ANTI MULLERIAN HORMONE (AMH)

Anti-Müllerian Hormone (AMH) is produced by immature Sertoli cells in the male and in granulosa cells in preantral and small antral follicles in the female. AMH is used for the evaluation of Ovarian reserve and prediction of the outcome of Assisted Reproductive Technology (ART). It can also be used to assess Ovarian function in patients with Polycystic Ovarian Syndrome, menopausal status and to diagnose and monitor Ovarian Granulosa Cell Tumor. AMH measurements can also be used to evaluate testicular presence and function in infants with intersex conditions or ambiguous genitalia, and to distinguish between Cryptorchidism (testicles present but not palpable) and Anorchia (testicles absent) in males.

An AMH Test is generally advised in several circumstances, which are:

• Fertility Assessment: To assess an individual's ovarian reserve, particularly if she is planning a pregnancy or is having trouble getting pregnant. The amount of eggs left in the supply is estimated by AMH levels.
• In Vitro Fertilization (IVF) Planning: To predict the ovarian response to stimulation during IVF treatment and assist in determining the proper dosage of fertility drugs.
• Polycystic Ovary Syndrome (PCOS): Since elevated AMH levels are common in women with PCOS, the test can aid in both diagnosis and condition monitoring.
• Premature Ovarian Insufficiency (POI): To evaluate ovarian function because low AMH levels may be a sign of decreased ovarian reserve in women going through early menopause or irregular menstrual cycles.
• Oncology and Chemotherapy Planning: The AMH test can assist in determining the possible effects on fertility for women receiving cancer treatment, particularly Chemotherapy or Radiation, which can affect Ovarian function.
• Assessing Menopause Timing: Deteriorating AMH levels indicate the onset of perimenopause.

If you have following symptoms or conditions, then AMH Test is advised:

• Irregular or missed periods
• Difficulty in conceiving
• Polycystic Ovary Syndrome (PCOS)
• Early menopause symptoms such as ovarian insufficiency (POI) or early menopause, such as hot flashes or irregular cycles
• History of ovarian surgery
• Assess potential effects of planned cancer treatment like chemotherapy or radiation on ovarian function and fertility
• Family history of early menopause

• There is no special preparation required before the AMH Test. 
• Other blood tests can be carried out in addition to an AMH Test. If your doctor advises you to have multiple tests at once, they may ask you to fast for a specific period of time prior to a blood test.
• Drink adequate water before sample collection.
• Follow the preparatory instructions as guided by your doctor.

The Price of an AMH Test is Rs. 1500. However, cost of the test may fluctuate depending on following factors:

• Other tests advised along with AMH Test
• Offers or discounts
• Empanelment of the patient