AMH is a powerful tool for gynecologists and reproductive doctors to evaluate ovarian function, it is a new weapon to measure female ovarian function.
AMH, also known as anti-Müllerian hormone, is a glycoprotein secreted by the granulosa cells of small ovarian follicles. It is a member of the transforming growth factor-b family, mainly secreted by the granulosa cells of sinus follicles smaller than 8mm, with small amounts secreted by granulosa cells of primary and secondary follicles. Primitive follicles, sinus follicles larger than 8mm, and mature follicles do not secrete AMH. Therefore, its levels are directly related to the number of follicles in the ovary.
AMH typically peaks at 18 years old, after 19 years old, AMH is negatively correlated with age, meaning that AMH decreases with age. Moreover, AMH has individual differences, but these differences decrease with age, and AMH rapidly declines after the age of 40.
There are opportunities, it depends on whether you are willing to fight for it. If the AMH is below 2, natural pregnancy is unlikely. However, through IVF technology, the dream of reproduction can still be achieved.
Due to low ovarian reserve, the chances of obtaining empty follicles are high, resulting in more disappointments. However, with the use of medication, there is still a chance for success, it depends on the technology of IVF and personal perseverance.
The choice of IVF hospital and cultivation technology is crucial. When ovarian function reserve is extremely low, it requires the relentless efforts of advanced hospitals and laboratories.
In women with low AMH levels, FSH levels are generally high. If FSH is above 15, it is not recommended to undergo a cycle. However, experts have conducted comparative analyses: for example, if FSH levels are usually above 15 and this month it is 18, it is still possible to attempt treatment this cycle. Doctors emphasize follicles over hormones, focus on follicles instead of fixating on FSH levels. Even if medication is taken to reduce FSH, it does not necessarily improve ovarian function.
