Top 7 Reasons Your AMH Levels May Be Low (and What You Can Do About It)

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Top 7 Reasons Your AMH Levels May Be Low (and What You Can Do About It)

Low AMH levels are one of the most common concerns in fertility today. Yet many people misunderstand what AMH really tells us and more importantly, what it doesn’t. Low AMH doesn’t mean infertility, and it doesn’t mean your journey ends here.

In this article, we’ll explore the top 7 causes of low AMH and how fertility specialists approach each one with proactive solutions, tailored treatments, and real hope.

First, What Are AMH Levels?

AMH (Anti-Müllerian Hormone) is a hormone produced by the small follicles in your ovaries. It’s used as a marker of your ovarian reserve or how many eggs you might have left.

A simple AMH test gives fertility specialists a snapshot of your egg quantity (not quality) and helps guide treatment plans, especially in IVF.

AMH Levels by Age: What’s Normal?

AMH levels naturally decline with age, that’s completely normal. But sometimes, the decline can happen earlier than expected.

Here’s a rough breakdown:

AMH levels by age

Keep in mind, that these are average ranges. Every woman is different, and AMH is just one piece of the fertility puzzle.

Top 7 Reasons Your AMH Levels May Be Low

reasons for low AMH

1. Age

The most common reason for lower AMH is simply age. Women are born with all the eggs they’ll ever have, and the count gradually drops over time.

What You Can Do: Consider early fertility planning. If you’re over 35 and trying to conceive, consult a fertility specialist in Noida sooner rather than later.

2. Genetics

Some women are born with a lower ovarian reserve due to genetic factors even in their 20s or 30s.

What You Can Do: If you have a family history of early menopause, getting an AMH test early can help you make informed decisions.

3. Endometriosis

This painful condition can damage the ovaries and lead to a lower follicle count, which impacts AMH levels.

What You Can Do: Treating endometriosis early and considering assisted reproductive technologies like IVF treatment may improve your chances.

4. Previous Ovarian Surgery

Surgeries on the ovaries (e.g., cyst removal) can unintentionally reduce the number of viable follicles, lowering AMH.

What You Can Do: Share your surgical history with your fertility doctor to plan a strategy tailored to your ovarian reserve.

5. Autoimmune Disorders

Autoimmune diseases can sometimes impact ovarian function, causing premature ovarian insufficiency (POI).

What You Can Do: If you have an autoimmune condition, regular hormone tracking and early fertility counseling is key.

6. Lifestyle & Environmental Factors

Smoking, poor diet, high stress, or exposure to environmental toxins (like pesticides or BPA) may accelerate ovarian aging.

What You Can Do: Switch to a fertility-friendly lifestyle. That includes quitting smoking, managing stress, and adopting a nutrient-rich diet.

7. Unexplained/Idiopathic Causes

Sometimes, AMH is low without a clear medical reason. This doesn’t mean you’re infertile, it just means closer monitoring is needed.

What You Can Do: Stay hopeful. Many women with low AMH still conceive naturally or with minimal assistance.

Can You Increase AMH Levels?

While you can’t permanently increase AMH, some women see improvements through:

  • Lifestyle changes (clean diet, exercise, stress reduction)
  • Supplements like CoQ10 and DHEA (after medical advice)
  • IVF with tailored protocols like mini-IVF or natural cycle IVF

At Adam and Eve Fertility Clinic in Noida, we focus on personalized fertility care, not just numbers. Low AMH is not the end, it’s a signal to act smarter and sooner.

Key Takeaways

  • AMH levels reflect your egg quantity, not quality, and they naturally decline with age.
  • Low AMH can be caused by genetics, surgery, endometriosis, lifestyle, and more.
  • Having low AMH does not mean you can’t get pregnant, it just means it’s time for an informed action plan.
  • With the right support, guidance, and sometimes assisted reproductive technology, many women with low AMH go on to have healthy pregnancies.
  • An affordable AMH test is the first step to understanding your fertility status. Don’t delay. Consult a fertility specialist today!
AMH levels cta

FAQs

1. How much does an AMH test cost?
At most fertility centers in India, including ours in Noida, the AMH test price ranges from ₹1,000 to ₹2,000. Always check if the price includes consultation.

2. Can I get pregnant naturally with low AMH?
Yes, many women do. While it might be harder, low AMH doesn’t mean zero eggs. Egg quality, timing, and health matter just as much.

3. What is considered a low AMH level?
Typically, an AMH level below 1.0 ng/mL is considered low, but context matters. Your age, health history, and fertility goals all play a role.

4. Does IVF work with low AMH?
Yes. IVF protocols can be adjusted to suit women with low ovarian reserve. Techniques like natural or mini-IVF are often recommended.

5. Why is there a decline in AMH levels by age?
AMH levels decline because your egg reserve naturally decreases as you get older. Women are born with all the eggs they’ll ever have, and with each passing year, the number and quality of eggs reduce, especially after age 35.