Anti-mullerian hormone (AMH), otherwise called Mullerian-inhibiting hormone (MIH), is a hormone made by the cells that surround each egg in the ovaries. AMH production slows down as the follicles grow, and it stops when the follicle is 8 mm in size.
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I am undergoing IVF treatment and my AMH value is high. Why?
Query: Hello doctor, I am 34 years old (weight 51 kg, height 165 cm) and have one four-year-old child (conceived naturally). I have been trying to conceive (unsuccessfully) for the last year. My AMH value is very high (10.99 ng/ml). Other hormone values (as measured on the second day of the menstrual cycle... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. The normal level of AMH (anti-mullerian hormone) is between 1.5 to 4 ng/ml. If AMH is low then it means low ovarian reserves but if it is high it shows polycystic ovarian syndrome or hyperstimulation syndrome. As you h... Read Full »
What does my low AMH level indicate?
Query: Hi doctor, Last month on day 2, my TSH level was 4,9304 uIU/mL, free T4 was 102 ng/dL, and prolactin was 30.63 ng/mL. My last six months' menstrual cycle lengths were 34 days, 28 days, 28 days, 28 days, 36 days, and 19 days respectively. My cycle statistics are as follows. The average cycle length i... Read Full »
Answer: Hello, Welcome to icliniq.com. You are suffering from hyperprolactinemia and borderline subclinical hypothyroidism. Both of these can cause a delay in ovulation and hence irregularity in cycles. Ideally, menses between 23 to 35 days are considered normal as per the definition. In your case, the ... Read Full »
Can tubal blockage cause infertility?
Query: Hi doctor, I am 33 years old. For the past six months I am suffering from primary infertility, PCOS and diagnostic laparoscopy tubal block at right isthmus. Also, laboratory tests like Mantoux (positive), HBsAg (positive), ANA (positive) and LFT raised tests are done. The IUI done twice and my curre... Read Full »
Dr. Geetha Priyadarsini Kamminana
Answer: Hello, Welcome to icliniq.com. Tubal blockage or fallopian tube obstruction is a major cause of female infertility. Blocked fallopian tubes will not let a sperm and ovum to unite thus interfering with fertilization.The primary and the very first step for pregnancy is the formation of zygote follow... Read Full »
I had ovulatory dysfunction. Can you suggest a way for me to start a family?
Query: Hi doctor, I have had ovulatory dysfunction for about seven years. About a year ago, my husband and I decided to try starting a family. Not seeing any success, we visited a fertility doctor about two weeks ago, and she prescribed hormone blood tests. My test results are estradiol serum: 13 pg/ml, pr... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Let me get a few facts straight in relation to the hormones and ovulation, thereby, pregnancy. Twenty-eight years is a very good age to get pregnant. Your weight is within the normal range. So, anovulatory possibilities are low. Prolactin and... Read Full »
My wife has blocked tubes. Please suggest the recommended hormonal tests prior to ICSI?
Query: Hello doctor, At the time of marriage, my age is 34 and my wife's age is 29. She is having hypothyroidism. Her thyroid level was high. So, we were regulating with medication. Then she gets some stomach pain. Doctor diagnosed her with gallbladder stone. We did laparoscopic cholecystectomy. After one... Read Full »
Answer: Hi, Welcome to icliniq.com. The decision to go for IVF (in-vitro fertilization) or ICSI (intracytoplasmic sperm injection) as per your history seems to be the right decision. As I can see in history, the age of your wife is now 30 plus. Ovarian reserve becomes an important analysis in the age abo... Read Full »
Query: Hi doctor, I am 34 years old and trying to conceive. My report showed AMH 162, TSH 2.03 and prolactin 31.50. Can I get pregnant? I am also taking Clomid tablet in the first 4 days of the cycle. Read Full »
Answer: Hi, Welcome to icliniq.com. TSH (thyroid-stimulating hormone) and prolactin levels are fine, but your AMH anti-mullerian hormone value of 1.62 is slightly on the lower side. At the age of 34, if you ovulate properly with good patent fallopian tubes and husband's semen analysis is normal, then... Read Full »
I am 42. Can I conceive twins without any risks?
Query: Hi doctor,I am a 42-year-old woman. Can I still conceive? Also, can I conceive twins without any risks? Read Full »
Answer: Hello, Welcome to icliniq.com. As per your history, the only risk factor is your age. Let me explain, if I may. Every lady is born with a fixed number of eggs in her ovaries. As her age advances, she keeps ovulating or expelling these eggs every month. The healthiest ones are chosen first, as... Read Full »
TSH is very high in a CMV IgG positive patient. Can she become pregnant?
Query: Hello doctor,We are trying for pregnancy. My wife recently got some tests done namely a TORCH profile with the primary sample being serum through the ECLIA method. The toxoplasma IgG was 500.0 positive IU/mL and rubella IgM was 0.20 with negative COI. With the ELISA method, there is HSV I and II IgG... Read Full »
Answer: Hello, Welcome to icliniq.com. Your wife is immune to rubella and CMV (cytomegalovirus). If you just want to be sure about the recent infection get an avidity testing for CMV and rubella infection. Your TSH (thyroid-stimulating hormone) is very high. You need to see an endocrinologist or physi... Read Full »
I have a negative serum beta hCG level. Can I still be pregnant?
Query: Hello doctor, I am a 40-year-old dental surgeon with no past or present health issues, and I am trying to conceive. I have a regular cycle of 28 days, and I have consulted a gynecologist before who has put me on Clomid for three months. I have also taken all the required fertility tests, which show ... Read Full »
Answer: Hello, Welcome to icliniq.com. As your serum beta hCG (human chorionic gonadotropin) result is also negative, it definitely indicates you have not got pregnant in this cycle. The symptoms you have mentioned could also be possible because of the progesterone hormone secretion in the postovulatory... Read Full »
If Norethisterone is taken continuously for years, will it affect menopause?
Query: Hi doctor, I am a 57 year old female, and I have been taking Norethisterone for years. When I stop taking the tablet, my period comes, and I immediately start taking the pills again. I take them because I am terrified of bleeding. My doctors say that I have to come off them, and I am terrified of wh... Read Full »
Answer: Hi, Welcome to icliniq.com. How are you doing? I really do not see any reason for you to worry. I feel you are taking those pills unnecessarily. By 50 to 54 years, all ladies enter their menopause. This is a time when all follicles in the ovaries are exhausted and the hormone supply to the inner ... Read Full »