What could explain AMH increasing?

CN

2 Posts
Reply Posted on: Jan 31, 2017 at 7:02pm
In 2014 at 39 I had an AMH of 0.68. Two years later (just five months ago) it had gone up to 2.8 and now it's at 3.7. I have been told AMH does not go up and that it may be explained by different assays. I have also read that low vitamin D can artificially suppress AMH. I did start taking an extra 1000 iu 5 months ago when my vitamin D came back at 30, but that doesn't really explain the overall long-term trend over the last 2.5 years. I have been a high responder thus far for my age, but don't have symptoms of PCOS like being overweight or many ovarian cysts. I have been on various supplements at different times, with the longest being CoQ10. Otherwise, I can't really find any good explanations for my AMH rising and I find it a little concerning.

Dr. Braverman

2027 Posts
RE: What could explain AMH increasing? Posted on: Feb 1, 2017 at 7:10am
You are correct. The number one reason for this is the inaccuracy of AMH measurements that typically leads to wide variations. The other is the presence of PCOS that raises the AMH at times due to reaction of insulin with the primordial follicles.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.

CN

2 Posts
Reply RE: What could explain AMH increasing? Posted on: Feb 1, 2017 at 9:22am
Thanks, Dr. Braverman! Should I be doing an insulin resistance test even though I don't really have any other signs of PCOS, or would I need to have some of the typical signs to definitely have PCOS?

Dr. Braverman

2027 Posts
RE: What could explain AMH increasing? Posted on: Feb 1, 2017 at 1:19pm
I would do fasting insulin, glucose , HGBA1C for now.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.