You are born with your lifetime supply of eggs. As you age, these eggs gradually decrease in both quality and quantity.
Anti-Mullerian Hormone (AMH) is secreted by cells in developing egg sacs (follicles). The level of AMH in your blood is a good indicator of your ‘ovarian reserve’ – how many eggs you have remaining, and therefore roughly how many fertile years you have left. However, it doesn’t tell us about the quality of those eggs.
AMH levels don’t change during your menstrual cycle, so we can take this blood sample at any time of the month, and even if you are still using oral contraception.
What is an AMH test?
An AMH test involves giving a blood sample, which is analysed in our specialised in-house laboratory.
An AMH or 'ovarian reserve' test can help to understand your remaining number of eggs, giving a indication of how many fertile years you may have.
Unfortunately, testing your AMH levels does not tell us the quality of your remaining eggs.
Who should have an AMH test?
The AMH test is useful if:
- you have been trying to conceive for over six months, and want to check your ovarian reserve is appropriate for your age
- you are considering IVF or other fertility treatments, as low levels of AMH may affect the potential success of any future IVF treatment, and your response to IVF medication
- you have had chemotherapy or ovarian surgery and want to know if it has affected your fertility
- you suspect an ovarian tumour
- you would like to conceive in the future, and just want to understand your current position.
How much is an AMH test?
At Queensland Fertility Group, the cost of an AMH test is $81.85 (this is not covered by Medicare).
You will need to ask your GP for a referral to Queensland Fertility Group. Alternatively, if you are already a Queensland Fertility Group patient, your fertility specialist can organise an AMH test for you.
When should you see a Fertility Specialist?
If you are over 35 and have been trying to get pregnant for more than 6 months, or under 35 and have been trying for more than 12 months it’s time to seek the advice of a Fertility Specialist. If you have irregular periods, or are already aware that you have a fertility issue you should seek advice sooner.
What to expect at your first appointment
During your first appointment you will meet with one of our experienced Fertility Specialists to discuss your medical history. Your doctor will typically ask you about your menstrual history, timing of intercourse, lifestyle factors, sexual issues and previous pregnancy history. You should feel relaxed about this appointment – your Fertility Specialist will guide the conversation, and the questions asked are designed to help you.
This first appointment can take anywhere from 30 minutes to an hour, depending on your medical history and discussion that follows.
How much is a first appointment with a Fertility Specialist?
The approximate out-of-pocket cost for this appointment is $150 (after Medicare rebates have been claimed). It is important to obtain a referral from your GP before your appointment, to ensure you are eligible for Medicare rebates. Your referral can be made out to a specific Specialist, or to Queensland Fertility Group.
Other than the AMH test, most of the basic diagnostic tests your Specialist may recommend are bulk billed.
To find out more about the AMH test, call 1800 111 483 to speak with an experienced Fertility Advisor or send us an email enquiry.