This month, we focus on women with low AMH (Anti-Müllerian Hormone)

Welcome to Wijnland Fertility: This month, we focus on women with
low AMH (Anti-Müllerian Hormone)

2025 – The Fruitful year!! Awareness for Fruitful Future, Cultivating Fruitfulness, Building Legacies!!!

AMH (Anti-Müllerian Hormone) – what it is, what causes it, how it affects fertility, and the available treatment options. Our goal is to help women make fruitful choices in their reproductive health.

In recent years, we’ve seen a growing number of younger women (ages 24–32) visiting the clinic with low AMH levels. The big question is: Why is this happening? We also notice that while many pharmaceutical companies concentrate on HPV (Human Papillomavirus) and cancer prevention, safe sex behaviors are not improving. We’re seeing more infections in young women—some of whom have had the HPV vaccine, but still do not practice safe sex.

How does this impact AMH levels? We still don’t fully understand.
What we do know is that infertility is on the rise, and it contributes to a global population decline.

What Is AMH?
Anti-Müllerian Hormone (AMH) is produced by the developing follicles in a woman’s ovaries. It is a strong indicator of a woman’s ovarian reserve—or the number of viable eggs remaining.

• AMH levels decline naturally with age, particularly after age 35.
• A high AMH indicates a good egg reserve and younger biological ovarian age.
• A low AMH means fewer remaining eggs and potentially reduced fertility.

AMH levels are more stable throughout the menstrual cycle than other hormones like FSH, making AMH a reliable indicator in fertility assessments.

We combine AMH testing with:

• Follicle Stimulating Hormone (FSH)
• Antral Follicle Count (AFC) via ultrasound to get a full picture of a woman’s reproductive health.

What is infertility south africa | Fertility Clinic Wijnland

Causes of Low AMH Levels
Several factors can influence AMH levels. The most common causes include: Age
Women are born with all the eggs they’ll ever have. Over time, eggs mature and are used during ovulation.
By the mid to late 30s, the ovarian reserve begins to significantly decline, which leads to lower AMH and reduced fertility.

Poor Diet Unhealthy eating habits can lead to obesity, which impacts fertility.
Vitamin deficiencies, especially Vitamin D, have been linked to lower AMH levels. A balanced diet is essential for hormonal health.

Medical History
Some women have low AMH even in their 20s or 30s, while others maintain higher levels into their late 30s.
Factors that may contribute include:

• Hormonal imbalances
• History of ovarian surgery (e.g., for cysts, endometriosis, torsion)
• Chronic health conditions

Mental and Emotional Health
Chronic stress can negatively affect AMH levels. A healthy mind is crucial for fertility, especially for women trying to conceive.

Other Contributing Factors

• Inherited genetic conditions
• Cancer treatments (e.g., chemotherapy, radiation)
• Autoimmune conditions that affect the ovaries
• Environmental toxins and endocrine disruptors

Key Takeaways – AMH Levels

• AMH is a screening tool, not a complete fertility test.
• It reflects quantity, not the quality of eggs.
• AMH is a snapshot in time—it can change.
• Ideal AMH range is 1.0 – 3.5 ng/mL, though this may vary by lab.
• AMH naturally decreases with age.
• Testing AMH can help you make informed reproductive decisions.

How to Support Low AMH Levels Naturally
There’s no guaranteed way to increase AMH, but some lifestyle and nutritional strategies can support ovarian health:

🧘‍♀️ Lifestyle

• Practice regular exercise and yoga
• Avoid smoking and BPA exposure
• Consider fertility massage or acupuncture

💊 Supplements

• DHEA (Dehydroepiandrosterone) – may improve ovarian response
• Vitamin D – linked to improved AMH
• L-arginine
• Wheat germ extract

🥗 Diet - Focus on a customized fertility-friendly diet, including:

• Iron-rich foods, high-fiber grains, and lean protein
• Full-fat dairy
• Green leafy vegetables
• Oily fish and healthy oils
• Whole grains like oats and brown rice
• Avocados and nuts
• Zinc-rich foods (e.g., legumes, cheese)
• Spices like turmeric and ginger
• And don’t forget: WATER—hydration is essential for egg health

Avoid:

• Processed and fast foods
• Red meat in excess
• Refined sugars and additives