Low AMH
What options are there when you have low AMH?
Many women are told their AMH is low and wonder what it means for their chances of getting pregnant. We don’t start with a single blood test – we start by understanding your whole situation and talking through the options that might suit you.
Here’s what we often hear:
They say my AMH is low for my age.
I’ve been told my ovarian reserve is running out.
My IVF cycle was cancelled because so few follicles responded.
I feel like I’m racing against the clock.
What Low AMH Actually Means
AMH (Anti-Müllerian Hormone) is a marker of ovarian reserve—it reflects the number of early developing follicles in the ovaries. A low AMH level indicates a reduced ovarian reserve, but it does not measure egg quality and does not, by itself, determine whether pregnancy is possible.
Three Factors Influence Your AMH
Several factors influence AMH levels. Three of the most important are:
Age
Ovarian reserve naturally declines with age, although the rate of decline varies considerably from person to person.
Your Natural Ovarian Reserve
Some women are born with a higher or lower ovarian reserve than others. This natural variation can influence AMH throughout life.
Overall Health and Wellbeing
While age and genetics play a major role, overall health may also influence ovarian function. Lifestyle, stress, illness, and other health-related factors can affect the body's reproductive health, although their impact on AMH varies between individuals.
The Traditional Chinese Medicine Perspective
In traditional Chinese medicine, treatment is never based on a single lab result. Two women with the same AMH level can be in completely different health, and so need different treatment.
That is why our focus isn't on treating an AMH number, but on understanding and treating the woman behind it. We look at your menstrual cycle, previous pregnancies, hormone tests, sleep, energy, digestion, stress and more – together these give a broader picture of your reproductive health.
Some things, such as age and natural ovarian reserve, can't be changed. But there is a lot else about your health that can be influenced and that, in traditional Chinese medicine, matters. This is why every treatment is designed individually and adjusted as your body changes during treatment.
Our goal isn't to change a single lab number, but to give each woman a treatment tailored to her own circumstances.
Discuss your situation with us
How Should I Think About Low AMH?
A low AMH result matters because it tells you something about your ovarian reserve, but it is only one part of the overall fertility picture. Having more eggs does not necessarily mean having better eggs.
For a pregnancy to occur, several factors need to come together. Egg quality, sperm quality, ovulation, the uterine environment, and general reproductive health all play important roles. Many women with low AMH conceive naturally, while some women with normal or even high AMH (such as women with PCOS) may still experience difficulties becoming pregnant.
For this reason, AMH should be interpreted as one piece of information rather than the defining measure of fertility. The most meaningful assessment considers the whole person, including age, medical history, hormone levels, ultrasound findings, egg quality, sperm quality, and overall health.
Many of the women who seek our help have been told they have low AMH. Over the years, we have also had the privilege of seeing many of these women go on to have children. This reflects an important point: while AMH is a valuable marker of ovarian reserve, it is only one part of the overall fertility picture and should not be viewed as a prediction of an individual's chances of becoming pregnant.
From the perspective of traditional Chinese medicine (TCM), treatment is never based on a single lab result. Instead, it aims to understand each person's overall pattern of health and to support the body's reproductive function through a personalised treatment approach.
The Most Important Thing to Remember
A low AMH result is not a diagnosis, and it is not a prediction of whether you can have a baby. It is one important piece of information, but it should always be read alongside your age, egg quality, overall health, medical history, and the rest of your fertility assessment.
Take the First Step
If you've been diagnosed with low AMH, get in touch to discuss how our programme may support you.
What the Research Says
A growing body of peer-reviewed research supports the use of Chinese herbal medicine for diminished ovarian reserve, premature ovarian insufficiency, and as a complement to IVF.
CHM May Increase AMH and Follicle Count
A 2025 systematic review in the Journal of Ovarian Research analysed 12 clinical studies and 38 basic research papers. CHM formulas significantly increased AMH levels, increased antral follicle count, and decreased FSH levels in women with diminished ovarian reserve.
Improved Ovarian Function in POI
A double-blind, placebo-controlled RCT published in Menopause (2018) with 146 women found that a Chinese herbal formula was significantly more effective than placebo for improving hormone levels and ovarian function in premature ovarian insufficiency after 12 weeks.
Better Results Than Hormone Therapy Alone
A meta-analysis of 23 RCTs (1,712 patients) found that TCM groups showed significantly higher effectiveness rates than hormone therapy alone, with better improvement in FSH, estradiol levels, and ovarian blood flow.
Higher Live Birth Rates With IVF
A study in Reproductive Biomedicine Online (2015) found that whole-systems TCM (herbs + acupuncture) combined with IVF was associated with more than double the odds of live birth compared to IVF alone (adjusted OR 2.09).
CHM Doubles Pregnancy Rates
An updated meta-analysis in Complementary Therapies in Medicine (2015) found that CHM improved pregnancy rates 2-fold within 3–6 months compared to western medicine (60% vs 33%), with positive effects on ovulation, endometrial lining, and cycle regularity.
Dramatically Higher Live Birth in Low Reserve
A 2025 study in Medicina found that among low ovarian reserve patients, live birth rate was 5% in the control group compared to 32% with CHM alone and 42% with combined CHM and IVF support.
Note: While these studies show promising results, many authors note methodological limitations and call for larger trials. Chinese herbal medicine should be considered as a complementary approach, and we always recommend discussing your situation with your GP or fertility specialist alongside any herbal support.
Remote Care, Wherever You Are
Our clinic is based in central Stockholm, but most of our patients work with us remotely through our digital platform. You go through the whole process from home — with the same personalised support as an in-clinic visit, wherever you are in the UK or internationally.
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