Ovarian reserve is frequently described as one of the most important factors when a couple struggles to conceive naturally. In reality, the journey through infertility is full of misconceptions, including several related to ovarian reserve and anti-Müllerian hormone (AMH), often called the “pregnancy hormone.”
“You deserve to be heard, seen, treated with respect, and supported throughout your life.”
Myth no. 1: You can’t know you have low ovarian reserve without testing
FALSE. While low AMH levels can only be confirmed through a blood test, there are early warning signs that may point to a diminished ovarian reserve and should prompt timely medical evaluation.
Possible indications include:
- irregular menstrual cycles
- very short or very long periods
- abnormal bleeding between periods
- hot flashes
- night sweats
Myth no. 2: You cannot get pregnant with a low AMH
FALSE. When AMH levels are very low, IVF with donor oocytes is often recommended. This is a valid option for those who choose it. However, a low AMH level does not necessarily mean natural conception is impossible.
For many women with low AMH but regular cycles and normal ovulation, a single good-quality egg can result in a viable embryo. Conversely, high AMH levels do not guarantee quick pregnancy — egg quality matters more than quantity.
Myth no. 3: Ovarian reserve only declines after age 40
FALSE. Numerous factors may cause ovarian reserve to decrease earlier, even in the 20s.
Causes may include:
- hormonal disorders
- genetic abnormalities (inherited or acquired)
- autoimmune diseases, especially affecting the thyroid
- elevated cortisol levels (stress)
- poor diet
- lack of physical activity
- excess weight
- smoking
The good news: many of these causes can be managed or treated, and some are entirely within your control.
Talk with me about
Myths About Ovarian Reserve and AMH Levels
Similar Articles
Umbilical Cord Wrapped Around the Neck: When Does It Pose a Risk to the Baby?
Is Unblocking the Fallopian Tubes Worth It for Getting Pregnant?