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AMH 1.0 pregnancy chances - Is IVF and Natural Pregnancy Possible?

AMH 1.0 pregnancy chances - Is IVF and Natural Pregnancy Possible?

In this article we discuss whether an AMH of 1.0 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)?

Anti-Müllerian Hormone (AMH) is a hormone produced by the ovaries. It gives doctors an idea of how many eggs a woman has. This helps with planning fertility treatments, like IVF, because it predicts how well her ovaries will respond to the 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 1.0 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 1.0 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 1.0 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 1.0 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 1.0 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 1.0 may have on IVF outcomes.

Table showing how AMH of 1.0 affects IVF and pregnancy

IVF Component What it Means Impact of AMH 1.0
Eggs Oocytes are egg cells found in a woman's ovaries. They join with sperm to form embryos. Oocytes are crucial for human reproduction. AMH 1.0 will mean, there are fewer oocytes available for pregnancy
Oocyte Retrieval - How many eggs can be obtained? During IVF, oocyte retrieval is when doctors take eggs from ovaries. They give medicine first to help the eggs grow. Then, they do a simple surgery to get the eggs out. This is a big step in helping people become parents. AMH 1.0 will mean there are fewer oocytes retrieved, and hence a poorer chance of pregnancy.
Mature Eggs In IVF, mature oocytes are the eggs that doctors collect from ovaries. These eggs are ready to join with sperm to make a baby. Doctors use medicine to help these eggs grow before taking them out. Mature oocytes have the best chance of turning into healthy embryos, bringing joy to hopeful couples. AMH 1.0 will mean there are fewer mature oocytes, and hence fewer chances for a successfull assisted pregnancy
Fertilization Fertilization in IVF is when sperm joins with a mature egg to start forming an embryo. After retrieving mature eggs and collecting sperm, doctors mix them together in a lab dish. They carefully monitor this dish to see if any eggs are fertilized. Successful fertilization means the start of a potential pregnancy. AMH 1.0, since it is less than 1.1 is associated with lower chances of fertilization taking place.
Embryo Transfer In IVF, embryo transfer is when doctors put fertilized embryos into a woman's uterus. After creating embryos by joining eggs and sperm in a lab, doctors pick the best ones. They use a thin tube to gently put one or more embryos into the uterus. This step helps couples achieve pregnancy. AMH 1.0, since it is below 1.1 is associated with lower rates of successfull embryo transfer
Birth During IVF, live birth refers to having a baby after treatment. After fertilizing eggs with sperm in a lab dish, doctors select healthy embryos to transfer into the uterus. If one of these embryos implants and grows well, it can lead to a pregnancy. This brings hope to couples longing for 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 1.0 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 1.0, 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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