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Anti-Müllerian Hormone (AMH) Test: Early Detection and Action for Fertility
The Anti-Müllerian Hormone (AMH) indicates how many egg cells a woman still has - the so-called ovarian reserve. An AMH value test can be useful for women who wish to start their family later in life. Especially from the age of 30, when career and life planning play a central role, the AMH test offers valuable insights into one's fertility.
Female fertility decreases with age - therefore, it can be helpful to consider measures such as social freezing in good time. Learn how the AMH test works and why it can be important for your family planning.
Why an Anti-Müllerian Hormone (AMH) Test is Useful
The AMH value provides information about the remaining number of egg cells. This is particularly relevant for women who wish to postpone starting a family for professional or personal reasons.
Helps in planning a later pregnancy.
Indicates whether measures such as social freezing should be considered.
Can eliminate uncertainties regarding fertility.
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The Optimal Time for the AMH Test
An AMH test is recommended from the age of 30, as fertility significantly declines from about 35 years of age.
The female egg reserve decreases with increasing age.
The quality of egg cells deteriorates over the years.
Early AMH tests enable better decision-making options.
Utilizing Social Freezing as an Option
If the AMH test shows a low value, social freezing can be an option. This involves removing egg cells and preserving them for later fertilization.
When fertilizing cryopreserved egg cells, the probability of successful motherhood is around 10%. Ideally, about twenty-five egg cells should be frozen. In most cycles, ten to fifteen egg cells can be retrieved.
For an 80 percent chance of success in a 30-year-old woman with an age-appropriate ovarian reserve, about 20 egg cells are needed.
In a 40-year-old woman, however, twice as many egg cells are needed, which means about three times as many retrieval cycles.
This shows that social freezing should be started early, as the egg reserve, quality, and chance of a high yield significantly decrease with age. The ideal age is before 34.
Especially women who would like to have more than one child should act early and plan several cycles to collect enough egg cells for the future.
However, social freezing does not guarantee success. It should rather be seen as a backup for women who, for various reasons, cannot or do not want to plan a pregnancy at a younger, fertile age. Social freezing helps preserve fertility, but it does not guarantee that a pregnancy will actually occur later.
Why an AMH Test Can Increase Your Chances of Pregnancy
An AMH test provides women with a realistic assessment of their fertility, allowing them to take timely action. Fertility declines with age. Social freezing can only be effective if enough egg cells are collected at a younger age. Early action significantly increases the chances of success.
Further Tips:
Have your AMH level checked regularly to monitor your egg reserve. Please note that measuring the AMH level is an "Individual Health Service" (IGeL) that must be paid for privately in the case of statutory health insurance. The costs amount to approx. EUR 50.
Seek advice from a specialized fertility clinic.
Healthy diet and lifestyle improve egg quality.
Avoid Common Mistakes
Making the AMH test too late and missing opportunities.
Freezing too few egg cells.
Viewing social freezing as a guarantee for a later pregnancy.
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Conclusion
An AMH test can be an important tool for better assessing one's fertility and taking early action. Especially women who wish to postpone starting a family for various reasons should be aware that the egg reserve decreases with age.
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Questions & Answers
How is an AMH test performed?
The AMH test is performed via a simple blood test at the gynecologist.
When should I get the AMH test done?
Ideally, the AMH test should be done from the age of 30 or if later family planning is being considered.
Can I improve my fertility with lifestyle measures?
A healthy lifestyle can positively influence egg quality, but not increase the quantity.
Would you like more information?
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Marianna Papagallo Dörnemann
Gynecologist
As a gynecologist, I have accompanied women for many years through the hormonal changes of perimenopause and menopause. I know how individual this phase of life is - and how much quality of life we can gain if we approach it with knowledge and openness.
