Nomogram of AMH normal values

 

AMH and its Normal values and its interpretation:

A)            Extremely low levels: < l  pmol/L(DSL) or < 1.1 pmol/ L (gen II assay)

These patients are poor responders and cancellation rates are very high.

B)            low levels: l-5pmol/L (DSL) or between 1.1-6.9 pmol/L by gen II assay. These patients have decreased ovarian reserve and less number of eggs are retrieved.

C)            Normal levels: 5-15 pmol/L and it is 7-20pmol/L by gen II assay. These are normal responders.

D)            High level: When it is > 15pmol/ L (DSL) or > 20pmol/L (gen II assay). These patients are hyper responders.

AMH may provide a more accurate assessment of the follicle pool in young hypergonadotropic patients, especially in the clinically challenging subgroups of patients with elevated FSH and regular menses (i.e. IOF:  incipient ovarian failure) and in hypergonadotropic women with cycle disturbances not fulfilling the POF diagnostic criteria (i.e. TOF: transitional ovarian failure).