The role of the AMH . endocrine test

The article was professionally consulted by Dr. Nguyen Anh Tu - Doctor of Obstetric Ultrasound - Prenatal Diagnosis - Obstetrics Department - Vinmec Hai Phong International General Hospital.

Ovarian abnormalities are one of the main causes of female infertility. Therefore, hormone testing, including AMH hormone testing, is essential for any woman. So what is the AMH test and how does it work?

Anti-Mullerian Hormone (abbreviated as AMH) is a hormone produced by the granulosa cells in the pre- and follicular follicles in the ovary. The AMH test is essentially a measurement of this hormone level to determine the status of ovarian reserve or the number of eggs remaining in a woman's ovaries at a given time.
AMH levels are usually at their highest when a woman is 25 years old, then this level will gradually decrease with age.
The better the ovarian reserve, the higher the fertility of that woman. Therefore, it can be said that the AMH test helps doctors assess a woman's fertility, especially in cases of premature ovarian failure.
Unlike many other hormones that can only be taken on the 2nd or 3rd day of the menstrual cycle, due to its stability, the AMH test can be performed at any time. This is also why the AMH test is now more widely used than the LH, FSH or E2 test.

This is one of the hormone tests that check reproductive health so anyone can do it. However, there are certain situations where a doctor may recommend an AMH test:
Menstrual irregularities or no periods Infertility infertility Polycystic ovaries People with ovarian cancer or ovarian failure Early Menopause Prognosis Monitor progress and effectiveness of fertility treatments

Assessment of ovarian aging When the ovum in the ovary falls into a state of decline in both quantity and quality, it is called ovarian aging. Normally, women usually go through menopause around the age of 50, but there are many cases where women's menopause age earlier than normal.
Statistics show that 1 in 10 women goes through menopause before the age of 45 and 1 out of every 100 women goes through menopause before the age of 40. Therefore, regular AMH testing can help in keeping track. Monitor the number of oocytes remaining in the ovary to assess the progress of ovarian aging.
Prognosis of female fertility The AMH index and the number of follicles in the ovary have a direct correlation with each other. Depending on the age and many other factors in each woman, the rate at which AMH levels decline can vary.
AMH hormone test helps doctors have a basis to monitor the rate of ovarian aging and predict the possibility of pregnancy in a woman. From there, an indication can be made about the most appropriate time when a person can get pregnant naturally or using assisted reproductive methods such as IVF.

Prognosis of menopause AMH levels often fall early in cases of ovarian failure or early menopause. This is also the reason why the AMH test is more appreciated than the FSH test in predicting a woman's menopausal age. When menopause is predicted, doctors will be more proactive in using hormone replacement to prevent diseases caused by early menopause in women, such as osteoporosis.
Prediction of ovarian damage after surgery, cancer treatment With the development of modern medicine, today the examination and treatment of gynecological diseases through laparoscopic surgery (including surgery on the ovaries) is applied more and more widely.
Surgical removal, dissection on the ovaries or electrocautery surgery, cancer treatment can affect a woman's oocyte count. Endocrine AMH can help to assess and predict some of these lesions.

AMH concentration > 5ng/mL is valuable in the diagnosis of polycystic ovary. Monitor and evaluate the status of ovarian cancer: a few days after surgery for the tumor, AMH levels often decrease. In the event that the tumor recurs, AMH levels will again increase. Evaluating the effectiveness of ovulatory stimulants: the likelihood of response to stimulants if measured AMH levels are low. In contrast, high AMH levels indicate a high probability of ovarian hyperstimulation. Although it is a new test, it can be seen that the AMH hormone test plays an extremely important role in assessing the reproductive health of the ovaries. Based on the results of this test, your doctor can make an appropriate diagnosis and treatment.
For examination and advice, couples can go directly to the fertility support center at Vinmec International General Hospital. Vinmec Reproductive Support Center is the leading modern center in Vietnam, built and applied a treatment process that coordinates comprehensive examination, combining both male and female obstetrics and gynecology to offer the optimal plan for each patient. each patient case.
Vinmec is a prestigious address for health examination and fertility assessment, a center that gathers a team of leading experts in the field of obstetrics and gynecology in the country and internationally, trained at leading centers around the world. in the world such as in the US, Singapore, Japan, Australia and famous fertility centers in the world.

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