What is an AMH (Anti-Müllerian Hormone) Test?
The Anti-Müllerian Hormone (AMH) test is a sophisticated blood marker used to estimate a woman's ovarian reserve — the total number of eggs remaining in her ovaries. AMH is produced by the small growing follicles that contain immature eggs. Unlike other fertility hormones that fluctuate significantly throughout the menstrual cycle, AMH levels remain relatively stable — making it the most reliable single marker of reproductive potential. An AMH test is often the first step for women planning for the future, whether through natural conception, egg freezing or IVF.
Why AMH is a Vital Fertility Marker
AMH acts as a biological clock, providing insights that age alone cannot reveal:
- Assessing Ovarian Reserve — Provides a quantitative measure of your remaining egg pool, helping you understand your fertility window
- IVF and Fertility Planning — Helps specialists predict how your ovaries will respond to stimulation medications and determine the optimal dosage
- PCOS Detection — Abnormally high AMH is a frequent indicator of PCOS, where the ovaries contain many small immature follicles
- Early Menopause Screening — Detects Premature Ovarian Insufficiency (POI) when AMH is significantly lower than expected for age
- Egg Freezing Planning — Guides timing decisions for women who want to preserve fertility before age-related decline
Normal AMH Levels by Age
| Age Group | Expected AMH Range | Interpretation |
|---|---|---|
| Under 25 years | 3.0 – 6.8 ng/mL | High ovarian reserve |
| 25 – 30 years | 2.5 – 6.3 ng/mL | Good ovarian reserve |
| 30 – 35 years | 1.5 – 4.0 ng/mL | Average ovarian reserve |
| 35 – 40 years | 0.5 – 2.5 ng/mL | Slightly reduced reserve |
| 40 – 45 years | 0.1 – 1.5 ng/mL | Low ovarian reserve |
| Above 45 years | Below 0.5 ng/mL | Very low — approaching menopause |
| PCOS (any age) | Above 6.0–7.0 ng/mL | Elevated — suggests PCOS |
AMH levels decline naturally with age as the follicle pool diminishes. Your doctor will interpret your AMH in context of your age, symptoms and other fertility markers.
AMH vs FSH — Which is Better for Ovarian Reserve?
- AMH — produced directly by ovarian follicles. Stable throughout the cycle — can be tested any day. Declines gradually with age. More sensitive early indicator of reserve decline. Not affected by hormonal contraceptives in the short term.
- FSH — produced by the pituitary gland. Must be tested on Day 2–3 of the cycle. Can fluctuate cycle-to-cycle. Rises as reserve declines (indirect marker). Can be suppressed by oral contraceptives.
- Best practice — Most fertility specialists order both AMH and Day 2–3 FSH together for the most complete ovarian reserve assessment.
When is an AMH Test Recommended?
Your doctor may recommend an AMH test if you:
- Are planning to conceive and want to assess your remaining egg supply
- Are considering egg freezing (oocyte cryopreservation) for future use
- Are planning IVF and need ovarian reserve assessment before starting
- Have been trying to conceive for 6–12 months without success
- Have irregular periods or signs of early menopause under age 40
- Have been diagnosed with or suspected of PCOS
- Are above 35 and thinking about starting a family
- Have had ovarian surgery, chemotherapy or radiation that may have affected ovarian reserve
- Have a family history of early menopause
What Conditions Does AMH Help Diagnose or Guide?
- Diminished Ovarian Reserve (DOR)
- Premature Ovarian Insufficiency (POI)
- Polycystic Ovary Syndrome (PCOS)
- Menopause timing prediction
- IVF stimulation protocol planning
- Fertility preservation counselling
- Ovarian granulosa cell tumor monitoring
AMH Test Price in Kolkata
No fasting required | Any day of cycle | Free home collection above ₹2,000
Tests Commonly Ordered Alongside AMH
- FSH (Day 2–3) — completes the ovarian reserve picture alongside AMH
- LH (Day 2–3) — LH:FSH ratio helps rule out PCOS alongside high AMH
- Estradiol (Day 2–3) — baseline estradiol completes the Day 3 fertility panel
- Prolactin — elevated prolactin can suppress fertility hormones independently of AMH
- Thyroid Profile (TSH) — thyroid disorders can affect fertility alongside low AMH
- Testosterone — ordered alongside AMH when PCOS is suspected
- Antral Follicle Count (AFC) — transvaginal ultrasound that counts visible follicles; ordered alongside AMH for IVF planning
Home Collection for AMH Test in Kolkata
Apollo Diagnostics provides home blood sample collection for AMH tests across North and Central Kolkata. Since the AMH test can be done on any day of the cycle without fasting, it is one of the most convenient fertility tests to schedule. Our phlebotomists arrive at your doorstep with sterile equipment and samples are processed at our NABL-certified central laboratory.
- Home collection available: 7:00 AM – 2:30 PM Daily
- No fasting required — any day of cycle
- Free home collection on orders above ₹2,000
- Digital reports delivered to WhatsApp within 24–48 hours
→ Apollo Diagnostics Nagerbazar → Full List of Individual Tests → Book Home Collection → Full Body Checkup Packages
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