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AMH 0.2 pregnancy chances - Is IVF and Natural Pregnancy Possible?

AMH 0.2 pregnancy chances - Is IVF and Natural Pregnancy Possible?

In this article we discuss whether an AMH of 0.2 is enough for pregnancy, either by IVF or through a natural pregnancy.
Updated Date : 2024-04-19T21:23:44.841+00:00

What is AMH(Anti Mullerian Hormone)?

AMH, known as Anti-Müllerian Hormone, is a hormone made by the ovaries. It tells doctors about a woman's ovarian reserve, or how many eggs she has. This is helpful for fertility treatment planning, like IVF, because it helps predict how well her ovaries will respond to treatment.

How is AMH measured?

AMH is measured by drawing a sample of blood from your vein. The sample is transported to the lab and there it is usually analyzed by a variety of automated analyzers.

These analyzers use techniques like EIA, ELISA, or CMIA to detect the AMH levels. These analyzers include the Roche, Beckmann Coulter and Abbott Platforms

With measuring ranges spanning from as low as 0.01 ng/mL up to 23 ng/mL, these systems ensure precise measurement of AMH levels, providing valuable insights into ovarian reserve and fertility potential.

What is the normal range of AMH and how is an AMH of 0.2 graded?

A normal AMH level is usually considered to be between 1.1 and 4 ng/ml. For clinical purposes, AMH is usually recognized as being above or below a cut-off value of 1.1 ng/ml.
AMH Range Inference
<1.1 ng/ml Lower chances of pregnancy through IVF
>1.1 ng/ml Higher chances of pregnancy through IVF

Is an AMH of 0.2 enough for normal pregnancy?

AMH levels cannot be used to predict the chances of a natural pregnancy. AMH is a marker of how many eggs or oocytes are available. It does not give any indication of the quality or viability of these eggs. Across age groups, research has shown that AMH cannot predict your chances of getting pregnany naturally. As such an AMH of 0.2 does not mean that you cannot have a natural pregnancy. Natural pregnancies have been reported even with undetectable AMH levels.

What is IVF and how does AMH 0.2 affect the outcome of IVF for pregnancy?

IVF or in-vitro-fertilization techniques are gaining importance due to low fertility rates. AMH is a key marker to determine which patients are a good fit for IVF. To judge the impact of an AMH level of 0.2 on IVF success rates, we take a look at the various terms used to understand IVF techniques. The following table lists the impact an AMH level of 0.2 may have on IVF outcomes.

Table showing how AMH of 0.2 affects IVF and pregnancy

IVF Component What it Means Impact of AMH 0.2
Eggs Oocytes are tiny cells found in a woman's ovaries. They mix with sperm to create babies. Oocytes are essential for making babies. AMH 0.2 will mean, there are fewer oocytes available for pregnancy
Oocyte Retrieval - How many eggs can be obtained? When people do IVF, they need eggs from ovaries. Oocyte retrieval is when doctors take those eggs out. They use medicine to help the eggs grow first. Then, they gently take the eggs out with a special tool. This is an important step for people trying to have a baby. AMH 0.2 will mean there are fewer oocytes retrieved, and hence a poorer chance of pregnancy.
Mature Eggs Mature oocytes are the eggs that are ready for fertilization. During IVF, doctors retrieve these eggs from ovaries after giving medicine to help them grow. These eggs are important because they have the best chance of becoming healthy embryos when combined with sperm. Couples hoping for a baby rely on these mature eggs. AMH 0.2 will mean there are fewer mature oocytes, and hence fewer chances for a successfull assisted pregnancy
Fertilization In IVF, fertilization is when sperm enters a mature egg to create an embryo. Doctors collect mature eggs and sperm, then mix them in a lab dish. They watch closely to see if any eggs are fertilized. This step is essential for couples hoping to have a baby. AMH 0.2, since it is less than 1.1 is associated with lower chances of fertilization taking place.
Embryo Transfer Embryo transfer in IVF is when doctors place fertilized embryos into a woman's uterus. After fertilizing eggs with sperm in a lab, doctors carefully select healthy embryos. They then use a thin tube to gently transfer one or more embryos into the uterus. This hopeful step aims to achieve pregnancy. AMH 0.2, since it is below 1.1 is associated with lower rates of successfull embryo transfer
Birth Live birth in IVF means having a baby after treatment. After fertilizing eggs with sperm in a lab, doctors transfer healthy embryos into the uterus. If one of these embryos grows and develops well, it can lead to a pregnancy. This hopeful process brings joy to couples trying to have a baby. AMH levels have not shown any direct independent correlation with live birth rates in patients undergoing IVF cycles. This means that AMH of 0.2 alone cannot predict the chances of live birth.

More Information About the AMH Test

Pathofast Lab in Pune, performs the AMH test routinely for all our patients. Read more about getting an AMH Test in Pune.

List of tests you can do to further evaluate your chances of Pregnancy

With an AMH level of 0.2, additional tests should be done to evaluate the female hormones. The following is a list of test profiles for more information.
  1. FSH, LH, Prolactin and Testosterone Profile
  2. DHEA Test
  3. PCOS Tests

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Dr.Bhargav Raut is a qualified Pathologist, with over 5 years of experience in the field
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