"What is AMH? Is it an accurate reflection of ovarian age?"

"Recently, our office has seen a surge in visits from concerned patients, particularly single women in their 30s, troubled by low egg reserves (indicated by low AMH levels). Upon hitting the mid-30s with AMH readings in the 0.xx range, individuals often receive distressing news, being told their 'ovarian age' echoes that of late 40s or approaching menopause.

But what does AMH signify? AMH, or anti-Mullerian hormone, plays a crucial role in degrading the Mullerian duct, shaping the foundation of the female reproductive system during embryonic development. This duct evolves into the uterus, fallopian tubes, and upper part of the vagina in a female embryo, while it should not develop in a male embryo. Hence, Anti-Mullerian Hormone (AMH) is pivotal in this process for male embryos.

The average AMH level decreases with age among different age groups. Higher AMH levels indicate numerous so called 'candidates' preparing for ovulation, while lower levels suggest a scarcity of ovulation 'candidates.' This is why AMH levels are referred to as Ovarian Reserves.

But is AMH an accurate marker for ovarian age? Even young, healthy women with smaller ovaries may show low AMH levels. Women who've undergone ovarian surgery due to endometriosis might exhibit reduced AMH levels, despite their youthfulness, due to the procedure involving the removal of both abnormal and normal ovarian tissue. Similarly, women with polycystic ovary syndrome might showcase elevated AMH levels owing to numerous follicles and enlarged ovaries, making it challenging to define AMH solely in terms of ovarian age.

Does a low AMH signify reduced fertility? While low AMH might decrease IVF success rates due to fewer growing follicles, it doesn't necessarily translate to low fertility. Other factors play crucial roles, especially for young women.

Are AMH levels consistent? Discrepancies arise when blood samples are tested at different institutions. Therefore, a single test's value should not be considered absolute. Although AMH levels are relatively stable throughout the menstrual cycle, they do exhibit some fluctuations, depending on age.

So, if you've discovered a low AMH, what next? Don't lose hope. Having not reached menopause means there are still eggs left. Remember, conception happens when one egg meets one sperm. Embrace the possibility of that promising egg within you, waiting for its moment. Choose positivity for body and mind; the path forward lies in finding solutions.

At NYC Total Health, natural pregnancies have been witnessed despite AMH levels in the 0.xx range. The focus lies on the 'quality' of remaining eggs. Herbal medicine can enhance egg quality by improving ovarian blood circulation and replenishing energy. In Oriental Medicine, kidneys play a crucial role in reproductive and endocrine systems, strengthening reproductive capabilities by boosting kidney vitality.

While using herbal medicine, we've observed slight AMH increases in women with initially low levels. Could herbal medicine stimulating kidney essence and energy activate the stem cell system for new eggs? Ponder this possibility.

To those disheartened by low AMH and perceived aging ovaries, stay hopeful."