Can I take the AMH test while on birth control?

AMH levels may be 14-55% lower in women using hormonal contraceptives, with the extent of decline varying by type of contraceptive, duration of use, and timing of measurement. While the test can be performed while on birth control, it's important to discuss with your healthcare provider whether temporary discontinuation might provide more accurate baseline results for your specific situation.

Does AMH predict how likely I am to get pregnant?

The AMH test cannot predict fertility or successful pregnancy outcomes. While it provides information about ovarian reserve, many other factors influence fertility including egg quality, age, sperm quality, fallopian tube function, and overall reproductive health. AMH is best used as one piece of information in a comprehensive fertility assessment.

How often should I have my AMH tested?

The frequency of AMH testing depends on individual circumstances and goals. For fertility preservation decisions, annual testing may be appropriate for those in their late 20s and 30s. For fertility treatment planning, testing may be done as part of initial workups. Research shows that multiple AMH measurements are not needed to increase predictive accuracy for most clinical purposes.

What should I do if my AMH levels are very low for my age?

Very low AMH levels warrant discussion with a reproductive specialist, especially if you're planning pregnancy. Low AMH before age 39 may be associated with increased risk of menopause between 40-45 years, and very low levels can indicate risk for primary ovarian insufficiency. Early consultation can help explore fertility preservation options and develop appropriate reproductive health plans.

Can AMH levels improve or change over time?

AMH levels generally follow a predictable decline with age and cannot be significantly increased through lifestyle changes or medications. AMH levels naturally decline with age as the ovarian follicle pool diminishes. However, some research suggests DHEA supplementation may improve outcomes in women with AMH levels over 0.8 ng/mL, though this requires medical supervision.

Is the AMH test accurate if I have PCOS?

In women with PCOS, AMH secretion from polycystic ovaries is 75 times higher than normal ovaries, indicating both increased follicle count and intrinsic cellular dysfunction. The test remains accurate for measuring AMH levels in PCOS, but interpretation requires understanding that high AMH levels in PCOS don't necessarily correlate with improved fertility due to ovulatory dysfunction.

Fertility

AMH (Anti-Müllerian Hormone)

Assesses ovarian reserve and egg supply to evaluate fertility potential and reproductive health - no doctor visit required.

Order this test

View at Quest View at LabCorp

LevelPanel has no business or affiliate relationship with Quest or LabCorp. These links are provided as a public service.

Lab testing services linked from this site are not available to residents of Alaska, Arizona, or Hawaii, unless otherwise noted on the lab's own website.

This publication is not intended to solicit the purchase of laboratory testing from any individual consumer.

Blood

HIPAA CompliantCLIA-Certified LabsPhysician-AuthorizedBank-Level Encryption

What this test measures

The Anti-Mullerian Hormone (AMH) test measures a hormone produced by granulosa cells within the small developing follicles of the ovaries. AMH production begins during fetal development and continues until menopause, with the highest output coming from preantral and small antral follicles. The hormone plays a regulatory role in follicle recruitment, helping control which follicles emerge from the resting pool and which become dominant during each menstrual cycle.

What makes AMH particularly useful as a clinical marker is its stability. Unlike FSH, LH, and estradiol, which fluctuate significantly across the menstrual cycle, AMH levels remain relatively constant throughout the month, meaning the test can be drawn at any time without requiring specific cycle-day timing. AMH serves as an indirect estimate of ovarian reserve, reflecting the pool of small follicles available, which correlates with the remaining egg supply. This information helps healthcare providers assess reproductive potential, guide fertility treatment planning, and set expectations for ovarian response to stimulation protocols.

Who should consider this test

You might consider this test if you are experiencing any of the following:

Individuals trying to conceive who want to assess their ovarian reserve and fertility potential
Those considering egg freezing or fertility preservation to understand their optimal timing
Individuals with irregular menstrual cycles, missed periods, or symptoms of hormonal imbalance
Those with a family history of early menopause or primary ovarian insufficiency
Individuals being evaluated for polycystic ovary syndrome (PCOS) as part of comprehensive hormone testing
Those undergoing fertility treatments who need ovarian reserve assessment for treatment planning

What to expect

Preparation

No special preparation is required for the AMH test. The test can be performed at any time during the menstrual cycle as AMH levels remain stable throughout the month. There is no need to fast or avoid medications before testing.

Sample Type

A simple blood sample drawn from a vein in the arm

Collection

The collection process takes just a few minutes. A healthcare professional will use a small needle to draw blood from a vein, typically in the arm. The sample is then sent to a laboratory for analysis.

Turnaround

Results are typically available within 2-5 business days after the laboratory receives the sample. Results will be provided through a secure online portal with detailed reference ranges and explanations.

Understanding your results

AMH results are reported in nanograms per milliliter (ng/mL), with levels between approximately 1.0 and 3.0 ng/mL generally considered average for reproductive-age women. However, expected values decline naturally with age, so a level that would be considered low for a 28-year-old may be entirely normal for a 40-year-old. It is important to understand that AMH reflects the quantity of remaining follicles but does not measure egg quality, which is primarily determined by age. A normal AMH does not guarantee fertility, and a low AMH does not mean pregnancy is impossible. Healthcare providers interpret AMH alongside age, FSH, estradiol, and reproductive goals to provide an individualized assessment.

Population	Reference Range	Notes
Reproductive Age Women (General)	1.0-4.0 ng/mL	Most favorable range for reproductive health and fertility treatments
Ages 20-25	3.3-4.2 ng/mL	Peak reproductive years with highest expected levels
Ages 30-39	1.5-2.4 ng/mL	Normal age-related decline in ovarian reserve
Ages 40-44	0.52-0.88 ng/mL	Expected lower levels approaching perimenopause
Postmenopausal	Undetectable to <0.1 ng/mL	AMH becomes undetectable at menopause

Reference ranges shown are general guidelines. Your lab report will include the specific reference range used by the laboratory that processed your sample, which is the authoritative range for interpreting your results.

What does a “Low” result mean?

Low AMH levels, typically defined as under 1.0 ng/mL, may indicate diminished ovarian reserve. AMH levels below 8 pmol/L (approximately 1.1 ng/mL) have shown high sensitivity for diagnosing primary ovarian insufficiency in women with menstrual irregularities. Low levels may suggest that fewer eggs remain available and could indicate that menopause may occur earlier than average. Lower serum AMH levels are strongly correlated with the likelihood of early menopause, and this association remains significant regardless of other risk factors for premature ovarian aging. However, it's important to note that low AMH does not necessarily mean pregnancy cannot occur naturally, as egg quality and other factors also play important roles in fertility.

What does a “High” result mean?

Higher AMH levels may be associated with polycystic ovary syndrome (PCOS), a hormonal condition that can affect ovulation and fertility. Studies suggest that AMH levels of 3.9 ng/mL or higher may be associated with PCOS, with some research showing individuals with AMH levels ≥ 4.45 ng/mL having a 9.35 times higher likelihood of developing PCOS. Elevated AMH levels typically indicate a higher number of follicles in the ovaries, which may seem beneficial but can sometimes be associated with ovulation difficulties. In rare cases, abnormally high AMH could indicate an ovarian tumor, such as granulosa cell tumors, which can produce elevated levels of this hormone. High AMH levels may also indicate an increased risk of ovarian hyperstimulation syndrome during fertility treatments.

Privacy & confidentiality

All test orders are authorized and results reviewed by an independent, board-certified physician who is not the patient's personal doctor. Your AMH test results are completely confidential and handled with the highest level of privacy protection. Results are not reported to your doctor unless you specifically choose to share them, and they are not part of your medical records maintained by healthcare providers. The test will not appear on insurance statements or explanation of benefits forms, ensuring complete discretion. Your personal health information is never shared with employers, insurance companies, or any third parties without your explicit consent. All results are delivered through a secure, encrypted online portal that only you can access with your unique login credentials. This private testing approach allows individuals to gain valuable insights into their reproductive health and make informed decisions about their fertility journey without any concerns about privacy or confidentiality.

Frequently asked questions

Related tests

FSH & LH Test

Complementary hormones that provide additional insight into ovarian function and menstrual cycle regulation

View Test

Estradiol Test

Primary female sex hormone that works with AMH to assess overall reproductive hormone status

View Test

Testosterone (Total & Free)

Elevated testosterone may indicate PCOS, especially when combined with high AMH levels

View Test

Prolactin Test

Important reproductive hormone that can affect ovulation and fertility when elevated

View Test

Related conditions

Fertility

Female Infertility: Understanding Testing Options

Learn More

Last reviewed: April 2026

CPT Code: 82397

This test may not be available in: NY, NJ, RI

This page is for informational purposes only and does not constitute medical advice. Always consult with a healthcare provider regarding any health concerns. LevelPanel does not diagnose, treat, or prescribe.

Sources:

Order this test

Choose your preferred lab

View at Quest View at LabCorp

LevelPanel has no business or affiliate relationship with Quest or LabCorp. These links are provided as a public service.

Lab testing services linked from this site are not available to residents of Alaska, Arizona, or Hawaii, unless otherwise noted on the lab's own website.

This publication is not intended to solicit the purchase of laboratory testing from any individual consumer.

100% confidential

Results in 1-3 days

No doctor visit required

Blood

Not sure if this is the right test? Contact our care team for guidance.

Find a lab near you →

This page is intentionally kept stable and machine-readable so that researchers, clinicians, and AI systems can rely on it as a reference. See our Citation Policy.