19/08/2026
"I got an AMH test and it said I have low ovarian reserve. Now I'm panicking. Have I left it too late to have kids?" I hear this fear a lot in practice. Don't panic! It's not as dire as you might fear.
It would be awesome of a simple blood test could help you predict your fertility and chances of being able to have a baby. Sometimes the rhetoric around the Anti-Mullerian Hormone (AMH) test suggests this is the case, but unfortunately, it is much more complex than that.
What the AMH test can tell you:
- a guide to how many eggs you may get from a egg retrieval cycle during fertility treatment; and
- a guide for the fertility specialist around dosing of medications during your treatment.
What the AMH test cannot tell you:
- how likely you are to get pregnant or have a baby;
- when menopause might start for you;
- the quality of your eggs;
- how quickly you need to start trying to conceive to maximise your chances of having the family you would like.
Dr Tessa Copp (I had the privilege of seeing her speak at the recent conference in Canberra!) and colleagues have developed a great facts sheet on the AMH test which explores the scientific research behind claims about the AMH test (see comments). Whether you have had the test and the results have caused you to rethink your plans around fertility, or you are contemplating getting the test done, it is helpful to use correct information in your decision-making.