Anti-Mullerian Hormone (AMH) Test
Anti-Müllerian hormone (AMH) is a protein produced by the tiny sacs (follicles) in your ovaries that contain eggs. An AMH test measures the level of this hormone in your blood. It is widely used to get an estimate of your ovarian reserve—roughly how many eggs you have left at a given point in time.
A common misunderstanding is that the AMH test is a “fertility test” or an “egg quality test.” It is not. AMH reflects quantity, not quality, and it cannot tell you whether you will get pregnant naturally or how healthy your eggs are. The test gives your doctor one piece of information that must be combined with your age, cycle characteristics, and other lab values to make any meaningful assessment. Understanding what AMH can and cannot do will help you approach the test with realistic expectations.
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Frequently Asked Questions
What is a normal AMH level for my age?
There is no single "normal" AMH level that applies to everyone. AMH declines naturally with age, so reference ranges vary by decade. For example, a level of 2.0–4.0 ng/mL may be typical for a woman in her late 20s, while 0.5–1.5 ng/mL is more common in the early 40s. However, these numbers differ between labs and populations. Your doctor will interpret your result in the context of your age, menstrual cycle, and other fertility-related factors. Do not compare your number with a friend’s or a random online chart — only a qualified clinician can give you a meaningful interpretation.
Can I increase my AMH level naturally through diet or supplements?
No proven method can increase your AMH level, because AMH reflects the remaining egg supply, which is largely determined by genetics and age. Some small studies suggest that vitamin D supplementation may help if you are deficient, and a balanced diet supports overall reproductive health, but these do not raise AMH. Be cautious of any clinic or product claiming to "boost" AMH — there is no reliable evidence. Focus on optimizing your general health and discuss any supplements with your doctor.
Do I need to fast or avoid anything before an AMH test?
No special preparation is needed for an AMH test. Unlike some hormone tests, AMH levels remain relatively stable throughout your menstrual cycle and are not affected by food, time of day, or exercise. You can take the test at any time, even if you are on birth control pills (though oral contraceptives may slightly lower AMH in some women). Inform your doctor about any medications you are taking, but fasting is not required.
How much does an AMH test cost in Bangladesh, and is it available everywhere?
The cost of an AMH test in Bangladesh typically ranges between 2,500 and 5,000 BDT in private diagnostic centers, depending on the city and laboratory. It is available in most major cities (Dhaka, Chattogram, Sylhet, etc.) through reputable labs like Popular Diagnostic, Ibn Sina, and LabAid. Some hospitals and fertility clinics also offer the test. It is rarely covered by standard health insurance in Bangladesh, so you should check with your provider beforehand.
Does a low AMH mean I am going through early menopause?
A low AMH can be associated with diminished ovarian reserve, but it does not reliably predict when menopause will occur. While women with very low AMH may have a shorter time until menopause on average, the test alone cannot tell you the exact age you will stop menstruating. Many women with low AMH still have regular cycles for years. Use AMH as one piece of the puzzle, not a crystal ball. If you have concerns about early menopause, your doctor may recommend additional tests like FSH and antral follicle count (AFC) for a fuller picture.
Sources
The following sources are from international journals, government health agencies, or recognized medical organizations:
- Anti-Müllerian Hormone (AMH) Test – Mayo Clinic (mayoclinic.org)
- Anti-Müllerian Hormone (AMH) Test – MedlinePlus (medlineplus.gov)
- World Health Organization — Anti-Mullerian Hormone (AMH) Test (who.int)
- MedlinePlus — Anti-Mullerian Hormone (AMH) Test (medlineplus.gov)
- CDC — Anti-Mullerian Hormone (AMH) Test (cdc.gov)
- NHS — Anti-Mullerian Hormone (AMH) Test (nhs.uk)