Also Known AsAnti Mullerian Hormone Test, Ovarian Reserve Test, AMH Hormone Test
Sample TypeBlood (venous)
Fasting RequiredNot required. You can eat and drink normally before the test.
Report DeliveryWithin 24 hours of sample collection
Age GroupAll age groups
GenderPrimarily Female; occasionally Male (for testicular function evaluation)
Test TypeHormonal assay / Fertility assessment test
Unitsng/mL (nanograms per millilitre) or pmol/L (picomoles per litre)
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The Anti Mullerian Hormone (AMH) test is a blood test that measures the level of AMH, a hormone produced by the small follicles in a woman's ovaries. AMH is directly proportional to the number of follicles present in the ovaries at any given time, which makes it the most reliable and accurate marker of a woman's ovarian reserve, that is the quantity of eggs remaining in the ovaries. Unlike other fertility hormones such as FSH and estradiol whose levels fluctuate significantly across the menstrual cycle, AMH levels remain relatively stable throughout the cycle, making it possible to test on any day of the month.
In men, AMH is produced by the testes and plays a role in the development of the male reproductive system during foetal development. In adult men, AMH testing is occasionally used to evaluate testicular function and certain disorders of sexual development.
In India, where social and cultural pressures often lead women to delay marriage and childbearing, awareness of ovarian reserve has grown significantly over the past decade. Fertility specialists and gynaecologists across Indian cities increasingly use the AMH test as the first-line assessment of a woman's reproductive potential, both in women trying to conceive naturally and those exploring assisted reproductive techniques such as IVF and IUI.
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Doctors prescribe an AMH test in the following situations:
Assessing ovarian reserve in women who are planning to conceive and want to understand their current reproductive potential before attempting pregnancy.
Evaluating unexplained infertility in women where other initial investigations have not identified a clear cause. A low AMH indicates diminished ovarian reserve as a possible contributing factor.
Planning and optimising IVF treatment. AMH is the most important predictor of how a woman will respond to ovarian stimulation during IVF. A low AMH suggests a poor responder while a high AMH may indicate a risk of ovarian hyperstimulation syndrome.
Diagnosing and monitoring Polycystic Ovary Syndrome (PCOS), which is the most common hormonal disorder in Indian women of reproductive age. AMH levels are characteristically elevated in PCOS due to the large number of small follicles present in polycystic ovaries.
Assessing the impact of medical treatments on ovarian function, including chemotherapy, radiation therapy, and ovarian surgery, all of which can significantly reduce ovarian reserve.
Predicting the onset of menopause in women in their late thirties and forties who want to understand their reproductive timeline. A falling AMH in this age group is a reliable indicator of approaching menopause.
Evaluating premature ovarian insufficiency in younger women who present with irregular or absent periods before the age of 40.
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The AMH test measures the concentration of Anti Mullerian Hormone in the blood, reported in nanograms per millilitre (ng/mL) or picomoles per litre (pmol/L).
Normal AMH Range in India
AMH levels decline naturally with age as ovarian reserve diminishes over time. The following are the broadly accepted reference ranges used by fertility specialists across India.
For women between 25 and 30 years of age, a normal AMH level is between 2.0 and 6.8 ng/mL. For women between 30 and 35 years of age, a normal AMH level is between 1.5 and 5.0 ng/mL. For women between 35 and 40 years of age, a normal AMH level is between 1.0 and 3.5 ng/mL. For women above 40 years of age, an AMH level above 1.0 ng/mL is considered acceptable though values in this age group are naturally lower.
Interpreting AMH Results
An AMH level below 1.0 ng/mL indicates diminished ovarian reserve and suggests a reduced number of remaining eggs. Fertility specialists typically advise women in this range not to delay conception and to explore assisted reproductive options promptly.
An AMH level above 3.5 ng/mL in a non-PCOS context indicates a good ovarian reserve. In women with PCOS, AMH levels are frequently above 5.0 ng/mL and can sometimes exceed 10 ng/mL due to the large number of small antral follicles characteristic of polycystic ovaries.
An AMH level below 0.5 ng/mL is classified as very low ovarian reserve and is associated with a significantly reduced chance of natural conception and a poor response to IVF stimulation.
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One of the key advantages of the AMH test is its flexibility in terms of timing and preparation.
The AMH test can be done on any day of the menstrual cycle. Unlike FSH and estradiol which must be tested on specific cycle days, AMH levels remain stable throughout the cycle, giving you complete flexibility in scheduling.
Fasting is not required. You can eat and drink normally before the test without affecting the result.
No medications need to be stopped before the test in most cases. However, oral contraceptive pills can suppress AMH levels and may produce a falsely low result. If you are currently on oral contraceptives, inform your doctor before booking as they may advise testing after a period off the pill.
Stay normally hydrated before sample collection. Drinking water normally before the test is recommended.
There are no dietary or lifestyle restrictions specific to the AMH test beyond the guidance above.
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If you are booking through the SecondMedic platform the AMH test price starts at approximately Rs. 2,199. The exact price will be confirmed at the time of booking through SecondMedic. If your doctor has prescribed multiple tests alongside AMH, SecondMedic health packages include AMH as part of a broader fertility or hormonal panel at a significantly lower combined price.
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SecondMedic provides home sample collection for AMH test across all major areas of India. You do not need to visit a lab or collection centre. A certified and trained phlebotomist comes to your home or workplace at your chosen time, collects the sample using sterile single-use equipment, and ensures it is transported to the NABL-accredited lab within the required time window for accurate processing.
Please note that SecondMedic provides free home sample collection on all tests priced above Rs. 300. Our team will check your pincode and confirm if your address falls under our free sample collection eligibility criteria, which depends upon the lab location and phlebotomist availability.
Home collection is available between 7 AM and 10 PM, seven days a week, including Sundays and public holidays. Enter your pincode on the booking page or call our helpline to confirm availability at your address.
Normal AMH ranges decline with age: 2.0–6.8 ng/mL for ages 25–30, 1.5–5.0 ng/mL for ages 30–35, 1.0–3.5 ng/mL for ages 35–40, and above 1.0 ng/mL is considered acceptable for women over 40.
The AMH test can be done on any day of the menstrual cycle. Unlike FSH and estradiol, AMH levels remain stable throughout the cycle, giving complete flexibility in scheduling.
No. Fasting is not required for an AMH test. You can eat and drink normally before sample collection without affecting the result.
Yes. Oral contraceptive pills can suppress AMH levels and may produce a falsely low result. If you are currently on the pill, inform your doctor before booking as they may advise testing after a period off contraceptives.
A low AMH below 1.0 ng/mL indicates diminished ovarian reserve and a reduced number of remaining eggs. Fertility specialists typically advise women in this range not to delay conception and to explore assisted reproductive options promptly.
In PCOS, the ovaries contain a large number of small antral follicles, each producing AMH. This results in characteristically elevated AMH levels, frequently above 5.0 ng/mL and sometimes exceeding 10 ng/mL, distinguishing PCOS from other hormonal conditions.
AMH is the most important predictor of ovarian response to stimulation during IVF. A low AMH indicates a poor responder requiring higher stimulation doses, while a very high AMH signals a risk of ovarian hyperstimulation syndrome and guides the doctor to use a gentler protocol.
Yes. Chemotherapy, radiation therapy, and ovarian surgery can all significantly reduce ovarian reserve and lower AMH levels. AMH testing before and after such treatments is used to assess their impact on a woman's fertility.
A falling AMH level in women in their late thirties and forties is a reliable indicator of approaching menopause. Fertility specialists use declining AMH trends to counsel women about their remaining reproductive window.
PubMed/Human Reproduction Update — AMH as a marker of ovarian reserve: a systematic review, Human Reproduction Update, 2014
— pubmed.ncbi.nlm.nih.gov
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PubMed/Journal of Clinical Endocrinology and Metabolism — Anti-Müllerian hormone levels in polycystic ovary syndrome: a systematic review and meta-analysis, Journal of Clinical Endocrinology and Metabolism, 2018
— pubmed.ncbi.nlm.nih.gov
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PubMed/Fertility and Sterility — Ovarian reserve testing: a user's guide, Fertility and Sterility, 2017
— pubmed.ncbi.nlm.nih.gov
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PubMed/Journal of Human Reproductive Sciences — Anti-Mullerian hormone as a predictor of ovarian reserve in Indian women, Journal of Human Reproductive Sciences, 2014
— pubmed.ncbi.nlm.nih.gov
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