Anti-Mullerian Hormone Gold Plus Test
About AMH Gold Plus
AMH Gold Plus is a package of tests used to determine a person's fertility status. Anti-mullerian hormone (AMH) is a blood test used to assess ovarian reserve (the quality and quantity of follicles produced in the ovaries) in women. Females of childbearing age can have thousands of eggs, but their ovarian reserve decreases as they age. The anti-mullerian hormone (AMH) test is used to determine whether or not a woman is fertile.
AMH Gold Plus packages tests for hormones such as anti-mullerian hormone (AMH), follicle stimulating hormone (FSH), luteinizing hormone (LH), prolactin test, thyroid-stimulating hormone (TSH) test, progesterone, and testosterone.
Symptoms of Polycystic ovarian syndrome (PCOS)
Abnormal uterine bleed
Acne
Absence of menstrual cycle
Decreased breast size
Enlarged ovaries
Excess face and body hair
Weight gain
Thinning hair
When is AMH Gold Plus test indicated?
To evaluate the ovarian function and fertility issues, especially during in vitro fertilization (IVF)
To evaluate polycystic ovary syndrome (PCOS)
To evaluate the effectiveness of ovarian cancer treatment
To evaluate the presence of external sex organs that are not male or female (ambiguous genitalia) in infants
To evaluate the function of the testicles in a baby boy
To evaluate why a female is beginning to develop male characteristics (virilization)
Test preparation
12 hours of fasting is recommended before taking this test. Please talk to your healthcare provider if you are taking any multivitamins or other medications before taking this test.
Specifications for AMH Gold plus test
In women:
An AMH test is prescribed to assess the ovarian reserve in women of childbearing age who are being investigated for infertility. This test reveals how many eggs a woman still has and whether her ovaries are aging too quickly. To prepare for in vitro fertilization, an AMH test is also used to assess the effectiveness of injectable fertility medications (IVF).
In infants:
In infants with no identifiable external genitals (that are not male or female), an AMH test is ordered. This will help in determining the sex of the baby. By measuring the AMH level, this test can also help determine whether the testicles in baby boys are functioning normally.
Interpretation of the results:
|
Parameter |
Normal range |
|
AMH |
1.0 – 7.0 ng/mL |
|
FSH |
1.5 – 12.4 IU/L |
|
LH |
Follicular phase of menstrual cycle: 1.68 – 15 IU/mL Midcycle peak: 21. 9 – 56.6 IU/mL |
|
Prolactin test |
Non-pregnant: <25 ng/mL Pregnant: 80-400 ng/mL |
|
TSH |
0.5 – 5.0 IU/L |
|
Progesterone |
Prepubescent girls: 0.1 – 0.3 ng/mL Follicular stage of the menstrual cycle: 0.1 – 0.7ng/mL Luteal stage: 2 – 25 ng/mL |
|
Testosterone |
15 – 70 ng/ dL |
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Deviations from the normal ranges:
·        High levels of AMH may be an indication of PCOS. There is no proper cure for PCOS. However, symptoms can be managed by making certain lifestyle modifications, such as a healthy diet and weight management. It is also seen frequentlyin certain types of ovarian cancer.
·        Low AMH levels could be a sign of poor ovarian reserve (low number and decreased quality of eggs). This will show you your chances of being pregnant as well as how much longer you can delay becoming pregnant if you wish to.
·        High FSH levels are seen in menopause. Also, it is enhanced if you are receiving hormone therapy or have a particular type of cancer. Low levels could be a sign of infertility, quick weight loss, or even pregnancy.
·        If you are of childbearing age, high levels of LH may point to an issue with your ovaries. If you are older, you are either in perimenopause or have begun menopause. It could also be high if you have PCOS. Low amounts of LH could mean you're malnourished or that your pituitary gland isn't working properly.
It is always advisable to consult your healthcare provider about your test results.
FAQs
I have irregular periods. Should I undergo the AMH Gold Plus test?
Yes. It is advisable to take the AMH Gold Plus test if you are experiencing irregular periods to know what the underlying condition might be. In case of low AMH levels, it is either an indication that you might be having early signs of premature ovarian failure or even menopause.
Are there any risks to the AMH Gold Plus test?
No. AMH Gold Plus is a simple blood test that involves negligible risks. Blood tests might cause a slight pain or bruise at the site of needle insertion for blood withdrawal. It usually subsides within a few minutes to an hour. Rarely, the site can become infected.
What is the turnaround time (TAT) for the AMH Gold Plus test?
The test results for AMH Gold Plus may be available within 2-5 days after the sample collection. However, it might take a little longer at times.
What are the normal AMH levels as per age?
AMH levels gradually decrease with increasing age. The below box represents the normal levels of AMH in different ages.
|
Age in years |
AMH level (ng/mL) |
|
25 |
3.0 |
|
30 |
2.5 |
|
35 |
1.5 |
|
40 |
1 |
|
45 |
0.5 |
Should I work on increasing the AMH levels to increase the ovarian reserve?
The number of eggs in your ovaries is simply reflected in your AMH levels. The number of eggs in the ovaries cannot be increased by raising AMH levels. In the ovaries, eggs only multiply once, just before you are born, and gradually decrease throughout your reproductive life.
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