Low AMH but Regular Periods, What It Means

What is AMH and what does a low result mean?

AMH (Anti-Müllerian Hormone) is produced by the small follicles in your ovaries and provides an estimate of your ovarian reserve, essentially, how many eggs you have remaining. A low AMH indicates fewer eggs than average for your age.

However, AMH doesn't tell you whether you're ovulating, whether your eggs are good quality, or whether you can get pregnant. It's one piece of information, not a fertility verdict. Learn more about understanding your AMH level.

Why can I have low AMH but still have regular periods?

Regular periods indicate that your hormonal cycle is working and you're ovulating, releasing one egg each month. This process only requires one dominant follicle to develop and release its egg.

AMH, on the other hand, reflects your total pool of remaining eggs. You can have a smaller total reserve while still successfully ovulating each cycle. Think of it like having a smaller savings account while still being able to make your monthly withdrawals.

Can I still get pregnant naturally with low AMH?

Yes, many women with low AMH conceive naturally. Natural conception only requires one good quality egg to be fertilised each month, and if you're ovulating regularly, that egg is being released.

Low AMH doesn't predict your chance of pregnancy in any given cycle. It does suggest that your window of fertility may be shorter than average, so if you're planning pregnancy, it's worth considering timing.

Does low AMH mean my eggs are poor quality?

No. AMH measures quantity, not quality. Egg quality is primarily determined by age, not AMH level.

A 30-year-old with low AMH likely still has good egg quality typical for her age. A 42-year-old with normal AMH will have age-related quality decline despite having more eggs. This is an important distinction, learn more about egg quality versus quantity.

What does low AMH mean for IVF?

In IVF, AMH helps predict how your ovaries will respond to stimulation. Lower AMH often means fewer eggs will be retrieved. However:

• Quality matters more than quantity, a few good embryos can lead to success
• Modified protocols can optimise response for women with lower reserve
• Success is still possible, though additional cycles may be needed
• Age remains the strongest predictor of IVF success, not AMH alone

If IVF is being considered, your fertility specialist will discuss realistic expectations based on your complete picture. Learn about when IVF might be recommended.

What should I do if I have low AMH and want children?

The most important step is to consult with a fertility specialist who can put your AMH result in context with your age, other test results, and personal circumstances. Options to discuss include:

• Trying to conceive sooner rather than later, if circumstances allow
• Egg freezing to preserve current egg quality for future use
• Complete fertility assessment to check for any other factors
• Understanding your realistic timeline and options
• Lifestyle factors that support overall fertility health