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Low AMH Isn’t Infertility. It’s a Signal.
Every woman is born with a limited number of eggs — approximately 1 to 2 million at birth. By puberty, this reserve drops to around 3 to 5 lakh, and every menstrual cycle causes a steady decline. Each month, one egg matures, while others naturally disintegrate. Over time, the quantity — and sometimes the quality — of eggs reduces. This is completely normal and expected.
One of the ways we measure a woman’s ovarian reserve is through AMH (Anti-Müllerian Hormone) levels. But here’s the key takeaway:
“Low AMH is not infertility. It is only a signal!”
It tells us the number of eggs remaining but says nothing about egg quality, overall reproductive health, or your chances of becoming a mother.
Understanding AMH & Egg Reserve by Age
| Age | Approx. Eggs Left | Typical AMH Range (ng/ml) |
| 25 | 1,00,000 – 1,50,000 | 3.0 – 5.0 |
| 30 | 75,000 – 1,00,000 | 2.5 – 4.0 |
| 35 | 50,000 – 75,000 | 1.5 – 3.0 |
| 40 | 10,000 – 20,000 | 0.5 – 1.5 |
| 45+ | < 5,000 | < 0.5 |
These are average values and should always be interpreted along with other factors like FSH, LH, and antral follicle count.
Real Story: Natural Conception with Low AMH
One of my patients, a 32-year-old woman with AMH of 0.8 ng/ml, came to me feeling disheartened after being told IVF was her only option. She had no other medical condition, and instead of rushing to assisted methods, I guided her through a plan of lifestyle restructuring, targeted supplementation, and natural ovulation tracking. Within just 3 months, she conceived naturally and enjoyed a healthy pregnancy.
Her story reminds us:
“Fertility care must be personalized — not panic-driven.”
Real Story: Natural Conception with Low AMH
Not significantly. It reflects the number of eggs left. But egg quality can be improved, and that’s what really matters for conception.
No. Many women with low AMH continue to ovulate and menstruate regularly for years.
It depends. If you’re above 35 or have other issues, don’t delay. But low AMH alone doesn’t mean you need to panic.
Yes — but you may need multiple cycles to retrieve a reasonable number. Always consult a fertility expert.
Yes! CoQ10, DHEA, Vitamin D, and an anti-inflammatory, fertility-friendly diet can support egg quality. Always take them under medical guidance ONLY.
IVF Is One Path — Not the Only One
IVF is an excellent option when needed, but it’s not the automatic next step for every woman with low AMH. With a focused plan, many women conceive naturally — even with low ovarian reserve.
If you’ve been told you have low AMH, take a breath — and take the right next step.
Book your consultation with Dr. Riddhi Doshi — where fertility care is compassionate, scientific, and always personalized.
Because fertility is not defined by a number — it’s defined by the right care.