AMH test: insight into your ovarian reserve
An AMH test measures your anti-Müllerian hormone and gives insight into your ovarian reserve. Any cycle day works.
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Included Markers
1 markersAMH (Anti-Müllerian Hormone)
An AMH test measures the anti-Müllerian hormone in your blood. That value gives insight into your egg supply, also called your ovarian reserve.
Fertility raises a lot of questions. How much time do I have? What does my egg supply look like? Those questions are completely understandable. A measurement gives you a factual starting point.
You order the AMH test online and pick a sample point yourself. You do not need a referral from your GP. AMH can be drawn on any day of your cycle.
What is an AMH test?
The hormone AMH is made by the small, growing follicles in your ovaries. The more of those follicles you have, the higher your AMH.
Its full name is anti-Müllerian hormone. You may also see it written as AMH on your result.
An AMH test is therefore an ordinary blood draw. The lab measures one value. That value is placed next to a reference range that fits your age.
Why would you do an AMH test?
An AMH test is often used to gain insight into your ovarian reserve. That is the number of egg cells you still have in store.
Around a wish to conceive, that is valuable information. AMH is also often measured around IVF. Your value then helps doctors fine-tune the dosage.
Think of freezing eggs as well. Or simply of wanting to know where you stand.
Who is this test for?
This test suits women thinking about their fertility, now or later. Think of a wish to conceive, or of exploring your options.
It also fits if you are simply curious about your egg supply. You do not need symptoms to have it done.
What is tested?
This test measures one hormone in your blood:
- AMH (Anti-Müllerian Hormone): produced by the small growing follicles in your ovaries. It counts as an indication of your ovarian reserve.
AMH stays stable throughout your cycle. So you do not need to account for a specific cycle day.
AMH testing and the pill
Here AMH differs from most fertility tests. FSH and LH are unusable while you take hormonal contraception. AMH can still be drawn.
There is an honest caveat to that. Combined contraception measurably lowers your AMH. The reference group behind the published values used no contraception at all.
Are you on the pill? Then a low AMH value may partly come from the pill. Discuss your result with a doctor before drawing conclusions from it.
A high AMH value and PCOS
AMH is also used when investigating conditions such as PCOS. In women with PCOS the values are on average clearly higher.
That is because the ovaries in PCOS hold many small follicles. Each of those follicles produces AMH.
A high AMH value is not a diagnosis in itself. A doctor establishes PCOS, based on several findings together.
What do the results mean?
Your result shows your AMH value, with a reference range and a short explanation. What counts as usual depends strongly on your age.
A higher value usually fits a larger reserve. A lower value can fit a reduced ovarian reserve.
What the test gives is an impression of the quantity of egg cells. It says nothing about their quality. It cannot predict a natural pregnancy either.
Would you like to see the values per age group side by side? They are on our page about AMH as a blood value.
AMH and an early menopause
AMH declines gradually and becomes undetectable around menopause. That is why the value also comes up in questions about an early menopause.
Is your AMH clearly below what fits your age? That can suggest your egg supply is declining faster than average.
Note that this is a signal, not a prediction. An AMH test names no date and does not establish an early menopause. A doctor makes that assessment, alongside your symptoms and your cycle.
What an AMH test cannot do
AMH has two established uses. It estimates your ovarian reserve. And it predicts how your ovaries respond to stimulation, for instance during IVF.
Beyond that the test does less than people often assume. An AMH test does not say when you will get pregnant. Nor does it name an age at which your fertility stops.
So a reassuring value is not a guarantee. And a low value does not rule a pregnancy out. AMH counts follicles, nothing more.
Read your result as one piece of the puzzle. Your age and your wider situation always belong with it.
What does an AMH test cost?
The price of this AMH test is shown at the top of this page. You pay online when you order.
No consultation is added. Because you need no referral, you do not visit a GP first.
Would you like several hormones measured at once? Then look at our broader hormone test for women. It measures more values in the same draw.
When is this test useful?
An AMH test can be valuable at different moments:
- when planning a wish to conceive and wanting to know how much time you may have
- around an IVF pathway, where your value helps in setting the dosage
- when you are considering freezing your eggs
- when questions come up about PCOS
- when you want a baseline to compare against later
Because AMH gradually declines with age, your value always sits next to your age.
How is the sample collected?
This test needs a small blood draw at an accredited sample point. In the Netherlands you can choose from 700+ locations.
After ordering you pick a point near you. The draw itself usually takes only a few minutes.
Your blood is then measured in the certified laboratory that runs your collection point. We work with independent laboratories across the Netherlands. You do not need a referral from your GP.
What happens after the results?
Your result is usually available online within a few working days. Each value comes with a reference range and an explanation.
Every result is reviewed by a BIG-registered doctor. Discuss your result with your GP before making treatment decisions.
Frequently Asked Questions
AMH gives an impression of your egg supply, so of the quantity of egg cells. It says nothing about quality. On its own it does not predict a natural pregnancy either.
That depends on your age. AMH declines gradually, so your value is always read against your own age group. The values per age are on our AMH blood value page.
You order the test online and pick a sample point near you. No referral is needed. The draw can happen on any cycle day.
A low value does not mean pregnancy is impossible. AMH counts egg cells and does not measure their quality. It is also not meant to predict a natural pregnancy. Discuss your situation with a doctor.
AMH is stable throughout your cycle, so you can have blood drawn on any day. Fasting is not needed.
Yes, AMH generally declines as you get older. That is why your value is always assessed in relation to your age.
From order to report in 4 steps
A hormone test without referral: test when you want, not only when symptoms are severe. No waiting list, just order and go.
Choose your hormone test
Browse our hormone panels and pick what you want tested. Compare markers and prices, or build a custom test.
Receive your lab referral
Within 1 business day you'll receive an email from ZorgDomein with a barcode. Orders outside business hours are processed from the next business day.
Get tested at a lab near you
Show the barcode on your phone and bring a valid ID. Done in under 15 minutes.
Receive your report from the doctor
A BIG-registered physician reviews your hormone values and writes a personal report. On your dashboard within a few business days.
Choose your hormone test
Browse our hormone panels and pick what you want tested. Compare markers and prices, or build a custom test.
Receive your lab referral
Within 1 business day you'll receive an email from ZorgDomein with a barcode. Orders outside business hours are processed from the next business day.
Get tested at a lab near you
Show the barcode on your phone and bring a valid ID. Done in under 15 minutes.
Receive your report from the doctor
A BIG-registered physician reviews your hormone values and writes a personal report. On your dashboard within a few business days.
Always a location near you
With 700+ certified phlebotomy points across the Netherlands.
What We Test
This test includes 1 biomarkers to give you a comprehensive health picture.
| No. | Biomarker | Unit | Turnaround |
|---|---|---|---|
| 01 | AMH (Anti-Müllerian Hormone) AMH (Anti-Müllerian Hormone) is made by the granulosa cells around the small, growing follicles in the ovary. The more of those follicles still waiting in the queue, the higher the value. That is why AMH is used as a measure of ovarian reserve: the size of the remaining egg supply. Unlike FSH and LH, AMH is not driven by the pituitary. The value therefore barely fluctuates within a cycle and can be drawn on any cycle day, without you having to fast. AMH estimates a number, not a quality. It predicts well how the ovaries respond to hormonal stimulation, but says little about the chance of conceiving naturally. It is not a fertility score. | ug/l | 3 days |
| Your result arrives once the slowest test is finished: 3 days. This is indicative; turnaround varies per laboratory. | |||
Preparation
Nothing special is needed for these tests.
-
Your cycle does not matter here
Good to knowThis value barely changes, including through a menstrual cycle. Any day works.
- Water is always fine. Drink as usual beforehand, it makes the draw easier.
- Take your usual medication, unless your own doctor told you otherwise.
Extend this panel
Tests from the same field, run on the same sample. Same draw, no second appointment.
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