Anti-mullers Hormone Reduced Can I get pregnant? We will figure it out in the intricacies of the question. The likelihood of independent pregnancy under the reduced AMG Low Hormone AMG managed to get pregnant but frozen

Anti-mullers hormone, known under the reduction of AMG, is a substance from which the reproductive function is largely dependent, both in men and in women. The level of this hormone in the male organism allows you to determine the offensive of puberty. The indicator of AMG in blood in women is paid to special attention, since it indicates the willingness of the body to conceive and on the ability to endure a pregnancy. This substance has an important effect on the functioning of the ovaries, namely controls the process of ripening follicles and their subsequent growth.

For which women are prescribed to AMG test

Antimüller hormone is present in the body of every woman from birth and dries only after the onset of menopause. That is, by defining its level, you can find out the number of existing in the female body, at the time of the study, egg cells, completely ready for fertilization.

Accordingly, this analysis is most often assigned in the event that standard hormone tests do not show any deviations, but at the same time having a regular sex life, the woman will not even be pregnant.

The amount of AMG may be appointed in the following situations:

• to determine the effectiveness of antagandogenic therapy;
• with suspected polycystic lesion of the ovaries;
• an unsuccessful attempt to Eco is present in history;
• in cases of late sexual development;
• when infertility with unclear nature;
• when suspected a granular ochnye tumor.

The rate of the hormone level in the body of a healthy person

When obtaining results of analyzes, a woman, first of all, it is necessary to understand that this indicator does not depend on such external factors as nutrition and lifestyle. Also on its level in the blood is practically no affect of the age, except for the period of the occurrence of Klimaks. There are cases when the level of AMG in women aged after 40 years was much higher than in healthy women of reproductive age.

Normally, this hormone in the female organism should be contained in an amount of 1-2.5 ng / ml. In cases of deviations, when the indicator is lowered or enhanced, it appears reason to assume the presence of pathologies in the women's reproductive system.

The results obtained after the AMG study can help in the diagnosis of such female problems as:

• polycystic ovarian;
• malignant ovarian tumors;
• infertility;
• previously, the onset of menopause.

Elevated blood hormone rate

Based on the established norm of the content of this indicator in the blood, the Gomon anti-flares is considered elevated when its number exceeds 2.5 ng / ml. If the deviation slightly exceeds this indicator, then in cases where the woman is preparing for the ECO procedure, adequate exceeding only go to her benefit. Such a result of the analysis suggests that it has high chances of the occurrence of pregnancy as a result of artificial fertilization.

When AMG in the blood is significantly increased, it can be perceived as a signal about the presence of various tumors. It can also indicate the ovarian polycystic, delay in puberty and the presence of a defect in the luteinizing hormone receptors.

Why hormone falls?

In cases where antimyullers are reduced, suspicion of the presence of the following pathologies arise:

• ovarian failure;
• lowering the ovarian stock;
• start early menopause;
• obesity;
• premature puberty.

Accordingly, that with a low indicator of this hormone, independent pregnancy occurs very rarely. It is necessary to understand that AMG is just an indicator that shows the number of capable eggs.

Artificial stimulation of this indicator with medical preparations, including hormonal, is possible. But in this case, the amount of egg cells still, unfortunately, will not increase. In fact, the ovarian reserve will remain the same. The AMG indicator can be increased only when the reasons will be eliminated, initially leading to the absence of healthy eggs in the body.

Independent conception at low AMG

The question is whether it is possible to get pregnant when the anti-mullers are lowered, is quite complex. Critically low is the result of a test of less than 0.2 ng / ml. Just a low indicator is considered to be the result of 0.2 to 1 ng / ml.

In the second case, when the indicator is permissible, prescribe a FSH control test. If it is not overpriced, the probability of independently becoming pregnant. If women, after 30 years, anti-mullers hormone critically low, it can be a signal of the rapid start of menopause.

It is known that the number of eggs, which will continue to be ready for fertilization, are laid in the female organism during its intrauterine development. At the time of puberty, a woman, in the absence of serious pathologies, the number of such healthy eggs has about 300 thousand. They are called a female ovarian reserve or a reserve.

Throughout each menstrual cycle, multiple eggs occurs, followed by the allocation of the highest quality. This process in the organism of a hawk woman is not stopped, and does not stop even during the reception of contraceptives or pregnancy itself.

The critically low level of AMG in women whose age exceeds 30-40 years, indicates that the stock of the eggs in its body is suitable for a logical completion. Unfortunately, in this case, it is impossible to force the body to work out additional eggs.

If the cause of a low indicator was called the approaching menopause, but the woman wants to get pregnant, except for the consultation of the gynecologist, she needs to turn to the endocrinologist. In some cases, the doctor prescribes replacement hormone therapy. This method may, for a while, delay the onset of Klimaks for a while, thanks to which the root portion is extended. In such situations, the offensive of self-pregnancy is quite likely.

ECO procedure at a low AMG indicator

After receiving the results of the tests, according to which anti-mullers, the blood hormone is reduced, only a qualified doctor should receive a decision on further actions. Unfortunately, experts note that the most likely way to conceive a child in this case is the holding of Eco. Sometimes it is necessary to use the donor egg.

If a woman categorically refuses donor material, an artificial stimulation of ovaries can apply. But at a low AMG, most likely that this procedure is ineffective. Such an intervention can lead to an even extension of the ovarian reserve.

How to give a test

The indicator of this hormone, as a rule, does not change throughout the menstrual cycle. But to obtain the most correct and accurate results, the passage of the test is prescribed to the woman on 3 or 5 days of the cycle.

To obtain a true result, when the venous blood is surrendered to any laboratory study, it is necessary to adhere to certain rules. AMG test did not exceed. In order to protect yourself from unnecessary unrest due to incorrect results, the following recommendations must be observed before surrendering blood:

1. a woman is strictly forbidden to smoke at least 1 hour before the procedure;
2. a few days before blood delivery, it is necessary to maximize the physical exertion. It is strictly forbidden to engage in sports, lift gravity and allow strong physical overvoltage;
3. if possible, it is necessary to avoid stressful situations. A few days before the study, it is not recommended to experience strong emotional bursts, it is necessary to stay at rest;
4. do not take the test immediately after transferring acute infection or some serious illness.

If at least one of the above factors was not followed, it is necessary to inform his doctor. On his reasoning, it may be decided to postpone testing the test for another day. Since the analysis is paid, it will help save money and save from unnecessary unrest, in case of incorrect data.

What to do after the test results are obtained

As a rule, this study can be conducted from 2 to 7 days. Having received the results, you should not try to decipher them yourself. Make it right only at the attending physician.

When detecting AMG deviations from the norm, it is not necessary to pay a panic, since this result is not a final verdict to infertility and the impossibility of self-pregnancy.

Since the indicator displays only the proper functioning of the ovaries, and the work of other organs, as well as the indicators of other hormones, do not affect the level of AMG, with a high test indicator, it is imperative to look for the scatteries.

If the test indicator is raised, the doctor appoints a number of additional studies in order to eliminate various neoplasms. First of all, it will be necessary to undergo ultrasound diagnostics.

In the case of detection of tumors or polycystosis, long therapy is assigned. After its successful completion, when a factor that provokes an increase in AMG is eliminated, re-passing the analysis may result in a result that corresponds to the norm.

If the anti-mullare hormone is lowered, it is also not necessary to despair. A real problem with the onset of pregnancy is possible only when low AMG is observed with a simultaneous increase in the FSH (folic hormone folic). That is why when anti-mullers hormone in the blood is low, the doctor prescribes an additional research on FSH.

If the values \u200b\u200bof the folicamulating hormone is normal, and the pregnancy does not occur anyway, it is necessary to continue the search for the causes of infertility.

Antimulalers hormone (AMG) is a marker of the health of the reproductive system of a woman. The concentration of this hormone is determined by the ovarian reserve. AMG Norma in women - 1.0-2.5 ng / ml.

The assessment of the hormone antimulller allows you to predict how many eggs are present in the ovaries and is it possible to conceive a child.

Causes of the Reduction of AMG

Reducing the hormone antimyuller less than 1 ng / ml occurs at such states:

• Age fading reproductive function. In women, over 40 years old, AMG rarely exceeds the specified values. In postmenopause, the concentration of hormone in the blood is less than 0.16 ng / ml.
• Reducing the ovarian reserve of ovaries.
• Obesity.

In the context of the study of the AMG level, it is important to consider the concept of an ovarian reserve. This is an individual stock of follicles, which is laid in gonads before birth. By the time the girl appears in the ovaries there is up to 7 million eggs. With the first menstruation, there are only 500 thousand.

Follicular reserve ovarian is not restored. Throughout his life, the woman is constantly spending egg cell. With each menstrual cycle, which has passed with ovulation, their number is reduced. Several eggs are launched into growth, but only one of them becomes dominant, while the rest die. Less often in ovulation are several mature eggs, and then multiple pregnancy can come.

The ovarian reserve is reduced by age. Women has 35 years old the amount of eggs is much less than that of the girl is 18-25 years old. In menopause, the reserve is depleted, and the reproductive function of a woman ends.

Hormone antimyullers throughout the entire reproductive period is synthesized in the ovaries and is associated with the growth of follicles. Shows the state of reserve ovaries. AMG drop below 1 ng / ml suggests that the woman has decreased egg stock, and the likelihood of pregnancy is low.

Causes of premature decrease in ovarian reserve:

• Heredity. Wounding menopause and reducing the stock of eggs is determined genetically.
• Surgical operations. The resection of the ovaries provokes a reduction in the reserve.
• Autoimmune diseases.
• Reception of drugs affecting the work of ovaries (chemotherapy).
• Rauchery irradiation of the appendages of the uterus.
• Bad habits. It is believed that smoking reduces the ovarian reserve and leads to a premature cessation of ovarian work.
• Long stress.

Is it possible to get pregnant with a low anti-flame hormone?

AMG generation occurs in the ovaries. Hormones of pituitary glands (LH and FSH) do not affect its synthesis. The level of antimulller hormone allows you to unambiguously determine the ovarian reserve.

The low concentration of AMG suggests that the amount of follicles in the ovaries is reduced. The hormone level of 0.6-1 ng / ml sharply reduces the chances of conceiving a child. Spontaneous pregnancy is possible, but ovulation is not occurring in each cycle, and a long time can leave for waiting. This situation shows the ECO procedure with medication stimulation of ovulation. With a decrease in AMG less than 0.6 ng / ml, the probability of conception is extremely low.

About 1% of women at the age of 35 have early menopause. On average, their fertility worsens 10 years before the rest.

AMG deficiency at the pregnancy planning requires additional diagnostics:

• FSH is a hormone that determines the ripening of follicles. Analysis is rented for the 3-5th day of the cycle. In reproductive age, its norm is 1.3-9.9 me / ml (in the follicular phase).
• Ultrasound examination to evaluate possible ovulation.

AMG and FSH in the complex are the main markers of the ovarian reserve. Increased FSG against the background of the Reduce of AMG indicates the depletion of ovaries. With the normal concentration of the follicularity hormone, the chances of the occurrence of pregnancy are preserved.

In medicine, there are cases of conception of a child with low AMG - less than 0.5 ng / ml. Focus on these situations is not worth it. The probability of independent pregnancy at a reduced hormone level is rather an exception, and not a rule.

Eco with AMG deficiency

The process of extracorporeal fertilization is shown in the event that a child cannot be conceived naturally. Eco is carried out on the CHIA policy and on a fee basis. For the free passage of the procedure, quotas are allocated, but their number is limited. In this situation, only those women who conceive a child with a large share of probability will be safely sent to the procedure.

According to medical statistics, women with a low level of antimyuller hormone have the worst forecast in the programs of auxiliary reproductive technologies than the patient of the same age with the normal concentration of AMG.

The ECO program on the policy of OMS is taken at the level of at least 1 ng / ml. The lower indicator reduces the chances of conceiving a child:

• In case of insufficient hormone concentration, it is difficult to obtain adequate growth of follicles in response to the drug stimulation of ovulation. The number of egg cells will be insufficient for the procedure. A different situation is possible when the ovaries do not respond at all to stimulation.
• With a reduced AMG, the risk of fruit chromosomal anomalies increases.

If a woman is not taken to the ECO OMS policy, it can go through the procedure at its own expense in a private clinic. In the non-state medical institutions, an extracorporeal fertilization is carried out at the AMG level below 1 ng / ml.

In addition to AMG, you need to evaluate other indicators. Worshi Forecast Eco Factors:

• FSH level of more than 15 me / ml.
• The volume of ovaries up to 2 cm 3.
• Less than 5 anthral follicles on the 3rd day of the cycle.
• The age of a woman after 40 years.

With an unfavorable forecast using donor eggs.

Is it possible to increase AMG?

Anti-mullers hormone is an indicator of the safety of the egg in the ovaries. Impact on the level of AMG in the blood This will not bring effect. Antimulalers hormone indicator of the number of eggs. It does not regulate the work of the ovaries, and its artificial increase will not affect the functioning of reproductive organs.

In gynecology, there are no reliably working methods that allow you to increase the chances of a favorable ECO outcome. There is no way to influence the ovarian reserve. If the stock of the eggs is exhausted, it is impossible to restore the development of medicine at this stage. Medicinal preparations or non-drugs cannot solve this problem.

Women planning pregnancy after 35 years It is necessary to undergo a survey and assess the level of antimyuller hormone. If AMG is reduced, it is worth thinking about the preliminary harvesting of eggs. For this, follicles are obtained in a natural cycle, after which they frozen. In the future, frozen eggs can be used in the ECO program.

Freezing of oocytes is practiced not only with an age reduction of the reserve of egg cell. The procedure is recommended before conducting traumatic operations on the ovaries, the course of radiation and chemotherapy. Such tactics allows you to keep eggs and conceive a child.

Anti-mullers hormone lowered, is it possible to get pregnant and how to do it? When it comes to infertility and unsuccessful attempts to become pregnant, then, as a rule, they remember such hormones as estrogen and progesterone, but the most important role in the kinnoye function is played by hormone anti-mullers.

What is hormone anti-flames, know a few to clarify the situation, it is required to clarify that this is a hormone that is responsible in the human body for reproductive function. It is present in the people of both sexes. In the body of men in the youth of the age, it allows you to control the sexual ripening of a teenager. It is produced before the end of this process, after which it begins to dissolve gradually. If in the blood, the elements of the hormone remain in the blood, it can provoke the forms of hermaphroditism and hernia in the area of \u200b\u200bthe groin.

In the female body, this hormone gives the concept of the state of the ovaries and the development of follicles in them. It is produced from birth right up to menopause. I would like to note that in the feminine body of the above hormone less than the male teenagers. By the number of hormone, the doctor can accurately determine how well the woman is ready for having a child.

How to pass the analysis?

Analysis on the number of hormone The woman gives us, as a rule, on 3 or 5 days of the cycle. Men are allowed to do this at any time, most importantly - an hour before the surrender to completely abandon smoking and follow the instructions of medical staff.

The analysis takes blood from Vienna with a special sterile system. Before the procedure is not recommended to drink a lot of fluid, and the day before the delivery is not subjected to emotional stress and large physical exertion. If you have found significant differences with the norm, do not hurry to panic, remember that the human factor takes place and the laboratory could confuse something or not attend. You may have incorrectly prepared for analyzes and their experiences influenced the result. The analysis can be passed again next month. To obtain directions, you need to take advice from an endocrinologist. As a rule, these analyzes are prescribed to women with such a goal:

• control and detection of cancers;
• identification of development pathologies;
• activity of sexual function;
• failure of artificial fertilization and possible causes of this;
• diagnosis of infertility and causes.

To save yourself from unnecessary treatment, which is not uncommon with infertility, all women planning a child are recommended to undergo this examination.

Analysis on antimyullers Hormone doctors is prescribed and before surgery, the result of which can affect the reproductive function of a woman in the future. To protect themselves and prevent possible consequences, women should be frozen a few full-fledged eggs that can be used for artificial fertilization.

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The doctor sends women planning pregnancy to analyze accurately to make a diagnosis. The study procedure for the level of antimuller hormone takes place in 3 stages:

• fence analysis on FSH and anti-flames hormone;
• counting full-fledged eggs in this cycle;
• determining the exact volume of ovaries.

Analysis is made for 5 days, the cost directly depends on the rate of obtaining results. Modern medicine makes it possible to find out the answer for 1 day, but the price for the procedure will be several times higher. Based on the information received, the Doctor appoints a course of therapeutic therapy.

Causes of deviations from the norm

The norm of the antimyuller hormone in women is 1-2.5 ng / ml, if the amount is reduced, this suggests that there are disorders of the ovaries. In the case of an increase in the amount of hormone in the blood, there is a suspicion of tumors and ovarian polycystosis. Antimulalers hormone are increased, as a rule, people with excessive weight and obesity.

Many women are interested, if the antimulam hormone is reduced, is it possible to get pregnant with a natural way. The fact is that the antimulller hormone significantly affects the reproductive function of the woman, and its insufficient amount may indicate infertility. Even with long-term treatment, if the number of hormone does not increase, the woman will not be able to become pregnant, since its body is not able to produce a normal egg independently.

If it is observed that hormone anti-mulators, the norm in women whose women should be 1-2,5NG / ml, is present in a larger or smaller quantity, then there is a disease of the sexual system. Among frequent diseases can be noted:

• infertility;
• inflammation of appendages;
• cysts;
• malignant tumors;
• early menopause;
• diabetes;
• obesity;
• hormonal failures;
• development pathology.

We can provoke an increase in hormone can emotional shocks and stressful situations. Physical load permanent loads, inflammatory diseases of chronic type. I would like to mention that other hormones do not affect the production of antimullerism. When the norm from your indicators differ, it is required to look for tumors in ovaries or polycystic.

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As for the case when anti-mullers hormone decreases, then this indicates the following:

• the beginning of menopause;
• reduced amount of eggs;
• early puberty;
• ovarian dysfunction.

If the hormone index in women is lower than the mark in table 0.2 ng / ml (Table 1), then this is a critical point, and in most cases the treatment will be long and may not give results.

Increase the amount of hormone is almost impossible. Even if you lift it with an artificial way and engage in active ovarian stimulation, then full-fledged eggs, ready for fertilization, will be little and probability will be pregnant to be pregnant very low. Women who faced the problem of a reduced hormone number, recommend using the transplant of fertilized eggs from a woman donor. Low antimulamors hormone in no way is a reason for panic. Do not stop your attempts and desire to become a happy mom. The critical case is only when the hormone is reduced in the complex with a low number of hormone anti-flames.

Modern science far advanced in the treatment of infertility, which is due precisely with an insufficient number of hormone, but, as a rule, all methods imply an artificial fertilization.

Naturally, to increase the amount of eggs ready to fertilize, it is impossible. The reserve of the latter is laid during the period of intrauterine growth, when genitals are molded. Each new menstrual cycle implies the separation of one follicle with the egg cell already ready for fertilization, the remaining themselves die on themselves, respectively, the amount of eggs each month decreases.

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Empting and ripening new follicles, even when a woman is pregnant and breastfeed, does not stop. While the newborn girl in the ovary the amount of egg cells is 2 million, by the time of its sexual maturity their amount is 300 thousand. For this reason, women after 30 years are much heavier to become pregnant. When the number of eggs is critical, it comes to menopause and to conceive the child a woman can no longer be. Most more hormone is observed in women in reproductive age from 20 to 30 years. During the period of menopause, the number of antimuller hormone is zero. Control its level so far does not know how medicine. The only thing that can be advised to women is not to pull motherhood and pregnant aged 20-25 years.

Summing up, I would like to note that every year more and more young women appeals for artificial fertilization, and all because the amount of anti-muller hormone in the blood is reduced. As a rule, the most common reason for this is the operations on the ovaries and their chronic inflammation. That is why the doctors strongly recommend not to neglect their health and beware of his smalod to endure a full-fledged child. Those who encountered a similar problem remains to wish not to give up and believe in the best. There are cases when the number of hormone anti-flames increased without visible reasons. Such situations have not yet been studied in detail, but the leading family planning institutions are actively working on this issue.

The diagnosis of infertility includes many studies, but one of the main is considered to analyze the hormones in a woman. Standardly determine the levels of endocrine hormones that regulate the operation of the reproductive system. If such a study does not give results, additionally assign an analysis on hormone anti-flares.

Antimulamors hormone (AMG) - available in the body of both sexes. The hormone is produced by gender glands from birth, but only in the pubertal period it reaches a maximum.

In men, the level of AMG is high in periods of growth and puberty, since the hormone is involved in the development of genital organs. With a critical reduction in the level of AMG, a man can be unable to conceive a child. After a puberty period, the level decreases, but the hormone continues to be produced until the end of life.

The importance of hormone for women is different. The concentration of AMG is maintained in blood from birth to menopause. In the female body of anti-mullers, the hormone is produced by a granular ovarian fabric. Accordingly, the more cells are involved in the process, the higher the hormone indicator. When climax occurs.

How determine the number of eggs

Experts call anti-mullers hormone "counter egg cells", because its level reflects the number of capable eggs. The amount of genital cells capable of fertilization is laid in the girl's body at the stage of intrauterine development.

In the pubertal period there are up to 300 thousand, if the girl has no serious pathologies. This number of cells is called an ovarian reserve. Each menstrual cycle in a healthy woman marks the ripening of genital cells, of which the most capable and high-quality is distinguished.

The process of ripening of genital cells in the organism of a female woman does not stop during pregnancy and the use of contraceptives. The anti-flames in itself hormone does not play an important role in the process of fertilization, but its diagnostic potential is huge.

Determine the concentration of AMG in the blood of a woman and estimate its ovarian reserve in the course of an extended EFORT test. When you assign an EFORT-test:

• lack of pregnancy when conducting normal sexual life without the use of contraceptive means;
• infertility for obscure reasons;
• unsuccessful eco in history;
• later puberty;
• determination of antandogenic treatment results;
• ovarian polycystic syndrome;
• suspicion of the ovarian tumor;
• increased follicular hormone level.

Modern medicine allows us to premature the premature exhaustion of eggs of eggs and plan the pregnancy so as to have time in time. To study, it is necessary to collect anamnesis and determine the indicators of FSH, LH and AMG.

The number of follicles is calculated using ultrasound. Additionally, the candidate genes of premature depletion of ovaries are investigated. Young girls who have the risk of early exhaustion of ovaries must implement reproductive plans in time and plan a family.

There is an additional prevention measure: social and biological preservation of fertility, that is, the cryopreservation of oocytes. This method is recommended that women who postpone the birth of children due to temporary medical contraindications.

However, women with elevated FSH, reduced AMG, the volume of ovaries up to 3 ml and the number of antral follicles to one to obtain the ocytes for storage is not always possible. Such patients are recommended to use donor material.

Preparation for analysis

So that the test results are informative and accurate, it is necessary to fulfill all prescriptions for research preparation. For determining the level of AMG, venous blood is needed. The eFort test is carried out strictly on the third or fifth day of the cycle.

A few days before the test, it is necessary to minimize physical and psycho-emotional loads. An hour before the analysis, it is impossible to eat and smoke. Delivery of blood is postponed if there is shortly before that the woman suffered an acute infection or other severe disease.

The norm of antimyuller hormone

Correctly interpret the results of any analysis is capable only by the doctor, since many different factors can affect the data obtained. The hormone indicator almost does not depend on external factors like nutrition and lifestyle. Age is also the roles not playing. In some women over 40 years old, the Amg level is significantly higher than that of reproductive age girls.

Norms AMG:

• for a woman: 1-2.5 ng / ml;
• for a man: 0.49-5.98 ng / ml.

When the level deviates from the norm in a woman of reproductive age, it is important to prioritize the reproductive system for pathologies and violations. Antimulamors hormone displays the functionality of the ovaries, therefore the state of other organs and the concentration of other hormones on the results of the study, as a rule, do not affect. When identifying deviations from the norm of violation, it is necessary to look for in the ovaries and processes that regulate their work.

Redued antimulamors hormone

The indicator is less than 1 ng / ml in women of reproductive age. Before puberty and after menopause, the low level of AMG is considered the norm, since at this age there is no activity of primary follicles.

The low concentration of AMG in a woman in reproductive age indicates a small number of primary follicles ready for fertilization, as well as to exhaust the ovaries. Both of these reasons lead to one result - difficulties in conception by naturally and the minimum response to the stimulation of drugs.

Atimyullers hormone affects the growth process and tissue differentiation. Differentiation is called the formation of cell genotype. A woman with a normal hormonal background on one cycle drops differentiation, ripening and release of one egg. In the presence of violations, an inhibular, irregular and other malfunction in the menstrual cycle appear.

The AMG indicator is only an indicator of the number of capable eggs, the reasons for their reduction are completely different. With a decrease in the level of AMG, it is necessary to find and treat the cause, not a consequence. Only so you can fix such consequences as infertility and early climatic changes.

Causes of the Reduction of AMG:

• menopause;
• dysgenesia gonad (incomplete development of glands);
• early puberty;
• obesity and other metabolic disorders;
• hypogonadotropic hypogonadism.

Reducing the level of AMG after 30 years may be an early menopause signal. The decrease is due to different factors, so a woman will need consultation not only a gynecologist, but also an endocrinologist and a reproductologist. Usually changes in the concentration of AMG are found precisely when preparing for fertilization or when clarifying the reasons why conception is not possible.

Natural conception at low AMG

The issue of natural conception at low AMG remains controversial. The indicator is less than 0.2 ng / ml, low - up to 1 ng / ml is considered critical. With a very low level of AMG, the chances of independent conception are minimal.

With a low hormone concentration, you must additionally pass an analysis on FSH. If the level of the follicularity hormone will be within the normal range, the chances of natural conception are preserved.

A serious problem is a combination of reduced AMG and increased FSH. Reducing the level of AMG in women from 40 years says that the reserve of eggs ends, and it is not possible to make the body to produce an additional opportunity.

If Menopause has become the reason for the decline in AMG, but the woman still wants to become pregnant, it may be necessary for replacement hormone therapy. This will help to stop climax and increase the chances of natural conception.

The ability to conceive depends on the amount of oocytes, the number of genetic and chromosomal mutations, the degree of sensitivity of the endometrium of the uterus, the presence of gynecological and other pathologies.

Extracorporeal fertilization at low AMG

Low AMG determines the chances of pregnancy naturally. If this indicator is not combined with other disturbing signals, ECO allows you to achieve the ripening of eggs and a successful conception even with minimal stimulation. Therefore, the reduced AMG indicator does not become contraindicated to extracorporeal fertilization.

On the contrary, Eco will be the most likely way of conception at a reduced level of antimuller hormone. The Japanese ECO Protocol is recommended for the combination of low AMG and high FSH (from 15 me / l). Minimum stimulation is separated by breaks to get 1-2 capable eggs in each cycle. The produced cells freeze and transfer to the uterus in a favorable time.

The ECO duct in the natural cycle is used in cases where the ovarian reserve of women is exhausted for one or another reasons. Ovulation stimulation is carried out minimally or at all. For several cycles, doctors are trying to get at least one egg, which fertilize and transferred to the uterine cavity.

The short ECO protocol with ovarian stimulation is shown with a slight decrease in AMG, which does not indicate exactly the deficiency of the egg. It is necessary to take into account the level of FSH, the age of the patient, the results of previous protocols and stimulation. If all these indicators are normal, the chances of conceiving are high, so the short protocol is carried out.

Preparation for ECO at a low level of AMG may include the use of transdermal testosterone, androgens, estrogen, DHEF, HCHG, LG, L-arginine, corticosteroids, aromatosis. Recommended phytotherapy and hirudotherapy.

When you need to use donor eggs

A third of women of senior reproductive age cannot become pregnant even through Eco. Requires the use of donor eggs. The artificial stimulation of ovaries is most often ineffective with a reduced AMG in combination with other violations. On the contrary, additional stimulation can be stronger than the reserves of eggs.

Indications for Donation Oocytes:

• increased FSH;
• reduced hormone antimulam;
• lack of ovarian volume (less than 3 ml);
• the absence of antral follicles or the presence of just one.

If a woman does not want to use donor material, the most promising ECO protocol will use, although stimulation in such patients is most often ineffective. In this case, the best option will listen to the recommendations of your reproductologist.

Raising AMG

The AMG level in a woman is considered elevated when the figure of 2.5 ng / ml is exceeded. It must be borne in mind that when preparing for Eco, this indicator should be a bit exceeded. The increase will say that stimulation works and the chances of successful fertilization of high. Causes of increasing Amg levels:

• tumor;
• polycystic ovarian;
• penal delay;
• defects of luteinizing hormone receptors.

All reasons for increasing the level of AMG can be divided into two groups. In the first, the states in which the follicles are ripening normally, but the eggs do not go beyond the limits of the glands. This can be observed in the ovarian polycystic disease, when the follicle grows and develops, but it is not capable of overcome the cystic surface.

The second group includes an increase in the concentration of AMG against the background of the growth of the granular tissue of the ovaries. The most obvious reason is the tumor transformation of the genital glands. In the detection of increased AMG, the ovarian ultrasound is prescribed first. After detecting tumors or polycystosis, it is necessary to undergo long treatment and re-pass the analysis. Most likely, the results will improve significantly.

Elevated AMG therapy

Treatment of reasons for increasing AMG is carried out taking into account the age of women and goals that need to achieve in this way. The therapy of the ovarian polycystic syndrome includes the normalization of body weight, nutrition correction, adequate physical exertion, recreation and labor mode.

A woman should normalize a hormonal background and carbohydrate exchange. After that, it is possible to stimulate ovulation or surgical support of the exit of an egg bearing beyond the ovaries. Tactics of treatment in hyperplastic processes in the ovaries are coordinated with oncologist. In case of detection of malignant neoplasms, the issue of conception is postponed to complete recovery.

How to increase amg

Increased AMG indicators does not lead to an increase in the chances of natural conception. Stimulation of hormone generation drugs does not change the number of capable eggs, and, it means, does not solve the problem of infertility. In this case, treatment is to identify and eliminate the reasons for lowering the hormone.

Often artificial stimulation turns out to be ineffective, since the decline in AMG indicates a premature climax. Such patients recommend paying attention to auxiliary reproductive technologies. Even if the results of the analysis on AMG deviate from the norm, it is impossible to panic ahead of time.

Redued or increased anti-mular hormone is not an indicator of absolute infertility and the impossibility to independently conceive a child. It is necessary to take into account many other factors and only after that make a decision on artificial stimulation and vitro incense.