Page Banner
Fertility Test
Fertility Test

Anti-Müllerian Hormone (AMH)

With one in six couples across Canada experiencing difficulty in becoming pregnant, AMH levels can provide valuable insight into predicting a response for IVF treatment.

How is the test performed?

Blood sample

FAQs

The anti-Müllerian hormone (AMH) is a protein produced by granulosa cells in ovarian follicles. AMH levels tend to be at the highest around the age of 25 and then begin to decline after the age of 30. The level of AMH in the blood stream can be an indicator of fertility in women, specifically in relations to the number of eggs in reserve in the ovaries. It can also help to predict menopause and diagnosis ovarian hyperstimulation syndrome and polycystic ovary syndrome.

An AMH test is a blood test used to measure AMH levels circulating in your body. There is a relationship between AMH levels and fertility levels in women. The higher the AMH level, the higher the number of eggs.

Measuring AMH levels can help to:
  • evaluate ovarian reserve (number of eggs)
  • predict likelihood of IVF success
  • predict the age of menopause
  • confirm diagnosis of premature ovarian failure
  • assess the risk of ovarian hyperstimulation syndrome (OHSS)
  • diagnose polycystic ovary syndrome (PCOS).

If you are a woman experiencing difficulty becoming pregnant and considering invitro fertilization treatment (IVF), you should speak to your healthcare provider about whether an AMH test is right for you.

Your healthcare provider may also order an AMH test if they are concerned about:
  • the onset of menopause
  • ovarian hyperstimulation syndrome (OHSS)
  • polycystic ovary syndrome (PCOS).

 

The AMH test is commonly ordered for:

  • women experiencing difficulty getting pregnant
  • women considering undergoing IVF treatment
  • diagnosing polycystic ovary syndrome (PCOS)
  • diagnosing ovarian hyperstimulation syndrome (OHSS)
  • predicting the age of menopause

Testing is completed by LifeLabs at a Patient Service Center or via our mobile lab service through a simple blood sample. You will require a completed test requisition from your healthcare provider.

You can order the test online by clicking here. 

Test results will be provided directly to your doctor for discussion with you. The report will indicate:

  • AMH levels circulating in your blood
  • Range levels for AMH levels

Your medical history, age and other factors influence the outcome of the tests. Your doctor will help explain the results and determine whether further testing or treatment is required.

High AMH levels can indicate:
  • a higher the number of remaining ovarian follicles (eggs)
  • a higher likelihood in positive response to IVF
  • polycystic ovary syndrome
A decline in AMH levels can reflect a number of items including:
  • a progression to menopause
  • a lower likelihood of positive response to IVF
  • ovarian hyperstimulation syndrome (OHSS).
  • Health Canada
  • Broer SL, Broekmans FJ, Laven JS, and Fauser BC. Anti-Müllerian hormone: ovarian reserve testing and its potential clinical implications. Hum Reprod Update 2014;20:688-701.
  • Dewailly D, Andersen CY, Balen A et al. The physiology and clinical utility on anti-Müllerian hormone in women. Hum Reprod Update 2014;20:370-385
  • Green JA, and Graves G. Is there a place for AMH testing in Canada? J Obstet Gyneacol Can 2011;33:628-632.
  • Ledger WL. Clinical utility of measurement of anti-Müllerian hormone in reproductive endocrinology. J Clin Endocrinol Metab 2010;95:5144-5154.
  • Iliodromiti S, Kelsey TW, Anderson RA et al. Can anti-Müllerian hormone predict the diagnosis of polycystic ovary syndrome? A systematic review and meta-analysis of extracted data. J Clin Endocrinol Metab 2013;98:3332-3340.

FAQs

​​Anti-Müllerian hormone (AMH) is a protein produced by granulosa cells in ovarian follicles. A blood test for AMH is most commonly used to assess the reserve of ovarian follicles and to predict response to controlled ovarian stimulation during in vitro fertilization (IVF).

AMH levels circulating in blood may be used to:
  • predict age of menopause
  • confirm diagnosis of premature ovarian failure
  • predict likelihood of IVF success. (AMH levels correlate positively with number of retrieved oocytes1 and low AMH levels predict a lower likelihood of follicle response.)
  • assess risk of ovarian hyperstimulation syndrome (OHSS) caused by exaggerated response to gonadotropin treatment 
  • help diagnose polycystic ovary syndrome (PCOS). 

​Samples for AMH testing may be taken at any of our Patient Service Centres. Healthcare provider needs to indicate ‘AMH’ in the ‘Other Tests’ section of the requisition form.

 

The AMH test is currently an uninsured test. The cost is: $78

Payment may be made by the patient when the blood sample is taken at one of our Patient Service Centres. For convenience, Visa, Mastercard and Debit Cards are excepted.

Patient are encouraged to check with their private health care provider to see if coverage is provided.

Results will be available to you within two weeks.

We have a wealth of medical experts available to support you in interpreting test results.
Consults with our experts are available upon request. Request medical consultation.

    Request more information

    An AMH test may be scheduled directly by the patient at any of our Patient Service Centres offering this service. They must have a requisition form completed by a physician or healthcare provider.

    Find a Location   Schedule an Appointment

    People who looked at the Anti-Müllerian Hormone (AMH) were also interested in:

    Featured
    Services
    Assessing risk of developing chronic kidney disease (CKD)

    Klinrisk

    Klinrisk is an AI algorithm based on results from routine blood and urine tests. It generates a score for patients with CKD, to predict the progression of disease before kidney function is lost. The model is built on a foundation of lab data from large nationa...
    Testosterone Test

    Bioavailable Testosterone Testing

    Measures total available testosterone to be used by the body.
    Assess your risk of developing liver fibrosis

    Liver Fibrosis Testing

    Fibrosis-4 (FIB-4) Index and Enhanced Liver Fibrosis (ELF™) Score are used to screen for liver fibrosis in non-alcoholic fatty liver disease (NAFLD) patients. Screening is essential for treating patients with fatty liver disease and associated risks, like ob...
    Sexually Transmitted Infection of the Genital and Urinary Tract

    Mycoplasma Genitalium Testing

    Canadian studies estimate the prevalence of Mycoplasma genitalium infection at 3-8%. 
    Your trusted healthcare partner for supporting Immigration Medical Exams.

    Immigration Diagnostic Test Panel

    LifeLabs® is the largest medical diagnostic laboratory in Canada, that works with government-regulated immigration panel physicians to offer immigration medical exams in an efficient, timely, and customer-focused manner. The Immigration Medical Exa...

    Testing Options for Long
    COVID Assessment

    The use of various diagnostic tests for Long COVID should be considered for patients with ongoing symptoms associated with Long COVID to assess for conditions that may respond to treatment, once basic testing such as complete blood count, basic metabolic profi...
    COVID-19 Antibody Testing

    COVID-19 Antibody Blood Test Panel

    IMPORTANT: This test is no longer available for purchase.  For customers that already have a requisition, samples will continue to be collected at our Patient Service Centers until Sept 30, 2023.

    Diagnosing Allergies

    Serum Allergy Testing

    The serum allergy test is one type of allergy test that can be used to assist in the diagnosis and management of allergies. Through a simple blood test, analyzed in a laboratory, your doctor can uncover the amount of allergen-specific antibodies, called Immuno...
    Diagnosing H. pylori Infection

    H. pylori Infection.

    The Urea Breath Test (UBT) and the H. pylori Stool Antigen test are common tests used to accurately diagnose whether you have an H. pylori infection. Detecting H. pylori is essential in identifying the cause of your symptoms and/or ulcers in the absence of mor...
    COVID-19 Antibody Testing

    COVID-19 Antibody Blood Test

    Find out if you’ve had COVID-19 through an Antibody test.
    This blood test detects prior infection, even if you never experienced symptoms.
    Reaching a definitive diagnosis of hypertension

    24-Hour Ambulatory Blood Pressure Monitoring (ABPM)

    Take the guesswork out of your diet

    IgG Food Sensitivity Testing

    Symptoms associated with food sensitivities develop slowly over time and can create inflammation and contribute to symptoms of a variety of diseases. The RMA FST™ IgG Food Sensitivity test can help identify potential food sensitivities and t...
    Colorectal Cancer Screening

    Fecal Immunochemical Test (FIT)

    FIT is a safe and painless at-home cancer screening test. FIT checks someone’s stool (poop) for tiny amounts of blood, which could be caused by colon cancer and some pre-cancerous polyps (growths in the colon or rectum that can turn into cancer over time). W...
    Colorectal Cancer Screening

    Fecal Immunochemical Test (FIT)

    FIT is a safe and painless stool-based test used for screening people at average risk of developing colorectal cancer. FIT checks for the presence of occult blood in the stool, which can be an early sign of colorectal cancer and/or pre-cancerous lesions. When ...
    (Omega-3)

    Omega-3 Fatty Acid

    The Omega-3 Fatty Acid test quantifies the fatty acids present in a sample of a patient’s whole blood. Specific levels of long-chain omega-3 polyunsaturated fatty acids, specifically Eicosapentaenoic acid (EPA) and Docosahexaenoic acid (DHA) in the blood hav...
    Helping Naturopathic Doctors Gain a Better View of the Health Status of their Patients

    Patient Assessment Panels

    Patient Assessment Panels enable you to provide your Naturopathic Doctor with a complete picture of your health. Now you can access the blood work required to make informed decisions on how to be your healthiest you!
    1. Convenient
    2. Comprehensive <...
    Personalized Risk Assessment of Prostate Cancer

    SelectMDx Testing

    Learning you have elevated PSA can be alarming news, but elevated PSA does not mean you have clinically significant disease and require a biopsy or treatment. SelectMDx is a novel decision support tool and provides your urologist with additional important info...
    Fecal Calprotectin Testing

    Differentiating Between
    IBS and IBD

    Canada has one of the highest incidence and prevalence rates of inflammatory bowel disease and irritable bowel syndrome in the world. With symptoms of these two conditions appearing similar, Fecal Calprotectin testing can provide an accurate diagnosis in many ...
    QuantiFERON®-TB Gold Plus (QFT-Plus)

    QUANTIFERON-TB GOLD Plus (FOR TB SCREENING)

    QuantiFERON®-TB Gold Plus (QFT-Plus) is a simple blood test that aids in the detection of Mycobacterium tuberculosis, the bacteria which causes tuberculosis (TB). Like its predecessor, QFT-Plus is an interferon gamma release assay, commonly known as an IGRA, ...
    Know Your Risk for Heart Attacks

    SmartVascular Dx™

    The second leading cause of death among Canadians, heart attacks are often a silent killer with no signs or symptoms before they strike. Often resulting from coronary heart disease, heart attacks can be predicted and even prevented if you know and manage your ...
    Early Detection of Prostate Cancer

    Prostate-Specific Antigen (PSA) Test

    One in seven men in Canada will be diagnosed with prostate cancer in their lifetime. The third leading cause of cancer death, when prostate cancer is detected early, the more likely it can be successfully treated.
    Determine your risk of bone fractures

    Osteoporosis

    Known as the “silent thief”, osteoporosis is responsible for the loss of bone mass without obvious symptoms until a bone is broken. By knowing your risk through a Serum CTX Test, you can prevent, delay or reduce bone loss.
    Early Detection of Cervical Cancer

    HPV Testing

    About 75% of sexually active women will get a least one HPV infection in their lifetime. With HPV the primary cause of cervical cancer, the HPV test detects the presence of high-risk HPV strain(s).
    Diagnosing Celiac Disease

    Celiac Disease

    Celiac disease can arise at any age creating damage to your intestines and starving your body of critical nutrients. With a range of symptoms commonly associated with other conditions, knowing if you are celiac, or simply have a gluten allergy or intolerance, ...
    Detecting Rheumatoid Arthritis

    Anti-CCP

    The daily pain, stiffness and swelling of rheumatoid arthritis can go undiagnosed for months causing permanent damage to your body. Diagnosing rheumatoid arthritis at its earliest stages can prevent damage and improve long-term quality of life.
    Vitamin Levels

    25-Hydroxy Vitamin D Test

    Vitamin D helps your body absorb calcium and phosphorus and is essential
    for proper growth and healthy teeth and bones throughout your life.