Fertility Treatment for High AMH Levels

Posted by Dr Rhythm Gupta
6
Apr 26, 2024
206 Views

Trying to conceive can be a journey filled with both hope and frustration, especially for couples facing challenges with infertility. In recent years, Anti-Müllerian Hormone (AMH) has emerged as an important factor for assessing fertility and guiding treatment decisions. While low AMH levels are typically associated with decreased fertility, having high AMH levels comes with its own set of challenges. 


In this blog, we will understand the impact of high AMH levels on fertility and the implications for fertility treatments.


What is AMH?

First of all, you need to understand what AMH is.


AMH, or Anti-Müllerian Hormone, also known as Müllerian Inhibiting Substance (MIS), is produced by reproductive tissues in both males and females. Elevated levels of AMH in male fetuses contribute to the formation of male reproductive organs. In contrast, lower levels of AMH in female fetuses allow for the development of female reproductive structures.


During puberty in females, AMH levels increase significantly due to their production by the follicles within the ovaries, each capable of developing into a mature egg.


For a woman of reproductive age, the typical range of Anti-Müllerian Hormone (AMH) levels is between 1.0 and 4.0 ng/ml, which indicates fertility. AMH levels under 1.0 ng/ml suggest a low ovarian reserve, while levels below 0.4 ng/ml are markedly inferior. Here's how AMH levels generally correlate with age:


Age

AMH Level

25 years old

>3.0 ng/mL

30 years old

>2.5 ng/mL

35 years old

>1.5 ng/mL

40 years old

>1.0 ng/mL

45 years old

>0.5 ng/mL


While a high AMH level may indicate a substantial egg reserve, it does not give information on egg quality. However, elevated AMH levels might imply underlying issues, such as hormonal imbalances or illnesses like Polycystic Ovary Syndrome (PCOS), which is characterized by enlarged ovaries and interrupted ovulation. High AMH levels might imply a higher number of ovarian follicles that may not develop properly due to hormonal disruptions, affecting fertility.


Treatment for High AMH Level

There is no medication that directly lowers AMH levels. But don’t worry, as there are some proactive steps and fertility treatments that you can take to manage your AMH level.


Lifestyle and Diet: One of the best methods to maintain your AMH level and improve hormonal balance is achieving an optimal body mass index through a healthy lifestyle, making dietary adjustments, and incorporating regular physical activity. Consult with an IVF specialist in Delhi to learn about the diet you should follow to manage your AMH level.


Insulin Sensitizers: For people suffering from insulin resistance, a typical problem in women with high AMH levels, medications that boost the body's sensitivity to insulin might help with weight loss and restore hormonal balance, possibly bringing up natural ovulation.


Fertility Medications: Certain fertility medications like clomiphene and letrozole can stimulate ovulation in women with high AMH. If these are ineffective, hormone injections may be introduced to encourage egg maturation. Seeking PCOS treatment might also help to maintain the AMH level.


IVF: In vitro fertilization (IVF) becomes a consideration when other treatments are unsuccessful. It is particularly tailored to navigate the challenges posed by high AMH, such as the risk of multiple pregnancies or Ovarian Hyperstimulation Syndrome (OHSS), a potentially severe complication.


If you are seeking fertility treatment in Delhi for high AMH, schedule your consultation with Dr Rhythm to achieve your dream of parenthood.


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