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Why AMH Is Not a Reliable Predictor of Fertility if You Have Period Loss · Nourished Fertility

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  Welcome back to the Nourishing Women Podcast, your go-to podcast to get
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  your peer back and get pregnant.
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  I'm your host, Victoria Myers, peer recovery specialist, fertility, dietician,
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  and owner of the virtual coaching practice, nourishing Minds Nutrition.
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  Where we work together to restore your fertility.
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  Now, this week is a bonus episode for the month of February.
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  We usually only do two episodes a month, but you guys are asking lots of
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  questions about a MH over on Instagram.
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  Our Instagram account is at Nourish Fertility.
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  If you don't follow along, make sure you do that soon.
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  By the way, everything is gonna become nourish fertility over the
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  course of the next few months.
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  We are officially in our rebrand and I'm so freaking excited about it.
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  You guys have some questions about a MH, so I really just wanted this episode
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  to answer your questions and also be a reference that can send people moving
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  forward . About this topic right here, why a MH is not a reliable predictor
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  of fertility in cases of hypothalamic a amenorrhea impaired loss specifically.
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  So a MH or anti malian hormone is produced by the granulosis cells
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  in developing ovarian follicles.
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  Your A MH is used to estimate your ovarian reserve relative to age match peers.
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  It is actually a really reliable predictor of fertility health in many
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  other cases, except for my specific client population because, and this
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  is what we're gonna talk about, it's extremely common for our client population
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  specifically to see both extremely low as well as extremely high A MH levels.
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  Let's first talk about very low A MH.
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  In more severe cases of peer loss and hypothalamic amenorrhea where FS, H and
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  LH are significantly suppressed, follicles may not develop adequately or at all.
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  Since a MH is produced by growing follicles, your a MH can appear lower
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  than what is actually true for , the health of your ovarian reserve.
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  If you have extremely low a MH and you also have pure loss,
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  this does not necessarily reflect diminished ovarian reserve.
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  What it instead reflects is suppressed follicular and hormone activity.
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  In other cases, multiple small follicles may begin developing, but
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  fail to mature to a dominant follicle due to insufficient LH surges.
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  So in these cases, we see really high A MH with our client and client base
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  of peer loss in irregular periods.
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  And for these people especially, so what tends to be true is that
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  they have multiple follicles present when viewed on ultrasound.
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  They have high am H, anything above 4.6 nanograms per milliliter.
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  And that presentation can often like resemble PCOS.
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  And these are often the cases we deal with that are misdiagnosed with PCOS.
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  But this is why we have to rule out HA before being diagnosed with PCUS
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  because this is happening of all the things we talk about on our podcast
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  that lead to them period loss, not because they actually have insulin
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  resistance or inflammation leading to PCOS, then causing these issues of
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  elevated A MH levels, so whether your A MH with peer loss or regular periods.
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  From, , your damaged metabolism, your nervous system dysregulation, your
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  undereating, your over exercising, your depleted nutrient status.
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  In these scenarios where there's pure loss or an irregular period caused
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  from the stress your body's under, energy imbalance between eating and
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  exercise A MH is just not reflecting long-term fertility potential.
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  In my professional opinion, I do not think a MH is a reliable predictor for people
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  with pure loss and hypothermic amenorrhea.
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  Instead, what I recommend is assessing A MH levels.
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  After consistent ovulatory cycles have resumed genen, RH signaling has
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  normalized and estrogen FSH and LH have returned to appropriate levels
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  in our clinical experience, restoring ovulation through adequate nourishment
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  and stress reduction in the root cause.
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  True whole body approach that we take, this normalizes A MH levels,
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  whether they were initially low.
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  Or very high.
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  This is why peer recovery is not separate from fertility recovery.
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  . So again, if your doctor's telling you that either you're very low or you're
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  very high, AMH means that you need IVF or you need fertility treatment,
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  Let's wait till we have consistent obligatory cycles and healthy hormone
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  production before we determine if a MH is telling us the truth or the whole picture.
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  Especially if you were someone who has died in most of your life.
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  Exercise intensely for years, been praised for your discipline.
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  Please don't take that as the end all be all of your fertility.
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  I feel like that's what happens the most is we hear people say , , I had
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  crazy high MH or crazy low amh and that because of that I have to do IVF.
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  But if you have peer loss, irregular periods or period problems, fix this and
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  then you can come back to using a MH as a predictor of fertility now that we have
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  that covered, we'll go back to normal programming with our podcast episodes.
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  We'll have two for March.
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  I cannot wait to share them with you.
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  Some really fun topics underway and some fun guests coming your way soon.
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  Thank you so much for listening to this podcast episode.
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  If you know someone who has peered loss like yourself, who has been told
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  their A MH is why they need fertility treatments, send them this episode or
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  take a screenshot of you listening to this episode and share with me what
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  really resonated with you on Instagram.
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  Finally, if you are interested in one of our March spots for Premier Peer
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  Recovery for Fertility, you can officially apply with a link in our show notes.
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  Thank you so much for listening to this episode.
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  We'll be back in a couple weeks.
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  Until then, know that a nourish spotting is a powerful one.