AMH is Your Fertility Fuel Gauge. Don't Drive Blind.

Anxiety comes from the unknown. 'Age' is just a number on a calendar, but **AMH (Anti-Müllerian Hormone) is the number on your biological clock**. It reveals your 'runway'—exactly how much time you have left before choices narrow. We explain this not to scare you, but so you can **anticipate** the cliff before you reach it.

1. Fact vs. Context: What AMH Really Means

The Medical Truth

AMH measures **Quantity** (Ovarian Reserve), NOT **Quality** (Pregnancy Potential). Low AMH does not mean you cannot conceive naturally today, but it means your window to freeze eggs effectively is closing fast.

A common misconception is 'Low AMH = Infertility.' This is false. However, clinical data shows a direct correlation between AMH levels and the number of eggs retrieved in IVF cycles. **Lower AMH means fewer eggs per cycle**, which increases the cost and time required to achieve a live birth.

2. The Decline Curve (Data)

Don't compare yourself to a friend. Compare yourself to the clinical curve. The decline accelerates significantly after age 35.

Average AMH Levels by Age

As shown in the chart above, the slope steepens around age 35. This is why we call it 'The Cliff'. Knowing where you sit on this curve is the first step in defensive planning. *Source: Aggregated data from Cleveland Clinic & NIH Studies*

3. Your Strategic Options

Based on ASRM guidelines, your strategy should shift depending on your current level. Here is the decision matrix.

Zone: Green (AMH > 2.0)

**Action: Plan Ahead.** You have a solid runway. If you are under 35, you can likely secure enough eggs in just 1 cycle. It is the most cost-effective time to freeze.

Zone: Amber (AMH 1.0 - 2.0)

**Action: Act Soon.** The window is narrowing. You may need 2 cycles to bank enough eggs for a realistic chance (15-20 eggs). Delaying 1 year could double your costs.

Zone: Red (AMH < 1.0)

**Action: Immediate Consult.** Natural pregnancy is still possible, but for egg freezing, 'Time is Egg.' Consult a specialist immediately to assess feasibility before investing.

References

ASRM Committee Opinion: Testing and interpreting measures of ovarian reserve (2020)
SART: Patient Prediction Models - National Summary Report
Cleveland Clinic: Anti-Müllerian Hormone Test Details