Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

123 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

30 years old. trying to conceive. What should be done to improve anti mullerian hormone?

Answered by
Dr. Mahesh Koregol

Infertility Specialist

Practicing since :2000

Answered : 3768 Questions

Posted on Tue, 5 Feb 2013 in Infertility Problem
Question: AMH of my wife is 0.46. My wife is 30 yrs old .. is it very difficult to concieve. can i get some remedy to improve her AMH
Answered by Dr. Mahesh Koregol 1 hour later

Thanks for your reply. I read your query and understand your concerns. Following is my reply:

1) Anti Mullerian Hormone (AMH) is one of best indicators to check ovarian reserve ( Means no. of eggs remaining).

2) Normally it should be more than 1. But your report says 0.46 which is very low.

3) AMH alone is not an indicator of ovarian reserve. Hence I advice you to get 2 more tests before taking final call : a) Serum FSH b) Antral follicle count by transvaginal route. These both needs to be correlated with AMH report.

4) Since AMH report could be wrong I suggest you visit an infertility specialist and get above tests done and repeat AMH.

5) AMH levels unfortunately cannont be improved as it shows no. of eggs in reserve at ovary. If eggs are less, they cant be improved.

I hope I answered your query. Please get back to me with above reports.


Dr.Mahesh Koregol
IVF & Infertility Specialist
Above answer was peer-reviewed by : Dr. Mohammed Kappan
Follow up: Dr. Mahesh Koregol 39 hours later
Thanks for the reply.

Her FSH is at 10.5 and her ovaries in the present cycle are having around 3 + 1/2 follicles in left and right respectively.

Doctor is suggesting for IVF. But there will be a hestirolaproscopy done tomorow. based on that IUI or IVF will be chosen.

Sir, Cant we become parents. ? We are in highly stressed mode. Can you please let us know and suggest us. Are we in correct path.?

Should we not try naturally? Should we go for IVF immd so that we dont waste time. How drastic fall will be AMH count and follicle count every cycle?

Dont know which is correct. Please help us.
Answered by Dr. Mahesh Koregol 13 minutes later

Thanks for updating. I understand your concerns and the following are my comments:

1) FSH values are high and AMH is low. It means ovarian reserve is dropping sharply. Therefore I feel it is advisable to go for IVF immediately.

2) I do not recommend IUI, considering your FSH and AMH values. Please go ahead with IVF directly.

3) If you are going for IVF there is no need for laparoscopy; only hysteroscopy is advisable.

4) I don't think you need to undergo laparoscopy as IVF is a better solution. The result of laparoscopy is not relevant. Please visit a reputed IVF centre and plan your treatment better.

5) If you need more guidance, I will be pleased to discuss with you before undergoing laparoscopy and share my views with you. Please feel free to call XXXXXXX customer support team on 0000 and they shall guide you in arranging the call.

Looking forward to talk to you...

Dr. Mahesh Koregol
IVF &Infertility Specialist

Above answer was peer-reviewed by : Dr. Prasad

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Medical Procedures
Medical Topics ,  

Recent questions on  Infertility

doctor1 MD

Hi, This is Vikas varshney. I have just analyze my Semen Analysis and i have the following Results. Quantity 1.5 ML ,colour: Greyish,Liquificatins time:30 minutes, PH:Alkaline,Viscosity: Normal,Total sperm count: 105 million, Motility: 55%,Morphogy: 60%,Pus Cells 8-10/HPF,Round Cells:occasional, Fructose : Present,M I Infertile Man? Or Fertile Can anyone Answer please. Thank you

doctor1 MD

Hi doctor, im hoping someone can help me. these topics are not easy to be open about. i have been on the 2 month injection, nur- isterate for about 2years now. During the past two months, I've used various types of drugs recreationally. Mdma, E, cocaine, lsd, shrooms and cannabis. I've noticed that my menstrual cycle is earlier, longer and heavier. I'm due for my next injection in 3 weeks and I've been bleeding for 9days.

should I be worried? what type of effect could these drugs have on the contraceptive? does it reduce the contraceptives efficacy? also, I've been told that the injection is known to promote infertility. I've been on it for 2years and I am 20 years old, should I change my contraceptive?

doctor1 MD

Hi,I am a 31 y/o currently seeing an infertility doctor for my husbands low sperm count. We know we have to do ivf/icsi and we've already paid for it. I went to my clinic for day 2 and 3 testing and they cancelled our cycle b/c they said that I have elevated FSH levels. They said it happens sometimes and that I could just be stressed. They told me to come back next cycle and try again. Could this mean I could be going through early menopause or premature ovarian failure? Are there other tests they could do before getting a definitive answer?

doctor1 MD

hi my name is nazia , actually i have just noticed blood in my stool i am 29 year old ,blood was bright red colour ,i noticed clear white mucus discharge while standind too long 2 years ago when i had a trip to florida, i had to walk alot so i thought may be because of that i am having this discharge ,but when i ever i stand too long so or i walk alot so i experineced same thing now today i got blood in my stool but with the slight pelvic pain for few minutes ,one more information i wuld like to tell you taht i have some infertility issues i.e high FSH level so he wants to do IVf for that reason my doctor did hysteroscopy b/c he noticed heart shape uterus , he noticed in hysteroscopy that i have septated uterus so he did uterus septal division surgery in 5/5/2011... i have allergic dry cough also blood in stool i know its not a good sign ,so pleasee help

doctor1 MD

I get a lower back pain which is excrucitating right after my cycle ends.its remians for 4-5 days. And have to take painkillers.Its very debiliating.The feeling is like something in stuck inside which is unable to come out.My lower portion gets...

doctor1 MD

My daughter, 30, no children has always had severe cramps and periods. Now, every two or three months, she almost passes out with pain, sweats profusely, turns white and freezing. I just witnessed this last night. How soon do I need to get her to...

doctor1 MD

hi doctor, i am 44 years old and my ivf is planned next month in XXXXXXX 2018. The Infertility specialist has suggested me to undergo Semen analysis and culture. The results of the HSA is as follows : VOLUME : 1.5 ML Total Count : 65 Million/ML...