AMH levels: what's normal, high and low
A hormone produced by ovarian follicles. Used as a marker of ovarian reserve in women.
Medically reviewed by Youmna DiStefano, MD · Last reviewed September 2026
The short answer
AMH is measured with a standard blood draw; no fasting is needed. A typical reference range is 1.00 – 6.80 ng/mL (female, age 18–35; more bands below). At TestWell it's $74.99 all-in as Egg Reserve & Fertility Test (AMH), results in 3–5 business days, drawn at Quest or Labcorp. An out-of-range result is a prompt to look closer, not a diagnosis.
- Units
- ng/mL
- Sample
- Blood draw
- Fasting
- Not required
- Results
- 3–5 business days
- Price
- $74.99
- Labs
- Quest or Labcorp · BioReference in NY/NJ
AMH Reference Range
These are the typical adult reference ranges used by major US labs. Your report will include the specific range used by the lab that processed your sample.
| Population | Range |
|---|---|
| Female, age 18–35 | 1.00 – 6.80 ng/mL |
| Female, age 36–45 | 0.300 – 4.00 ng/mL |
| Female, age 46+ | 0.000 – 1.50 ng/mL |
Reference ranges are educational. Always interpret your result with the specific range printed on your lab report and discuss anything outside the range with a clinician.
Have a result in hand? analyze it with your AI assistant using these reviewed ranges, or run it through our explainer. Tools: look up another marker's range · convert lab units
What your AMH result may mean
Can reflect PCOS or, in some contexts, certain ovarian conditions.
What a high AMH means: causes, symptoms, next steps ↓Often reflects diminished ovarian reserve or approaching menopause.
What a low AMH means: causes, symptoms, next steps ↓Educational only — not a diagnosis. Many factors can influence a single result. Discuss anything that concerns you with a healthcare provider.
What does a high AMH mean?
High AMH means many small follicles are active in the ovaries — most often PCOS, where AMH is typically two to three times higher than average for age. A high AMH in someone without PCOS features can simply mean an above-average egg reserve, which is favorable for fertility treatment but also raises the risk of over-response to stimulation. Rarely, granulosa cell tumors raise it markedly.
Common causes of a high AMH
- Polycystic ovary syndrome
- High ovarian reserve (normal variation, especially under 30)
- Recent stop of hormonal contraception (rebound)
- Granulosa cell ovarian tumors (rare)
Ordered from most to least common.
Symptoms that can go with it
- Irregular or absent periods, acne, excess hair if PCOS
- Often none
What clinicians usually check next
- LH, FSH, testosterone and DHEA-S; pelvic ultrasound for PCOS evaluation
- Fasting insulin/A1c — insulin resistance commonly accompanies PCOS
- For fertility treatment, share the value with the clinic to tailor stimulation
Follow-up tests at TestWell: FSH (Follicle Stimulating Hormone) ($29.99), LH (Luteinizing Hormone) ($36.99).
Does a high AMH mean I'm very fertile?
It means a large egg supply, which is not the same as egg quality or regular ovulation. With PCOS, high AMH often coexists with irregular ovulation.
Educational only — not a diagnosis. A single result outside the range is a prompt to look closer with a clinician.
What does a low AMH mean?
Low AMH indicates a smaller ovarian reserve — fewer eggs remaining — which is normal in the late 30s and 40s and expected near menopause, but worth discussing earlier. It predicts response to fertility treatment better than it predicts natural conception: many women with low AMH conceive naturally. Hormonal contraception lowers AMH by up to about 30% while in use.
Common causes of a low AMH
- Age-related decline (normal from the mid-30s)
- Hormonal contraception (temporary reduction)
- Primary ovarian insufficiency, Turner syndrome, chemotherapy or ovarian surgery
- Endometriosis surgery, autoimmune oophoritis
- Smoking
Ordered from most to least common.
Symptoms that can go with it
- Often none
- Shorter or irregular cycles, hot flashes as reserve becomes very low
What clinicians usually check next
- FSH and estradiol on cycle days 2–5
- Antral follicle count by ultrasound
- A reproductive endocrinology visit if conception is planned, especially under 35 with a low value
- Repeat off contraception if it was taken at the time
Follow-up tests at TestWell: FSH (Follicle Stimulating Hormone) ($29.99), Estradiol (E2) ($35.99).
Can low AMH be improved?
The egg count itself doesn't regenerate; AMH can rise modestly after stopping hormonal contraception or vitamin D repletion in deficient women. The useful response is planning — timing, and fertility options if wanted.
Educational only — not a diagnosis. A single result outside the range is a prompt to look closer with a clinician.
How do you get a AMH test?
Order online, a licensed physician reviews the requisition, and you walk into a nearby lab for the draw. AMH is available on its own or inside these panels — panels cost less per marker when you want the fuller picture.
| Option | Includes | Price |
|---|---|---|
| Egg Reserve & Fertility Test (AMH) | This marker only | $74.99 |
| Women's Fertility Essentials | 5 tests | $119.99 |
| Women's Complete Fertility & Wellness Panel | 23 tests | $399.99 |
| Women's Total Body Advanced Panel | 65 tests | $999.99 |
Quest vs. Labcorp for AMH: which lab should you pick?
Both are CLIA-certified national labs and the result is clinically equivalent, so pick whichever location is closer. Your report will print that lab's own reference range, which can differ slightly from the table above.
| Lab | Available | Price |
|---|---|---|
| Quest Diagnostics | Yes | $74.99 |
| Labcorp | Yes | $74.99 |
| BioReference (NY & NJ) | Yes | $74.99 |
Need help choosing a location? Use the lab finder to see draw sites near your ZIP.
Related Hormones biomarkers
Markers commonly tested alongside AMH.
Frequently asked
What does a high AMH mean?
High AMH means many small follicles are active in the ovaries — most often PCOS, where AMH is typically two to three times higher than average for age. A high AMH in someone without PCOS features can simply mean an above-average egg reserve, which is favorable for fertility treatment but also raises the risk of over-response to stimulation. Rarely, granulosa cell tumors raise it markedly.
Does a high AMH mean I'm very fertile?
It means a large egg supply, which is not the same as egg quality or regular ovulation. With PCOS, high AMH often coexists with irregular ovulation.
What does a low AMH mean?
Low AMH indicates a smaller ovarian reserve — fewer eggs remaining — which is normal in the late 30s and 40s and expected near menopause, but worth discussing earlier. It predicts response to fertility treatment better than it predicts natural conception: many women with low AMH conceive naturally. Hormonal contraception lowers AMH by up to about 30% while in use.
Can low AMH be improved?
The egg count itself doesn't regenerate; AMH can rise modestly after stopping hormonal contraception or vitamin D repletion in deficient women. The useful response is planning — timing, and fertility options if wanted.
Do I need a doctor's order to test my amh?
No. TestWell's licensed physician network reviews and approves your order — usually within minutes. You can place an order online without an in-person visit or a referral from your own doctor.
How long does it take to get AMH results?
Most AMH results are available in 1–3 business days after your specimen arrives at the lab. You'll get an email the moment your results are ready, with everything viewable in your TestWell portal.
How much does a AMH test cost?
Our Egg Reserve & Fertility Test (AMH) starts at $74.99. That's the all-in price — no copays, no insurance hoops, no surprise bills. HSA and FSA cards are accepted.
Do I need to fast before my AMH test?
Fasting is not required for the AMH test. You can have your blood drawn any time of day.
Which lab will process my AMH test?
Your test will be processed by Quest Diagnostics, Labcorp, or BioReference depending on which is closest to you and which lab carries the test. All three are CLIA-certified and trusted by hospitals nationwide. You'll choose your lab during checkout from 4,000+ locations.
What can throw off a AMH result?
Oral contraceptives and estrogen can change a AMH result without anything being wrong. Oral contraceptives and estrogen can lower AMH — for fertility planning, interpret with the method or retest after stopping. Each is explained on our physician-reviewed "Before your test" pages; when one applies, remove it and retest.
Ready to test your amh?
Order in two minutes, get physician-approved, and visit a lab the same day. Starts at $74.99.