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In today's world, we crave convenience and control in every aspect of our lives, and our reproductive health is no exception. Thanks to at-home fertility testing, gone are the days of waiting for doctor's appointments and lab results to gain insights into our reproductive health. Thanks to advancements in medical technology, we now have the power to test our fertility hormone levels from the comfort of our own homes. 

At-home fertility testing has emerged as a game-changer, offering convenience, privacy, and valuable information to those who want to take charge of their reproductive journey. In this article, we will delve into the fascinating world of at-home fertility testing, exploring its benefits, the top tests available, and why testing your fertility before considering options like egg freezing is crucial.

What is fertility testing?

When you hear “fertility testing,” this generally refers to tests that help indicate your ovarian reserve. As we age, our fertility naturally declines. This is totally normal, and due to fewer eggs in the ovaries, a decrease in egg quality, and an increase in chromosomal abnormalities of the remaining eggs. These collective factors contribute to lower pregnancy rates and higher miscarriage rates as we approach age 40.

While the decline in fertility happens to ALL of us, the specific age when we can no longer conceive varies from individual to individual. And in some cases, it may be earlier than we expected.

To assess your fertility potential, including your ovarian reserve, several tests are available that can give us clues to our reproductive capabilities. These tests can also help fertility doctors evaluate the likelihood of a successful pregnancy, and guide you in making informed decisions regarding family planning and fertility treatments.

Ovarian reserve testing is just one type of fertility testing. A full fertility assessment involves assessing various aspects of reproductive health to determine your fertility potential. These tests help identify any underlying issues that may affect fertility and guide individuals in making informed decisions about their reproductive choices. 

Should I test my fertility before egg freezing?

Absolutely. Before freezing your eggs, you will undergo a battery of tests to evaluate your ovarian reserve, hormone levels, and overall reproductive health. This can help you make informed decisions about the optimal timing for the procedure, setting realistic expectations, and maximizing the chances of successful outcomes.

By undergoing fertility testing before egg freezing, you gain insights into your ovarian reserve, which refers to the quantity of eggs remaining in your ovaries. Ovarian reserve testing typically involves measuring hormones such as Anti-Müllerian Hormone (AMH) and Follicle-Stimulating Hormone (FSH). These hormones play a pivotal role in follicle development and the maturation of eggs within the ovaries. Understanding your ovarian reserve gives you a realistic understanding of your reproductive potential and helps determine the optimal timing for egg freezing. In fact, your hormones (including AMH) are correlated with egg retrieval outcomes, even more so than your age. 

Fertility testing before egg freezing also allows you to identify any underlying reproductive health issues that may affect the success of the procedure. For example, testing can reveal conditions such as polycystic ovary syndrome (PCOS) or hormonal imbalances that may impact ovulation. By addressing these issues before undergoing egg freezing, you can maximize the chances of successful egg retrieval and future fertility treatments.

Best at-home fertility tests of 2025

If you’re not yet ready to see a fertility doctor and would prefer to do some at-home testing first, that’s totally possible. In this section, we review two of the top at-home fertility tests available in 2025, considering their features, pricing, hormones tested, and benefits:

LetsGetChecked Ovarian Reserve Test

Cost: $139 

Hormones measured: AMH

Why we like it: While it only tests one hormone, the test is simple and fast.

Oova Fertility Hormone Kit

Cost: $159 one-time kit, $129 per month for membership

Hormones measured: estradiol, LSH, progesterone

Why we like it: Although this test is designed to give a peek at cycle insights vs. ovarian reserve, we’re suckers for data. Oova’s continuous testing model helps track hormone data over time — important information to know when planning for your fertility future. To score 10% off your first order, be sure to follow our link here.

Choosing the right at-home fertility test

When it comes to at-home fertility testing, you’ll want to find the right test that meets your specific needs and provides accurate and reliable results. Here are some factors to consider when selecting an at-home fertility test:

Hormones measured

Different at-home fertility tests measure varying combinations of hormones. Consider which hormones are most relevant to your fertility concerns. Commonly tested hormones include Anti-Müllerian Hormone (AMH), Follicle-Stimulating Hormone (FSH), luteinizing hormone (LH), estradiol, progesterone, and thyroid-stimulating hormone (TSH). Understanding which hormones are included in the test can help you assess if it aligns with your fertility goals.

Testing method 

At-home fertility tests utilize different testing methods, such as urine-based tests or blood spot tests. Consider your preference and comfort level with the testing method. Urine-based tests are convenient and non-invasive, while blood spot tests require a small finger prick for blood sample collection. Choose the method that suits you best.

Accuracy and reliability

Look for at-home fertility tests that have been validated and proven to provide accurate and reliable results. Read customer reviews and check for any certifications or endorsements from reputable organizations. Accuracy is crucial when making important decisions about your fertility, so opt for tests that have a track record of producing reliable results.

Cost 

Consider the cost of the at-home fertility test. Prices may vary depending on the brand and the number of hormones tested. Determine your budget and compare the prices of different tests to find one that offers good value for money. Keep in mind that fertility testing is an investment in your reproductive health and future, so prioritize quality and accuracy over cost alone.

Bonus features

Some at-home fertility tests offer additional features or services that can enhance your testing experience. For example, some tests provide personalized reports with detailed explanations of your results and recommendations. Others may offer access to fertility experts or provide educational resources to help you understand your fertility better. Consider these additional features and, if you think you’ll use them, choose a test that aligns with your preferences and needs.

What can an at-home fertility test tell me?

Fertility tests are powerful tools that provide valuable insights into your reproductive health and potential. They offer a comprehensive assessment of various aspects of your fertility, allowing you to understand your body's unique dynamics and make informed decisions about your reproductive future. 

Ovarian reserve testing measures the quantity of eggs remaining in your ovaries. In particular, hormone tests that examine your AMH and FSH levels provide information about the quantity of eggs available for fertilization. These tests can give you an indication of your ovarian reserve and help determine the optimal timing for egg freezing, fertility treatments, and family planning options.

Fertility tests assess the levels of various hormones involved in reproductive health. Abnormal hormone levels can indicate something that may affect your fertility down the line. For example, conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders can impact fertility and require targeted treatment. By identifying any issues early on, you and your healthcare provider can proactively tackle any underlying issues.

Keep in mind that fertility tests provide a snapshot of your reproductive health at a specific point in time. They offer valuable information but do not guarantee future fertility or pregnancy outcomes. You’ll want to discuss the results of your fertility tests with your doctor who can interpret the findings in the context of your individual circumstances.

What *can’t* an at-home fertility test tell me?

While fertility tests can provide valuable insights into your reproductive health, it's important to understand their limitations. 

One of the common misconceptions is that fertility tests, particularly AMH, can predict your chances of getting pregnant unassisted. In fact, studies have shown that AMH is not related to time to pregnancy. 

Fertility tests cannot provide a definitive prediction of your ability to conceive without assistance. Beyond just ovarian reserve, fertility is a complex interplay of various factors, including egg quality, sperm quality, uterine health, and overall reproductive function. The test results can give you an indication of your ovarian reserve and potential response to egg freezing or IVF, but they cannot guarantee unassisted conception.

Fertility tests provide insights into your current fertility status but cannot predict your fertility potential in the future. Your reproductive health will change over time due to various factors, including age, lifestyle choices, and underlying medical conditions. So even if your fertility test results are within the normal range, it does not guarantee that your fertility will remain the same in the future. Regular monitoring and discussions with your healthcare provider are essential to track any changes in your fertility health over time.

Understanding the limitations of fertility tests can help manage expectations and help you make informed decisions. It's important to view these tests as tools to assess certain aspects of your fertility health, but not as definitive predictors of your reproductive journey. Consulting with a fertility doctor can help you interpret the test results in the context of your individual circumstances and guide you through the next steps in your fertility journey.

Summing it up

By understanding what fertility tests can and can’t tell you, you gain valuable knowledge about your reproductive health and fertility potential. This knowledge empowers you to make informed decisions about family planning, seek appropriate medical intervention if necessary, and take proactive steps to optimize your fertility. Fertility tests are a vital tool in the journey towards building the family you desire, providing valuable insights that can guide you on the path to reproductive success.

However, it's important to remember that fertility tests have their limitations. They provide a snapshot of your fertility health at a specific point in time and cannot guarantee future outcomes. It's crucial to interpret the test results in the context of your individual circumstances and consult with a fertility doctor for a comprehensive evaluation of your reproductive health.

Ultimately, knowledge is power, and by understanding your fertility health, you are better equipped to make decisions that align with your personal goals and aspirations. Embrace the opportunities offered by at-home fertility testing, stay informed, and engage with fertility doctors who can provide guidance and support throughout your reproductive journey. With the right information and support, you can take charge of your fertility and empower yourself.

If you are interested in freezing your eggs, we can help! Our Freeze by Co platform is making egg freezing more empowering, positive, and accessible — even free — when you give half of the eggs retrieved to a family who can’t otherwise conceive.

Embarking on the path of family planning is an exciting journey filled with hope and, often, uncertainty. One area that typically gives rise to a multitude of questions revolves around oocyte cryopreservation, commonly known as egg freezing. While this medical breakthrough has provided countless women with greater reproductive autonomy, it's still not a definitive guarantee of biological motherhood.

In this guide, we’ll try and answer one of the most common questions around egg freezing: the chances of live birth. 

From frozen eggs to baby

At every stage of the in vitro fertilization (IVF) process (which is technically what egg freezing is, plus embryo fertilization in a lab), there's a certain level of attrition. Some collected eggs may be immature, making them unsuitable for freezing. Others may not withstand the thawing process. When you’re ready to fertilize those eggs into embryos, they will not necessarily all fertilize, and some fertilized embryos may fail to mature into viable embryos suitable for transfer. Even embryos that reach the transfer stage might not be genetically normal. And those that are genetically normal may not result in a viable pregnancy or live birth.

As a result, egg freezing is better viewed as a way to increase your chances of pregnancy down the line, rather than an insurance policy or a surefire plan. It’s a path filled with potential, and definitely gives you greater optionality when you’re ready to  have kids, but — and we are always very transparent about this — there is unfortunately no absolute promise of a live birth at the end of the egg freezing process.

How many eggs should I freeze?

Given these complexities, a pressing question for many women is, “how many eggs should I freeze to increase my chances of having a baby?” The answer is nuanced and largely depends on two variables: the age at which the eggs are frozen, and how many children you want.

Unfortunately, the quality of eggs can't be assessed before fertilization is attempted, adding another layer of uncertainty to this equation. Still, we can provide an approximate guide based on averages, which can inform individualized counseling, treatment planning, and expectation management.

One study out of Harvard Medical School of 520 cycles found the chances of live birth varies based on age and number of eggs frozen (see chart below). This guidance is not precise, but offers an approximate benchmark to guide you through your fertility journey. 

How many eggs will I get?

Another common inquiry from patients is how many eggs are likely to be retrieved and preserved in a single egg freezing cycle. The good news is that this is fairly easy for fertility doctors to predict using two crucial measures: anti-Müllerian hormone (AMH) and antral follicle count (AFC).

AMH and AFC, both estimators of ovarian reserve, can provide an approximation of the number of eggs that can be retrieved from a stimulated cycle. For instance, an AMH level of 15 pmol/L (2.1 ng/mL) could predict a yield of approximately 12 to 18 eggs. Similarly, AFC's numerical value directly correlates with the number of eggs potentially collected in one cycle, with a rough ratio of 1:1. So if your fertility doctor counts 15 antral follicles during the transvaginal ultrasound, you could potentially retrieve 15 eggs in a single cycle (note this number could be lower or higher based on other factors).

Will I have enough eggs to share?

Cofertility’s Split program offers women a chance to freeze their eggs *for free* when donating half of the eggs retrieved to a family who cannot otherwise conceive. If you qualify for the program and decide to donate half of your retrieved eggs, every expense associated with the egg freezing procedure —  medications, supplements, travel if necessary, insurance, and 10 years of storage — are completely free of charge.

Since the number of eggs is predictable with AMH and AFC, we’re only able to accept people into the program if we are confident they would have enough eggs to “split”. 

Setting expectations 

You can look at the probabilities and hormonal indicators, but everyone’s egg freezing journey is unique. Age, health, lifestyle, and genetic factors can all play a role in your path to motherhood. Remember, egg freezing is a science, but it's not an exact one. The uncertainties are part of the process. And while the prospect of attrition can seem daunting, it's important to remember that every step forward is a step closer to the potential for success.

Navigating these complexities can feel overwhelming, which is why support and guidance are crucial. At Cofertility, our mission is to guide you through this journey, providing you with the necessary information, support, and encouragement to make the best decisions for your fertility future.

Although egg freezing can't offer guaranteed outcomes, it has undoubtedly provided hundreds of thousands of women worldwide with expanded options and increased flexibility in their reproductive timelines. By understanding the process's intricacies and setting realistic expectations, we can navigate this journey together, with optimism, resilience, and hope.

Freeze your eggs with Cofertility

Cofertility is a human-first, tech-enabled fertility ecosystem that provides people agency over if, how, and when they have babies — today or someday. We have two programs for egg freezers:

Our Split program offers women a chance to freeze their eggs for free when donating half of the eggs retrieved to a family who cannot otherwise conceive. If you qualify for the program and decide to donate half of your retrieved eggs, every expense associated with the egg freezing procedure —  medications, supplements, travel if necessary, insurance, and 10 years of storage — are completely free of charge. We don’t even need a payment or credit card up front, as the family you match with covers all the expenses.

Our self-pay Keep program allows women to freeze their eggs and keep them all for their future use. Through Keep, we offer our members partnerships and discounts to lighten the financial load of egg freezing, as well as access to our member community.

The benefits for of working with Cofertility include:

• Power of choice: Freeze your eggs more affordably or, if you qualify, freeze for free when you give half to a family who can’t otherwise conceive.
• Community: Our inclusive online spaces allow you to connect with others going through the process in our private online community.
• Compassion: We’ll always treat you with care, and our Split program gives you the opportunity to make someone’s family building dreams a reality.
• Data-driven: We provide you with trustworthy guidance and evidence-based research so you can make informed decisions about your fertility.
• Free egg freezing: Freeze and store your eggs for 10 years, entirely for free if you qualify for our Split program.

Ready to learn about more affordable (even free!) egg freezing with Cofertility? Fill out this quick quiz to learn about our accessible egg freezing options and see if you qualify for our programs — it only takes one minute.

Read more:

• Should I Freeze Eggs or Embryos?
• Which Matters More for Fertility: AMH or Age?
• Do’s and Don’ts During Egg Freezing: Alcohol, Baths, Exercise, and More

As a potential egg donor, you may be wondering about the qualifications, including if there’s a minimum AMH (Anti-Mullerian Hormone) levels. Understanding this hormone and its significance is critical in the egg freezing and donation process, especially if you're considering donating your eggs through an egg share program like the one offered by Cofertility. Let's delve into these important topics.

What is AMH anyway?

The Anti-Mullerian Hormone, or AMH, is a hormone secreted by the cells of developing egg sacs (follicles) within the ovaries. AMH levels are often used as an indicator of ovarian reserve, which means the quantity of eggs that are available for fertilization. The hormone plays an important role in fertility care as it provides insights into ovarian function and the potential to produce viable eggs during egg freezing.

AMH testing is a common part of the fertility workup as it helps doctors understand more about your ovarian reserve and ability to retrieve eggs that can be successfully fertilized. It is important to note that AMH level is not a measure of egg quality, but of quantity, and its level remains fairly constant throughout the menstrual cycle, which makes it a good measure for predicting ovarian reserve at any time. 

What AMH do I need to donate my eggs?

Through our Split program, qualified freezers can freeze their eggs for free when donating half of the eggs retrieved to a family who can’t otherwise conceive.

In the context of donating through our Split program, having an appropriate level of AMH is important. Fertility doctors typically consider an AMH level above 2.0 ng/ml as a good indicator for egg donation, and this is the benchmark used at Cofertility. Note that some clinics have a higher requirement.

This level suggests that you are likely to respond well to fertility treatments and produce a sufficient number of eggs for both donation and personal use. This allows us to proceed with the egg retrieval process in a manner that is both safe and effective.

However, if your AMH level is lower than this, it does not necessarily mean you cannot freeze your eggs. You can still qualify for our Keep program — where you keep 100% of eggs retrieved for your own future use — we offer exclusive discounts on expenses, such as frozen egg storage. Keep members also still gain free access to our Freeze by Co Community, a safe space for those engaging in the egg freezing process (or gearing up for it) to connect and lean on each other.

Everyone is unique, and AMH is just one factor of many that we consider during the evaluation process. You can learn more about qualifications for our Split program here. 

What is egg sharing?

Our unique model allows you to donate your eggs while also preserving half for your own future use. This can be an advantageous option for those who want to help others by donating their eggs, but are uncomfortable with other egg donation programs.

We believe egg sharing balances the interests of the donor and the recipient. It opens up opportunities for families seeking to conceive via donated eggs while respecting the donor's potential future family planning needs.

Egg donation with Cofertility

At Cofertility, we are striving to be the best place to be an egg donor (or what we call, a Split Member). We offer a supportive and transparent process that empowers donors to make informed decisions about their egg donation journey.

With our innovative approach, donors get to keep half of the eggs retrieved, plus:

• Free storage of their own eggs in cryopreservation for up to 10 years
• Coverage of all medical costs for the egg donation process
• Connection to the Cofertility community for support all along the way and after too
• The ability to work with the intended parents to decide together what your relationship will look like

If giving your eggs to intended parents sounds like something you would like to do, you may be able to qualify for the free egg freezing process and have your donation process covered too.

Take our quiz to see if you qualify for Split!

We believe that every donor deserves to have a positive and empowering experience, and we are committed to making that a reality. That’s why Cofertility was named one of the Best Egg Donor Programs by Egg Donor Connect.

Summing it up

Understanding your AMH level is a crucial part of the egg donation process as it provides an indication of your ovarian reserve, thereby shaping your egg freezing journey.

While an AMH level above 2 ng/ml is ideal for egg donation, it's important to remember that it's not the sole determinant of your eligibility. The process is multifaceted, taking into account various factors, and everyone’s situation is unique.

At Cofertility, we’re here to guide you every step of the way. From understanding your AMH levels to navigating through the egg sharing process, our team of fertility experts is ready to assist you in making informed decisions about your reproductive health and fertility journey. Your contribution as an egg donor can change lives, including your own.

Read more:

• What Medications and Supplements Affect AMH Levels?
• The Ultimate Guide to Egg Donation
• I Want to Freeze My Eggs: What's the Egg Retrieval Process Really Like?
• Is It Painful to Freeze or Donate My Eggs?

Understanding reproductive health is crucial, especially when it comes to fertility. Anti-Müllerian hormone (AMH) is one of the key markers used to assess ovarian reserve, which refers to the quantity of eggs. Many factors can impact AMH levels, including age, genetics, and certain medical conditions.

One common question that arises is whether birth control, a widely used contraceptive method, can affect AMH levels. In this article, we will explore the relationship between birth control and AMH levels to shed light on this topic and provide valuable insights for those concerned about their fertility.

What is AMH?

Before delving into the impact of birth control on AMH levels, let's first understand what AMH is and its significance in assessing ovarian reserve. AMH is a protein produced by the small follicles in the ovaries. These follicles contain immature eggs, and the level of AMH in the blood provides an estimate of the remaining egg supply. Ovarian reserve tests can help you make decisions about egg freezing. In general, higher AMH levels indicate a larger number of follicles and potentially better ovarian reserve, while lower levels may suggest a diminished egg supply.

Can birth control affect your AMH levels?

One common concern among women is whether taking birth control can influence AMH levels. Birth control methods, such as oral contraceptive pills (aka “the pill”), patches, injections, and intrauterine devices (IUDs), work by regulating hormones and preventing ovulation. So it is reasonable to question whether these hormonal interventions can impact AMH levels.

Research suggests that hormonal birth control may affect AMH levels. But it depends on the type of birth control.

One study looked at data from women on various types of birth control and found: 

• Combined oral contraceptive pill led to 23.7% lower AMH
• Progestin-only pill led to 14.8% lower AMH
• Vaginal ring led to 22.1% lower AMH
• IUD led to 6.7% lower AMH
• Implant led to 23.4% lower AMH
• Copper intrauterine device led to 1.6% lower AMH

The authors concluded that birth control use is associated with a lower mean AMH level than for women who are not on contraceptives, with variation depending on the type of birth control

Learn more: Egg Freezing and Birth Control: An Overview

The amount of time you are on birth control may also be a factor. A systematic review of 15 studies concluded that AMH is unchanged in women using combined oral contraceptive pills if they were using it under six months. 

However, they found a lower AMH in long-term users of the pill. But it’s just temporary – AMH levels rebounded after they stopped using birth control.

Is AMH accurate if on birth control pills?

One study compared the AMH levels of 228 hormonal contraception users and 504 non-users. They found that users of birth control had 29.8% lower AMH concentrations. Because of this, the authors concluded that AMH may not be an accurate predictor for women using hormonal contraception.

You may want to consider the timing of the AMH test when using hormonal contraceptives. Estrogen can suppress the production of follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which are necessary for the development and maturation of follicles. 

As AMH levels are influenced by FSH and LH, you could wait for a few weeks after discontinuing birth control before measuring AMH levels for a more accurate assessment of ovarian reserve. Or, you could take the test knowing the results may be lower due to birth control. It’s best to discuss this with your doctor.  

Do I need to get off birth control to get AMH tested?

In general, it is not necessary to discontinue birth control before getting an AMH test. However, it's important to be aware that hormonal contraceptives, such as oral contraceptive pills, can potentially lower AMH levels temporarily while being used. This means that if you are currently using birth control, the AMH results may be lower than they would be if you were not on contraceptives.

If you are concerned about the accuracy of your AMH test or have specific fertility-related questions, it’s best to consult with a fertility doctor. They can provide personalized guidance based on your individual circumstances and help you understand how birth control may impact your AMH results. They will take into consideration factors such as the type of birth control you are using, your reproductive goals, and any underlying medical conditions. This will help ensure that you receive the most accurate and relevant information regarding AMH testing and its interpretation.

Will my AMH change if I get off birth control?

AMH can and will change throughout your life. And, it is generally believed that AMH levels should return to their baseline after stopping hormonal contraceptives. 

Birth control methods, such as oral contraceptive pills, work by suppressing ovulation and altering hormone levels. Once you discontinue birth control, your body will naturally resume its normal hormonal patterns, and AMH levels should stabilize accordingly.

Individual responses to stopping birth control may vary. Some may experience a temporary fluctuation in their hormone levels as their body adjusts, which could potentially affect AMH measurements. However, these fluctuations are typically short-lived, and AMH levels should gradually return to their baseline within a few menstrual cycles.

If you are planning to assess your ovarian reserve through an AMH test, you may want to wait for a few weeks or consult with your fertility doctor to determine the most appropriate timing after discontinuing birth control. This will help ensure a more accurate assessment of your current ovarian reserve without the influence of hormonal contraceptives.

Remember, AMH levels provide valuable insights into ovarian reserve but are just one piece of the puzzle when it comes to fertility. 

Does birth control help egg reserve?

Although birth control does not directly affect AMH levels or egg reserve, it can provide some indirect benefits related to reproductive health. By preventing ovulation and regulating menstrual cycles, birth control can help manage various gynecological conditions such as polycystic ovary syndrome (PCOS), endometriosis, and irregular periods. By providing symptom relief and controlling hormone levels, birth control can potentially improve overall reproductive health (thanks birth control!).

Additionally, certain forms of birth control, such as combined oral contraceptive pills, may help reduce the risk of ovarian cysts and decrease the incidence of ovarian and endometrial cancers. These benefits contribute to the overall well-being of your reproductive system, indirectly supporting egg reserve.

AMH and egg sharing

If you are looking to donate your eggs through Cofertility’s Split program, where you freeze for free in exchange for donating half to a family that could not otherwise conceive, we require a minimum AMH of 2.0 (though clinics may have their own unique requirements). This is to increase the chances of retrieving enough eggs to actually split, to ensure positive outcomes for both parties involved.

You are not a number

With all the nuances involved here, it’s important not to get lost in the weeds. Fertility is impacted by so many factors that you can drive yourself crazy trying to manage all of them. 

Remember, you are more than any number. This process can be overwhelming, but focusing on the things that you can control can help you feel more grounded during your fertility journey, whatever it may look like. 

Cofertility is here to help you every step of the way on that journey. 

Our Split program offers women a chance to freeze their eggs for free when donating half the eggs retrieved to a family who cannot conceive otherwise. If you qualify for the program and decide to donate half of your retrieved eggs, every expense associated with the egg freezing procedure —  medications, supplements, travel if necessary, insurance, and 10 years of storage — are completely free of charge. We don’t even need a payment or credit card up front, as the family you match with covers all the expenses.

Or, in our Keep program, you can freeze and store your eggs for your own future use, with lower prices on things like storage and medication – as well as our team’s support and access to our community.

The benefits for of working with Cofertility include:

• Power of choice: Freeze your eggs more affordably or, if you qualify, freeze for free when you give half to a family who can’t otherwise conceive.
• Community: Our inclusive online spaces allow you to connect with others going through the process in our private online community.
• Compassion: We’ll always treat you with care, and our Split program gives you the opportunity to make someone’s family building dreams a reality.
• Data-driven: We provide you with trustworthy guidance and evidence-based research so you can make informed decisions about your fertility.
• Free egg freezing: Freeze and store your eggs for 10 years, entirely for free if you qualify for our Split program.

Ready to learn about more affordable (even free!) egg freezing with Cofertility? Fill out this quick quiz to learn about our accessible egg freezing options and see if you qualify for our programs — it only takes one minute.

Whatever your journey looks like, our team is here to guide you through it and keep your family-building options open.

Summing it up

Understanding reproductive health is crucial, especially when it comes to fertility. AMH is a key marker used to assess ovarian reserve, which refers to the quantity eggs. While birth control does not directly impact AMH levels or egg reserve, it can have temporary effects on AMH measurements while being used. The type and duration of birth control can influence the degree of impact on AMH levels. 

If you are currently using birth control, it is not necessary to discontinue it before getting an AMH test. However, it's important to be aware that hormonal contraceptives can potentially lower AMH levels temporarily. This means that the AMH results may be lower than they would be if you were not on contraceptives. Consulting with a fertility doctor can provide you with specific guidance on timing and interpretation of AMH results.

If you decide to discontinue birth control, AMH levels should return to their baseline over time as your body adjusts to its natural hormonal patterns. Temporary fluctuations in hormone levels may occur, but these are typically short-lived, and AMH levels should stabilize within a few menstrual cycles. (And if you do discontinue birth control, definitely use backup contraception during that period if you’re trying to avoid pregnancy). 

Remember, AMH levels provide valuable insights into ovarian reserve, but they are just one piece of the puzzle when it comes to fertility. Consulting with a fertility doctor can help you understand the broader context of your reproductive health and provide guidance on any concerns or questions you may have.

Read more:

• What AMH Level Do I Need to Freeze My Eggs?
• Which Matters More for Fertility: AMH or Age?
• I’m Going Off Birth Control. Now What?

Anti-Mullerian hormone (AMH) is a hormone produced by ovarian follicles. It is commonly used as a marker of ovarian reserve and can be measured in the blood. A high AMH level is often associated with polycystic ovary syndrome (PCOS), but it can also have other causes. In this article, we will explore what a high AMH result means and answer some common questions about AMH testing.

First off, what is AMH?

AMH is a hormone that is produced by the granulosa cells in the ovarian follicles. It plays a role in the growth and maturation of ovarian follicles in females. AMH levels are relatively stable throughout the menstrual cycle and can be measured in the blood.

AMH is commonly used as a marker of ovarian reserve, which is a rough number of eggs that a female has remaining in her ovaries. Since females are born with a fixed number of eggs, this number naturally declines over time. 

What are normal AMH numbers?

What is considered a “normal” AMH level depends on your age, as well as the lab where you take the test. Since there is no international standard, it’s best to use the reference ranges included on the test results (your doctor can share those with you if you did a test through a clinic). 

In general, however, an AMH between 1.0 and 3.5 ng/mL suggests a “normal” range that is likely to have a good response to egg freezing.

If you are looking to donate your eggs, however, minimum AMH requirements may be slightly higher. For example, with Cofertility’s Split program, we require a minimum AMH of 2.0, though clinics may have their own unique requirements. This is to increase the chances of retrieving enough eggs to actually split, to ensure positive outcomes for both parties involved.

What AMH level is considered high?

In healthy females of reproductive age, higher levels of AMH mean that the ovaries have a larger supply of eggs. This means one would be expected to have better than average outcomes for egg freezing. 

Remember, there is no universal standard for AMH, so it can vary depending on the lab where the test is run. Your test results will include if your range is “normal”, “low”, or “high” and the cut-off can differ. For example, Atlanta Fertility considers over 4.5 ng/mL high. Advanced Fertility considers anything over 4.0 ng/ml high. While RMA would consider an AMH over  3.0 ng/ml as “very high”.

With high levels of AMH, you may be at higher risk for ovarian hyperstimulation syndrome (OHSS). This means your doctor may choose a specific protocol and/or do extra monitoring to decrease the risk of complications during egg freezing.

What AMH level is considered too high?

Again, this question depends on the lab. Your test results will come with a reference range, and will indicate if your number is high for your age. If your doctor considers your levels abnormally high and has concerns, they will discuss the results with you. 

Common reasons for high AMH

The most common reason for high AMH is that you are very fertile and likely to retrieve more eggs in an egg freezing cycle.  

But a high AMH level may also indicate PCOS, which is a hormonal disorder that affects 8–13% of females of reproductive age. Those with PCOS typically have high levels of androgens (male hormones) and may have irregular periods, acne, and excess hair growth. Patients with an average AMH level ≥ 4.45 ng/ml have a 9.35 times higher likelihood of developing PCOS, but not all patients with a high AMH have PCOS.

In rare cases, abnormally high AMH could be a sign of an ovarian tumor. Certain types of ovarian tumors, such as granulosa cell tumors, can produce high levels of AMH. 

Does high AMH always mean PCOS?

While an increase in AMH levels has been reported to be associated with PCOS, high AMH alone is not enough to diagnose PCOS. 

Not all patients with PCOS have high AMH levels, and not all patients with high AMH levels have PCOS. Diagnosis of PCOS requires a combination of symptoms, hormone levels, and imaging studies, such as ultrasound.

Does high AMH mean good egg quality?

Not necessarily. While a high AMH level is often associated with a larger number of ovarian follicles and eggs, it does not necessarily mean that the eggs are of good quality. Egg quality is determined by factors such as your age, genetics, and environmental factors, and cannot be measured directly by AMH levels.

Am I ovulating if my AMH is high?

AMH levels do not indicate if you’re ovulating or not. Ovulation is the release of a mature egg from the ovary and can be confirmed by monitoring the menstrual cycle and/or performing ultrasound studies.

Will I get a lot of eggs if I have a high AMH?

The success of egg freezing outcomes largely depends on the number and quality of eggs retrieved. Studies have shown that AMH levels can be used as a predictor of egg quantity, and can thus help to predict the potential success of egg freezing. Those with higher AMH levels tend to have better outcomes with egg freezing, as they are likely to have more eggs retrieved and a higher chance of success in future fertility treatments. 

But by no means does a high AMH level guarantee a lot of eggs during an egg retrieval procedure for fertility treatments. The number of eggs retrieved during an egg freezing cycle depends on several factors, including your age, ovarian response to stimulation medications, any other underlying medication conditions, and the skill of the doctor performing the procedure.

What is a good AMH level for egg freezing?

Research has found that AMH is a good predictor of the response to ovarian stimulation and the number of eggs retrieved. Because of this, fertility doctors typically use your AMH levels (along with other biomarkers) to determine the drugs and dosages you will need to maximize your response to ovarian stimulation. 

Now, what about a correlation between AMH and actual babies born (live birth rate)? Well, while AMH does seem to have some association with live birth rates after IVF, its ability to actually predict a live birth is not that great. This is especially true for younger people. A 2021 study found that AMH is a good predictor of live birth in older (>39 years old), but not younger, people. They found that younger participants (≤38 years old) could get pregnant even with low AMH levels as long as they had frequent egg retrievals. 

Freeze your eggs with Cofertility

One option to make egg freezing better is working with Cofertility. Through our Split program, qualified freezers can freeze their eggs for free when donating half of the eggs retrieved to a family who can’t otherwise conceive. 

Through our Keep program — where you keep 100% of eggs retrieved for your own future use — we offer exclusive discounts on expenses, such as frozen egg storage. Keep members also still gain free access to our Freeze by Co Community, a safe space for those engaging in the egg freezing process (or gearing up for it) to connect and lean on each other. It also enables access to exclusive guidance, free expertise, and community events. 

By making egg freezing easier and more accessible, our programs further strengthen the American Society of Reproductive Medicine (ASRM)’s Committee Opinion that egg freezing can help promote social justice and strengthen gender equality.

Summing it up

A high AMH level is generally a good sign for your ability to successfully freeze your eggs. But for some, it can also be one indicator of PCOS. While a high AMH level is often associated with a larger number of ovarian follicles and eggs, it does not necessarily mean that the eggs are of good quality (egg quality is more dependent on age). 

AMH levels are commonly used as a marker of ovarian reserve and can be helpful, in conjunction with other measures, in predicting the number of eggs that can be retrieved during an egg freezing cycle. However, it is important to keep in mind that egg quality is determined by several factors and cannot be measured directly by AMH levels. If you have concerns about your fertility or AMH levels, it is important to speak with a fertility doctor for personalized advice and treatment options.

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Read more:

• Which Matters More for Fertility: AMH or Age?
• What AMH Level Do I Need to Freeze My Eggs?
• Do’s and Don’ts During Egg Freezing: Alcohol, Baths, Exercise, and More