Evaluation of Female Fertility: AMH and Ovarian Reserve Testing
TLDR AMH helps estimate ovarian reserve but doesn't predict pregnancy chances; age is more important.
This narrative review discusses the role of Antimüllerian hormone (AMH) in evaluating female fertility, particularly as a marker of ovarian reserve. AMH correlates with the number of growing follicles and is used to estimate ovarian reserve, determine dosing in ovarian stimulation, and predict stimulation response. However, AMH does not reflect oocyte health or chances for pregnancy and should not be used to withhold treatment. Low AMH levels may indicate a shortened reproductive window but must be interpreted considering the endocrine environment and factors like body mass index. While AMH is a useful marker, age remains the most significant factor in determining fertility treatment success.
