# AMH: A rough gauge of your egg supply

> AMH estimates your egg reserve. Check your result for your age, see what low and high AMH mean, and what the test can’t tell you about fertility.

- Also called Anti-Müllerian hormone, Müllerian-inhibiting substance and “Egg count” test
- Not on a standard checkup
- No fasting needed
- Web page: https://picardo.health/guides/biomarkers/amh

## The short answer

AMH is a hormone made by the small follicles that hold your eggs, so it gives a rough idea of how many you have left.[3] It’s a good guide to how many eggs IVF would collect,[2] but a poor guide to your chance of getting pregnant naturally: across 11 studies, it did only a little better than chance.[1]

- **A normal result:** It depends on your age. Labcorp’s range is 0.66 to 8.75 ng/mL at 31 to 35, and 0.26 to 5.81 at 41 to 46.[9]
- **If yours is low:** IVF would likely collect fewer eggs. It doesn’t mean you can’t get pregnant naturally.[1][2]
- **Should you test?** Yes, if you’re planning IVF or egg freezing, or being checked for infertility or PCOS. Before you start trying, it gives a rough baseline for your egg reserve, but not your chance of getting pregnant naturally.[2][3]

## What is a normal AMH level?

AMH falls with age, so Labcorp gives a different range for each age group. Here’s what a result below, inside or above the range for your age means:[9]

How old are you?

### 18 or 19

| Result (ng/mL) | What it means |
| --- | --- |
| Under 1.05 | Low for your age |
| 1.05 to 12.86 | Typical for your age |
| 12.87 or more | High for your age |

### 20 to 25

| Result (ng/mL) | What it means |
| --- | --- |
| Under 1.23 | Low for your age |
| 1.23 to 11.51 | Typical for your age |
| 11.52 or more | High for your age |

### 26 to 30

| Result (ng/mL) | What it means |
| --- | --- |
| Under 1.03 | Low for your age |
| 1.03 to 11.10 | Typical for your age |
| 11.11 or more | High for your age |

### 31 to 35

| Result (ng/mL) | What it means |
| --- | --- |
| Under 0.66 | Low for your age |
| 0.66 to 8.75 | Typical for your age |
| 8.76 or more | High for your age |

### 36 to 40

| Result (ng/mL) | What it means |
| --- | --- |
| Under 0.42 | Low for your age |
| 0.42 to 8.34 | Typical for your age |
| 8.35 or more | High for your age |

### 41 to 46

| Result (ng/mL) | What it means |
| --- | --- |
| Under 0.26 | Low for your age |
| 0.26 to 5.81 | Typical for your age |
| 5.82 or more | High for your age |

### 47 to 54

| Result (ng/mL) | What it means |
| --- | --- |
| Under 0.83 | Typical for your age |
| 0.83 or more | Higher than usual for your age |

### 55 or older

| Result (ng/mL) | What it means |
| --- | --- |
| Under 0.19 | Typical for your age |
| 0.19 or more | Higher than usual for your age |

On the pill, ring or implant, AMH runs about 22% to 24% lower on average,[6] and it recovers within about 2 months of stopping the pill.[7] Labs use different AMH tests with their own ranges, so compare results from the same lab.[5]

### Low for your age

**Range:** Below Labcorp’s range for your age.

Your AMH is lower than Labcorp’s range for women your age.[9] It suggests a smaller egg supply, so IVF would likely collect fewer eggs.[2][4] It doesn’t reliably predict your chance of getting pregnant naturally.[1][2] And it isn’t a reason to be turned away from treatment: in US data, even with an AMH under 0.16 ng/mL, 9.5% of IVF cycles started led to a live birth.[2]

**How worried to be:** Not urgent, and it doesn’t mean you can’t get pregnant. If you’re trying to conceive, or your periods have changed, see a clinician in the next few weeks.

**What to do next:**

1. If your AMH is very low, a clinician may add FSH and estradiol, tested together on day 2 to 4 of your cycle.[1][2]
2. If your periods have stopped and you’re under 40, see a clinician soon. FSH and estradiol, tested on any day, can show whether your ovaries are slowing down early, known as premature ovarian insufficiency, which shows up as an FSH over 25 IU/L.[1]
3. If you’re trying to get pregnant, see a fertility specialist after 12 months of trying if you’re under 35, or 6 months if you’re 35 or older. Over 40, it may be worth going sooner.[1]
4. If you’re planning IVF, your clinic will use your AMH to tailor your treatment.[1][3]

[Test FSH and estradiol, $14.40](https://app.picardo.health/labs/order?tests=004309,004515&ref=guide-amh) Have your blood drawn on day 2 to 4 of your cycle if you have periods.

### Typical for your age

**Range:** In Labcorp’s range for your age.

Your AMH is within Labcorp’s range for women your age.[9] At 47 or older, a very low or undetectable AMH is usual.[9] A typical result doesn’t prove you’re fertile, though. AMH says nothing about egg quality, your tubes or a partner’s sperm.[1]

**How worried to be:** Nothing to worry about.

**What to do next:**

1. Nothing to do about the number itself.
2. If you’re trying to conceive, the usual timing still applies. See a specialist after 12 months of trying if you’re under 35, or 6 months if you’re 35 or older.[1]
3. If you’re planning IVF, your clinic reads AMH on a sliding scale. Lower values predict fewer eggs, even inside the lab’s range.[2]
4. If your periods are irregular, a result high in the range can still count toward PCOS. There’s no single cutoff.[1][5]

### High for your age

**Range:** Above Labcorp’s range for your age.

Your AMH is above Labcorp’s range for women your age.[9] AMH tends to run higher in PCOS, so a high result is worth following up if your periods are irregular or you have signs of high androgens, such as acne or extra hair growth.[5] On its own, it can’t diagnose PCOS.[5] If you do IVF, a high AMH predicts a strong response to the fertility drugs, which your clinic will plan around.[4]

**How worried to be:** Not a worry on its own.

**What to do next:**

1. If your periods are irregular, or you have acne or extra hair growth, ask a clinician about testing for PCOS.[5] In teenagers, AMH isn’t used to diagnose it.[5]
2. Testosterone and SHBG check for high androgens.[5] 17-OH progesterone checks for an inherited adrenal condition that can look like PCOS.[1][5]

[Test testosterone, SHBG and 17-OH progesterone, $47.00](https://app.picardo.health/labs/order?tests=070001,082016,070085&ref=guide-amh)

### Higher than usual for your age

**Range:** Above Labcorp’s range, at 47 or older.

From 47, AMH is usually very low, and from 55 it’s usually too low for Labcorp’s test to measure.[9] If you still have periods, a higher result can mean your ovaries hold more follicles than most at your age, though AMH can’t pin down when your periods will stop.[3][9] After menopause, a measurable AMH is unexpected.[9]

**How worried to be:** Not a worry on its own if you still have periods. After menopause, show it to a clinician in the next few weeks.

**What to do next:**

1. If you still have periods, there’s nothing to do about the number.
2. If your periods stopped a year or more ago, see a clinician about it.

## What is AMH?

> Think of your ovaries as holding a bank of eggs, each in a tiny sac called a follicle. AMH comes from the follicles that have started to grow, so it rises and falls with the size of the bank. It shows roughly how much is left, not what it’s worth.[1][3]

AMH, short for anti-Müllerian hormone, is made by cells around the eggs in small, growing follicles. Your level reflects how many of those follicles you have, which is why it falls across your reproductive years.[3]

Unlike FSH and estradiol, it changes little across your menstrual cycle, so you can test on any day.[1] It isn’t a count of your eggs, and it says nothing about their quality.[1]

## What can AMH tell you?

**How many eggs IVF is likely to collect.** AMH predicts whether you’ll respond weakly or strongly to fertility drugs, and clinics use it to tailor treatment.[2][3] European guidelines recommend it, or an ultrasound count of follicles, for this.[4]

**Whether PCOS is likely, alongside other signs.** In adults, a high AMH can stand in for an ultrasound when diagnosing PCOS. More on that below.[5]

**A rough sense of how close menopause is.** AMH falls toward zero as menopause nears: Labcorp’s median at 47 to 54 is under 0.03 ng/mL.[9] But it can’t pin down when your periods will stop. US obstetricians say more data are needed before using it that way.[3] Even an undetectable result isn’t final. In a long-running US study, more than half of women whose AMH became undetectable later had measurable AMH again, and about half of those had a rise in estrogen too, a sign their ovaries had briefly become active again.[8]

## What can’t AMH tell you?

**Your chance of getting pregnant naturally.** Studies disagree on whether a low AMH matters at all. One, of 750 women aged 30 to 44 with no known fertility problems, found that those with an AMH under 0.7 ng/mL were as likely to be pregnant after 6 and 12 cycles of trying as women with normal levels.[2] Another, of 3,150 women, found a lower chance of pregnancy below 1 ng/mL.[1] Across 11 studies, AMH predicted natural pregnancy poorly.[1]

That’s why US obstetricians and fertility specialists say that if you haven’t been diagnosed with infertility, AMH can’t tell you how likely you are to conceive.[2][3]

**Egg quality, or your odds of success with IVF.** AMH reflects how many eggs you have, not how good they are.[1] European guidelines advise against using it to predict pregnancy or live birth after IVF, and name your age and weight as predictors instead.[4]

**Your risk of miscarriage.** US obstetricians don’t recommend AMH testing to predict pregnancy loss.[3]

## What lowers or raises AMH?

AMH is highest in your teens and early 20s, then falls with age.[5][9] Labcorp’s values show how far:[9]

| Age | Labcorp’s range (ng/mL) | Median (ng/mL) |
| --- | --- | --- |
| 7 to 19 | 1.05 to 12.86 | 5.23 |
| 20 to 25 | 1.23 to 11.51 | 4.70 |
| 26 to 30 | 1.03 to 11.10 | 4.20 |
| 31 to 35 | 0.66 to 8.75 | 3.00 |
| 36 to 40 | 0.42 to 8.34 | 1.69 |
| 41 to 46 | 0.26 to 5.81 | 0.58 |
| 47 to 54 | 0.82 or under | Under 0.03 |
| 55 or older | 0.18 or under | Under 0.03 |

Labcorp’s values for women.[9] Other labs use different tests and ranges.[5]

Other things that go with a lower AMH:

- **Hormonal contraception.** In a study of more than 27,000 US women, those using the pill, ring or implant had AMH about 22% to 24% lower on average than women using no contraception. It was about 15% lower with the progestin-only pill and about 7% lower with a hormonal IUD. A copper IUD made no difference.[6]
- **A higher BMI.**[5]
- **Surgery on your ovaries.**[5]
- **Chemotherapy or radiation**, which can reduce your egg supply.[1]

AMH tends to run higher in PCOS.[5]

## Is AMH used to diagnose PCOS?

It can be, in adults. PCOS now has a new name, polyendocrine metabolic ovarian syndrome (PMOS), which US fertility specialists have started to use.[1] Under the 2023 international PCOS guideline, you’re diagnosed when two of these apply, once other causes are ruled out:[5]

- Irregular or absent periods
- Signs of high androgens, such as acne or extra hair growth, or a high testosterone on a blood test
- Polycystic ovaries on an ultrasound, or, in adults, a high AMH instead

The guideline sets limits on how AMH is used:[5]

- It’s an alternative to the ultrasound, never a test for PCOS on its own.
- It isn’t needed if you already have irregular periods and signs of high androgens.
- It isn’t used in teenagers, when it’s less accurate.
- There’s no universal cutoff: each lab’s test needs its own.[1][5]

## Who should get an AMH test?

It’s most useful if any of these apply to you:

- You’re seeing a fertility specialist, or planning IVF or egg freezing. It helps the clinic tailor your treatment.[1][4]
- You’ve been trying to get pregnant for 12 months, or 6 months if you’re 35 or older. Over 40, you may want to be checked sooner.[1]
- You’ve had chemotherapy or radiation, and you’re trying to conceive or planning fertility treatment.[1]
- Your periods are irregular and a clinician is checking for PCOS.[5]

Before you’ve started trying, it gives you a rough baseline for your egg reserve, which is most useful if you’re planning egg freezing or IVF.[2][4] It can’t tell you your chance of getting pregnant naturally.[1][3]

## How to get an AMH test, and what it costs

An AMH test costs $60.00 through Picardo. The Fertility panel adds 21 more tests from the same visit for $429.45.

- **Recommended:** [the Fertility panel, $429.45](https://app.picardo.health/labs/order?panels=fertility&ref=guide-amh). 22 tests, fast for 12 hours first. AMH is one piece. The panel adds FSH, LH and estradiol from a day 2 to 4 draw, androgens for PCOS, thyroid and blood sugar, and immunity and infection tests to do before pregnancy. [What’s in it](https://picardo.health/guides/panels/fertility.md).
- [AMH on its own, $60.00](https://app.picardo.health/labs/order?tests=500183&ref=guide-amh). Labcorp 500183, no fasting needed.

Every order comes with:

- Results in 2 to 3 days, in the app
- Physician follow-up if you want one
- Free Labcorp draw, or $75 at home
- No other fees. HSA and FSA eligible.

Already have a result? [Ask Picardo about it](https://app.picardo.health/auth).

## Questions people ask

### Does a low AMH mean I can’t get pregnant?

No. US fertility specialists say a low ovarian reserve “does not necessarily equate with inability to conceive.”[2] Your age predicts your chances much better than your AMH does.[2] And if you haven’t had trouble conceiving, ovarian reserve tests don’t predict your chances.[2]

### Can I raise my AMH?

AMH reflects the egg supply you have, and that falls with age.[3] What can lift the reading is stopping hormonal contraception. In a study of 68 women coming off long-term pill use, AMH rose by about half on average, leveling off after about 2 months.[7]

### Should I freeze my eggs based on my AMH?

Not on AMH alone. US fertility specialists say ovarian reserve tests shouldn’t be used to promote planned egg freezing. The decision should rest on your plans and your age, which predicts success much better than AMH does.[2] If you go ahead, AMH helps the clinic estimate how you’ll respond to the drugs, and so how many eggs a cycle might collect.[4]

### Can I test AMH on any day of my cycle?

Yes. AMH is fairly stable across the cycle, so any day works, unlike FSH and estradiol, which are tested on day 2 to 4.[1] It may still shift a little from day to day.[5]

### How often should I test my AMH?

Usually once. In the same person, results can vary by about 1.3 ng/mL from cycle to cycle, and guidelines don’t recommend repeat tests to track your reserve. A single result, read alongside your age and history, is the standard approach.[1]

## Often checked alongside

- [FSH](https://picardo.health/guides/biomarkers/fsh.md): A brain hormone that drives egg and sperm production
- [Estradiol](https://picardo.health/guides/biomarkers/estradiol.md): The main estrogen
- [LH](https://picardo.health/guides/biomarkers/lh.md): A brain hormone that triggers ovulation and testosterone
- [Total testosterone](https://picardo.health/guides/biomarkers/testosterone.md): All the testosterone in your blood

## Test details

- **Labcorp test:** Anti-Müllerian Hormone (AMH) (Endocrine Sciences), 500183
- **LOINC:** 38476-8
- **Sample:** Blood
- **Fasting:** Not needed
- **Best time:** Any day of your cycle[1]
- **Typical lab range:** Depends on age. 1.23 to 11.51 ng/mL at 20 to 25, falling to 0.26 to 5.81 at 41 to 46; 0.82 or under at 47 to 54, and 0.18 or under from 55[9]
- **Units:** ng/mL. Some labs outside the US report pmol/L, so check the unit before comparing.

## Sources

1. Practice Committee of the American Society for Reproductive Medicine. Fertility evaluation of infertile women: a committee opinion. Fertil Steril. Published online October 20, 2026. https://doi.org/10.1016/j.fertnstert.2026.08.686
2. Practice Committee of the American Society for Reproductive Medicine. Testing and interpreting measures of ovarian reserve: a committee opinion. Fertil Steril. 2020;114(6):1151–1157. https://doi.org/10.1016/j.fertnstert.2020.09.134
3. American College of Obstetricians and Gynecologists. The use of antimüllerian hormone in women not seeking fertility care. ACOG Committee Opinion No. 773. Obstet Gynecol. 2019;133(4):e274–e278. Reaffirmed 2024. https://doi.org/10.1097/AOG.0000000000003162
4. ESHRE Guideline Group on Ovarian Stimulation, Ata B, Bosch E, et al. ESHRE guideline: ovarian stimulation for IVF/ICSI: an update in 2025. Hum Reprod. 2026;41(4):498–514. https://doi.org/10.1093/humrep/deag018
5. Teede HJ, Tay CT, Laven JJE, et al. Recommendations from the 2023 international evidence-based guideline for the assessment and management of polycystic ovary syndrome. J Clin Endocrinol Metab. 2023;108(10):2447–2469. https://doi.org/10.1210/clinem/dgad463
6. Hariton E, Shirazi TN, Douglas NC, et al. Anti-Müllerian hormone levels among contraceptive users: evidence from a cross-sectional cohort of 27,125 individuals. Am J Obstet Gynecol. 2021;225(5):515.e1–515.e10. https://doi.org/10.1016/j.ajog.2021.06.052
7. Landersoe SK, Birch Petersen K, Sørensen AL, et al. Ovarian reserve markers after discontinuing long-term use of combined oral contraceptives. Reprod Biomed Online. 2020;40(1):176–186. https://doi.org/10.1016/j.rbmo.2019.10.004
8. Bozzuto LM, Acharya K, Shiferaw B, et al. Antimüllerian hormone rebound and estradiol changes in the study of women’s health across the nation. Fertil Steril. 2026;126(4):714–721. https://doi.org/10.1016/j.fertnstert.2026.06.024
9. Labcorp. Anti-Müllerian hormone (AMH) (Endocrine Sciences), test 500183. Labcorp test menu. Accessed October 28, 2026. https://www.labcorp.com/tests/500183/anti-m-llerian-hormone-amh-endocrine-sciences

Updated 2026-11-04. This is general health information, not medical advice: talk to your clinician about your results and before changing any treatment.