rajeev Agarwal’s Fertility Centre, every woman receives a personalized fertility evaluation designed to uncover the best path toward conception — naturally or through assisted methods like IUI and IVF.

Take control of your fertility health today. Schedule your fertility consultation to discuss your AMH results and explore the next steps with compassionate, expert care.