What should I do if my anti-Müllerian hormone (AMH) level is low?
Oct 13, 2021
Source: Cainiu Health
Dr. Deng Xuanbi
Introduction
Generally, if anti-Müllerian hormone (AMH) levels are low, natural-cycle or mild ovarian stimulation protocols may be used—under a physician’s guidance—to retrieve a smaller number of high-quality oocytes, thereby reducing the risk of ovarian hyperstimulation syndrome (OHSS). Additionally, hormonal balance should be carefully regulated. Under medical supervision, supplementation with dehydroepiandrosterone (DHEA) and coenzyme Q10 may be recommended to improve oocyte quality and enhance pregnancy rates.
The ovaries are vital organs within the female reproductive system. Ovarian dysfunction poses significant health risks to women, potentially causing endocrine imbalances and infertility, among other complications. Among the various tests used to assess ovarian health, anti-Müllerian hormone (AMH) serves as a key early indicator of ovarian function. So, what should one do if AMH levels are low? Below, we address this question.
What to Do If Anti-Müllerian Hormone (AMH) Levels Are Low
Generally, if AMH levels are low, ovulation induction may be performed under medical supervision using either a natural cycle or a mild-stimulation protocol. This approach aims to retrieve fewer but higher-quality oocytes, thereby reducing the risk of ovarian hyperstimulation syndrome (OHSS). Additionally, hormonal balance should be optimized: under physician guidance, supplements such as dehydroepiandrosterone (DHEA) and coenzyme Q10 may be prescribed to improve oocyte quality and enhance pregnancy rates. Furthermore, AMH is an important early marker of ovarian reserve, with normal values ranging from 2–6.8 ng/mL. Levels below this range suggest diminished ovarian reserve or premature ovarian insufficiency (POI); thus, prompt medical evaluation is strongly recommended.
Knowledge Extension: What to Do If Anti-Müllerian Hormone (AMH) Levels Are High
1. Dietary Management
Elevated AMH levels may be managed, in part, through dietary adjustments. Individuals with high AMH should avoid high-sugar foods—such as watermelon. Regular consumption of sugarcane or watermelon by those with elevated AMH may further increase AMH levels. Therefore, it is advisable for individuals with high AMH to consume more vegetables—such as purslane and bok choy—which may help regulate AMH levels.
2. Exercise Management
Elevated AMH is often associated with physical inactivity. Thus, initiating regular exercise early in the course of elevated AMH is highly recommended. Among various forms of physical activity, running is particularly suitable for individuals with high AMH. Ideally, running should be performed twice daily—once in the morning on an empty stomach for at least 30 minutes—and again in the evening. After completing a 30-day running regimen, individuals with elevated AMH should undergo follow-up testing.
The above outlines management strategies for low anti-Müllerian hormone (AMH) levels. We hope this information is helpful to you.
