01/11/2026
Our hormones give us clues about our fertility, not answers.
AMH and FSH are two of the most frequently discussed fertility hormones, especially for women over 40.
But here’s what I want you to understand: hormone levels are often a reflection of what’s happening in your body, not necessarily the underlying reason your fertility is changing.
Yes, reproductive aging influences our hormones. AMH generally declines, and FSH tends to increase over time. But hormone levels can fluctuate, and a single result doesn’t tell us everything we need to know.
Low AMH or elevated FSH can reflect age-related ovarian changes, but age isn’t the only factor influencing these numbers.
And this is exactly why I want to investigate beyond the hormone results.
Thyroid function. Nutrient status. Metabolic health. Inflammation. Mitochondrial function. Environmental exposures. S***m quality. And more.
These are some of the underlying factors I investigate when working with women over 40 who want to conceive.
Because when you address these factors, you can often improve reproductive health and hormone function.
Your hormones are giving you clues. The question is, what are they telling you about your underlying health?