GUIDES
AMH levels by age: charts and fertility implications
Here at Arva Health, we’re hormone obsessed — especially when it comes to AMH. That’s because AMH levels can give us huge insight into our fertility curves and help us make decisions about the future.
AMH hormone affects many aspects of fertility
Why are your AMH levels important?
AMH, or Anti-Müllerian hormone, is a hormone produced by the follicles in your ovaries, which are the tiny sacs that hold and release your eggs. Studies indicate that AMH is the most reliable hormonal marker of your ovarian reserve, or how many eggs you have left.
AMH levels start declining around age 25, and a normal AMH level for your age means that your egg and follicle count is comparable to other people your age. A lower AMH level may indicate a lower egg and follicle count. That's why getting an AMH test can be reassuring, especially if you are planning to start a family in India.
AMH levels were primarily used to assess the likelihood of success with assisted reproductive technology (ART) procedures such as In-Vitro fertilisation (IVF) and egg freezing. Some research suggests that AMH levels may also provide insights into the timing of menopause onset, but the research still needs to go a long way.
What are normal AMH levels by age and how can they change over time?
People with ovaries are born with 1-2 million eggs. Although that might sound like a lot, that number drops significantly before you even reach puberty. Multiple follicles are also lost every month during your cycle until menopause when egg count and AMH levels drop down to zero.
Studies show that egg count begins to significantly diminish around age 25, more rapidly around 30, and then even more steeply around 35. As egg count goes down, so does AMH.
But the word “typically” is key here: Every individual is totally unique — your egg count and AMH may drop at a different rate. Measuring your level over time can help you track changes and predict when menopause onset might happen for you.
AMH levels decline with age
Normal AMH levels might mean more successful outcomes for IVF and egg freezing
What can normal AMH levels tell you?
No hormone test, including an AMH test, can predict pregnancy or infertility for sure.
It's like a cholesterol test—knowing your cholesterol level can't tell you for sure whether or not you'll have a heart attack, but it can help you track changes over time and have informed conversations with your doctor.
What AMH tests can provide you is valuable insights into your ovarian reserve and how you might respond to fertility treatments. For example, women with normal AMH levels for their age are more likely to be able to retrieve a higher number of eggs for IVF, which can increase their chances of success. AMH tests can also help identify diminished ovarian reserve (DOR), a condition that can make it more difficult to get pregnant naturally or with fertility treatments.
In short, AMH tests are a valuable tool for assessing female fertility. While they aren't perfect, they're the best hormonal marker we have for understanding your unique fertility journey.
What can low AMH levels tell you?
Women with lower AMH for their age are more likely to have a shorter reproductive window (the time between the start of menstruation and menopause) than women with normal AMH levels. This is because AMH is a marker of ovarian reserve, which is the number of eggs remaining in the ovaries. Women with lower AMH have fewer eggs remaining, which can lead to earlier menopause.
According to Dr. Scott Nelson, a leading expert on AMH, "When women enter menopause at an earlier age, it impacts their overall fertility across their lifespan and potentially their ability to complete their desired family size.
Low AMH levels might shorten the reproductive window
Test your AMH to understand Ovarian Reserve
How can you test your AMH levels?
The Arva Health Fertility hormone test measures your AMH levels as well as 11 other key biomarkers to give you the most comprehensive look at your fertility — all from the comfort of your home and at a fraction of the price. With our test, you’ll also get access to:
Physician-reviewed reports based on your results
A personalised fertility dashboard so you can understand your results and how they affect you
Tools to track hormone changes over time and plan your timeline for kids
Access to live Q&As with fertility experts
Round the clock care from fertility counsellors, doctors, and more.
Want to keep going?
Go to our library for the most up-to-date fertility information.
