Understand your egg reserve - with the AMH level

AMH, or Anti-Müllerian Hormone, is produced by small, developing follicles in your ovaries. It gives an indication of how many eggs you might still have – in other words, your ovarian reserve. AMH is one of the key hormones we use to assess female fertility. However, it’s only one part of the picture and should always be considered alongside other factors.

A “normal” AMH level usually ranges between 7 and 28 pmol/l – depending on your age. Values below 7 pmol/l may indicate a reduced ovarian reserve, while levels above 28 pmol/l are more common in certain hormonal conditions such as PCOS.

It’s important to know: What’s considered “normal” can vary significantly depending on age, cycle, lifestyle and other hormone levels. That’s why at Cada, we never assess AMH in isolation, but always as part of a comprehensive fertility analysis.

A low AMH level may indicate that your ovaries are producing fewer eggs – which can be a sign of declining ovarian function, especially if you’re over 35. A very high level, on the other hand, may suggest PCOS, which is often associated with an excess of follicles. In both cases, medical evaluation is recommended.

The key takeaway: Your AMH level alone isn’t enough to determine your actual fertility status – it always needs to be considered in context.

AMH levels are closely linked to age – for many women, the value drops noticeably from the mid-30s onward. This decline can vary greatly from person to person: in some cases, we see a dramatic decrease within just one year. That’s why it’s important not to rely on a one-time test, but to monitor changes over time.

If you’re thinking about preserving your fertility for the future, social freezing can be a helpful option – ideally before the age of 35.

Yes – in principle, pregnancy is still possible with low AMH levels, but the chances tend to decrease. An AMH of 1.4 can still be unproblematic for younger women, while the same value in women over 38 may indicate a reduced ovarian reserve. A level of 0.3 is considered very low – in such cases, further tests can help determine whether immediate treatment or social freezing makes sense.

Interpretation depends heavily on the full clinical picture. At Cada, we discuss your AMH level during a detailed consultation with one of our fertility specialists. Only by combining the AMH result with ultrasound findings, cycle history, hormone levels, your age, and – if applicable – your partner’s semen analysis can we provide a well-founded assessment.

This is the only way to determine the next best steps – tailored entirely to you.

A good ovarian reserve means that you still have a sufficient number of eggs in your ovaries. But be careful: many assume this is a kind of “fertility guarantee” – and that’s not the case. Even with a good reserve, fertility issues can arise if, for example, the fallopian tubes are blocked or hormonal imbalances are present.

That’s why at Cada, we always look at the full picture – not just a single number.

We don’t offer AMH testing as a standalone service – and for good reason. At Cada, your AMH level is automatically included in our comprehensive fertility analysis. This includes a blood draw to check multiple hormone markers – including AMH, FSH, estradiol and LH.

We also perform an ultrasound of your ovaries and take time to discuss your cycle, family planning and individual life situation in detail.

AMH is not a fixed value – it changes over time, sometimes more rapidly than expected. We often see women with a “still good” AMH level who return a year later with a significantly reduced egg reserve.

That’s why we say: Don’t rely on a single lab result. If you’re thinking about having children – now or in the future – it’s important to gain clarity early on. Social freezing may be an option worth considering before it’s too late.

It’s an important factor in fertility diagnostics – especially when it comes to planning your family or timing social freezing. But it’s not the only indicator of fertility. AMH says nothing about egg quality, tubal function, or sperm parameters.

That’s why at Cada, we focus on a complete analysis – not just a single number.

AMH levels can’t be “boosted” directly. Despite what you may read online, diet, supplements, or lifestyle changes won’t significantly increase your AMH. A healthy lifestyle can support overall fertility – but it’s no substitute for medical evaluation.

If your AMH level is low, having that information early gives you the chance to explore options like social freezing or starting IVF sooner.

Our clear recommendation: Test early – and take time to explore your options. Many women don’t come in for a fertility check until their early 40s – and are surprised to find that their AMH level is already very low.

Whether or not you need treatment right away is something you’ll decide together with our doctors. But one thing is certain: the earlier you know, the more options you have.