Ovarian Reserve / AMH Interpreter

Normal varies by age. For women aged 25-35, most fertility specialists consider 1.5 ng/mL or above to be normal. Values between 0.5 and 1.5 ng/mL are low-normal (reduced reserve but fertility often preserved). Below 0.5 ng/mL is considered low, and below 0.2 ng/mL is very low. After age 40, expected values drop significantly and what counts as adequate reserve changes with each year.

AMH reflects the existing follicle pool and cannot be meaningfully increased. Some studies suggest DHEA supplementation or CoQ10 may modestly support follicle health, but evidence is limited and not yet practice-changing. Smoking is associated with accelerated AMH decline, so quitting smoking is the clearest modifiable factor. Discuss supplementation with a reproductive endocrinologist rather than self-prescribing.

Not always. AMH above approximately 3.5-4.0 ng/mL can be associated with polycystic ovary syndrome (PCOS), which causes irregular ovulation and may require treatment for fertility or metabolic health. In IVF, a very high AMH predicts a high egg yield but also elevated risk of ovarian hyperstimulation syndrome (OHSS). High AMH is not inherently bad but does warrant clinical evaluation.

No. AMH predicts quantitative reserve and IVF response, not your ability to conceive naturally. Many women with low AMH conceive without assistance. Natural conception requires only one viable egg per cycle. A low AMH may prompt a conversation about timelines, and if IVF is needed, a specialist can optimize protocols to retrieve eggs even with low reserve.