AMH Levels by Age Chart 2026: Normal Range at 25, 30, 35, 40 (ng/mL & pmol/L)
Normal AMH levels by age in ng/mL and pmol/L. What AMH is, what counts as a good level for pregnancy, how it declines with age, and what low AMH means for IVF and natural conception.
Wondering what a normal AMH level is for your age? Anti-Müllerian Hormone (AMH) is a blood marker of ovarian reserve — roughly, how many eggs you have left. It naturally declines as women age, but knowing what is typical for your age group helps you understand where you stand and make informed fertility decisions. This guide explains what AMH is, gives you the age-by-age reference chart that fertility specialists actually use, covers what a 'good' AMH level for pregnancy looks like, and explains what low AMH means for natural conception and IVF.
What Is AMH? (Anti-Müllerian Hormone Explained)
AMH stands for Anti-Müllerian Hormone. It is produced by the small developing follicles in your ovaries, so the more follicles you have remaining, the higher your AMH level. Because of this, AMH is the single best blood test for estimating ovarian reserve — the size of your remaining egg supply. Importantly, AMH measures egg quantity, not egg quality, and it cannot predict whether or when you will conceive on its own. Age remains the strongest predictor of egg quality.
- Produced by: small (pre-antral and early antral) follicles in the ovaries
- What it measures: ovarian reserve (egg quantity)
- What it does NOT measure: egg quality, whether you can conceive, or when menopause will arrive
- Stable across the cycle: can be tested any day, no fasting required
- Common units: ng/mL (North America), pmol/L (Europe and Australia)
Normal AMH Levels by Age: Complete Reference Chart
The following chart shows average AMH levels in ng/mL for each age group, based on data from major fertility studies and laboratory reference ranges. Individual variation is wide — these are population averages, not strict cutoffs.
- Under 25 years: Average 3.0–4.5 ng/mL | Normal range: 1.5–6.0 ng/mL
- 25–29 years: Average 2.5–3.5 ng/mL | Normal range: 1.2–5.0 ng/mL
- 30–34 years: Average 1.5–3.0 ng/mL | Normal range: 0.8–4.0 ng/mL
- 35–37 years: Average 1.0–2.5 ng/mL | Normal range: 0.5–3.5 ng/mL
- 38–40 years: Average 0.7–1.5 ng/mL | Normal range: 0.3–2.5 ng/mL
- 41–43 years: Average 0.3–1.0 ng/mL | Normal range: 0.1–1.5 ng/mL
- Over 43 years: Average 0.1–0.5 ng/mL | Normal range: <1.0 ng/mL
How to Read Your AMH Result Against the Chart
When comparing your AMH result to the age chart, focus on where you fall within the range for your age group rather than fixating on the exact average. Being slightly below average for your age does not necessarily indicate a problem — it gives your doctor useful planning information.
- Above average for your age: suggests strong ovarian reserve. Very high (>5.0 ng/mL) may indicate PCOS.
- Average for your age: your ovarian reserve is typical — reassuring for fertility potential.
- Below average for your age: may suggest diminished ovarian reserve, but does not mean pregnancy is impossible.
- Significantly below average: consider consulting a reproductive endocrinologist sooner rather than later.
What Is a Good AMH Level to Get Pregnant?
There is no single AMH number that determines whether you can conceive. AMH measures how many eggs you have left, not the quality of those eggs or whether you will ovulate normally. Many women with low AMH conceive naturally, and women with normal AMH can still struggle if egg quality, ovulation, sperm, or tubal factors are involved. That said, here is how fertility specialists generally interpret AMH in the context of trying to conceive:
- AMH 1.5–4.0 ng/mL (any age): generally considered a 'good' level supporting natural conception
- AMH 1.0–1.5 ng/mL: adequate, particularly if you are under 35; do not delay if conception is the goal
- AMH 0.5–1.0 ng/mL: low; conception is still possible but the window is narrowing — specialist evaluation recommended
- AMH <0.5 ng/mL: significantly diminished reserve; fertility evaluation should not be delayed
- AMH >4.0–5.0 ng/mL: high; may indicate PCOS, which can cause irregular ovulation and is treatable
Low AMH: What It Means and What to Do
A low AMH result understandably causes anxiety, but there are important reasons to keep perspective. Low AMH means fewer eggs remain — it does not mean the remaining eggs are poor quality, and it does not mean you cannot conceive. What matters most is acting promptly: ovarian reserve continues to decline, and earlier intervention almost always yields better outcomes.
- Natural conception is still possible with low AMH, especially under 38
- IVF with low AMH usually yields fewer eggs per cycle, but egg quality can still be excellent
- Mini-IVF or 'duo-stim' protocols are designed specifically for low ovarian reserve
- Egg or embryo banking across multiple cycles is sometimes recommended
- Supplements such as CoQ10, vitamin D (if deficient), and DHEA may support egg quality — discuss with your doctor
- Do not retest endlessly hoping for a different number; act on the trend, not the noise
Why AMH Declines With Age
Women are born with all the eggs they will ever have — roughly 1–2 million at birth. By puberty, this drops to about 300,000–400,000. Each month, a group of follicles is recruited and most are lost through a natural process called atresia. AMH is produced by the growing follicles, so as the total egg supply decreases, AMH levels fall accordingly. This decline accelerates after age 35.
AMH by Age: What It Means for IVF
Fertility specialists use your AMH relative to your age to predict how your ovaries will respond to IVF stimulation medications. This helps them choose the right protocol and set realistic expectations for egg retrieval.
- High AMH for age (>75th percentile): likely strong responder — expect more eggs. Lower medication doses may be used to reduce OHSS risk.
- Average AMH for age (25th-75th percentile): standard stimulation protocol, typical egg yield expected.
- Low AMH for age (<25th percentile): may need higher doses or more aggressive protocols. Fewer eggs expected but quality can still be excellent.
- Very low AMH for age (<10th percentile): mini-IVF or natural cycle IVF may be considered; egg banking across multiple cycles is sometimes recommended.
Units Matter: ng/mL vs pmol/L
AMH results can be reported in two different units depending on your laboratory. To convert: 1 ng/mL = 7.14 pmol/L. For example, an AMH of 2.0 ng/mL equals 14.28 pmol/L. The chart above uses ng/mL, which is most common in North America. European and Australian labs often use pmol/L.
- High: >28.6 pmol/L (>4.0 ng/mL)
- Normal: 7.14–28.6 pmol/L (1.0–4.0 ng/mL)
- Low-normal: 5.0–7.14 pmol/L (0.7–1.0 ng/mL)
- Low: 2.14–5.0 pmol/L (0.3–0.7 ng/mL)
- Very low: <2.14 pmol/L (<0.3 ng/mL)
Can You Improve Your AMH Level?
AMH reflects the number of remaining follicles, and there is no proven way to increase your actual egg supply. However, some research suggests that certain supplements — DHEA, CoQ10, and vitamin D, particularly if you are deficient — may support follicular health and modestly improve AMH readings. The most important action if AMH is low is not to delay fertility evaluation.
Related Reading
Want the full picture? Read our complete AMH levels explained pillar guide. If you are over 38, see AMH at 40: what level is still good?. Need to convert your units? See the AMH ng/mL vs pmol/L conversion chart.
Key takeaways
- AMH is Anti-Müllerian Hormone — a blood marker of ovarian reserve (egg quantity)
- AMH naturally declines with age — compare your result to your specific age group, not a single 'normal' number
- AMH measures egg quantity, not quality — age remains the strongest predictor of egg quality
- There is no single 'good' AMH for pregnancy — context (age, AFC, ovulation, sperm) matters more
- Low AMH does not mean you cannot conceive; it means earlier action is better than waiting
- Very high AMH (>5.0 ng/mL) often signals PCOS, which is treatable
- AMH can be tested any day of your cycle; both ng/mL and pmol/L are valid units
- Hormonal contraceptives can temporarily lower AMH; retest 2–3 months after stopping for an accurate reading
Frequently asked questions
What is AMH in simple terms?
AMH (Anti-Müllerian Hormone) is a hormone produced by the small follicles in your ovaries. The more follicles you have remaining, the higher your AMH level. Doctors use it as a blood test to estimate ovarian reserve — roughly, how many eggs you have left. It does not measure egg quality or guarantee whether you can or cannot conceive.
What are normal AMH levels by age?
Normal AMH levels (in ng/mL) by age group: under 25 = 1.5–6.0; 25–29 = 1.2–5.0; 30–34 = 0.8–4.0; 35–37 = 0.5–3.5; 38–40 = 0.3–2.5; 41–43 = 0.1–1.5; over 43 = below 1.0. Compare your result to the range for your age, not a single universal cutoff.
What is a normal AMH level for a 35-year-old?
A normal AMH level for a 35-year-old is approximately 1.0–2.5 ng/mL (7.14–17.85 pmol/L). Anything above 1.0 ng/mL is generally considered adequate ovarian reserve for this age. The average for a healthy 35-year-old falls in the 1.5–2.0 ng/mL range.
What is a good AMH level to get pregnant?
There is no single AMH number that guarantees conception. Generally, an AMH between 1.5 and 4.0 ng/mL is considered good for natural conception across most reproductive-age women. Levels between 1.0 and 1.5 ng/mL are still adequate, especially under 35. Levels below 1.0 ng/mL are considered low but conception is often still possible — especially with timely evaluation and treatment.
Is AMH of 1.0 ng/mL low?
An AMH of 1.0 ng/mL is considered low-normal. For women under 30, it is below average for the age group. For women 38+, it may be within the expected range. Context matters — your doctor will interpret it alongside your age, AFC, and other test results.
What does low AMH mean?
Low AMH means you have fewer remaining eggs than is typical for your age — what specialists call 'diminished ovarian reserve.' It does not mean you cannot get pregnant, and it does not mean your remaining eggs are poor quality. It does mean your fertility timeline is shorter than average, so acting promptly preserves more options.
Can low AMH still get pregnant?
Yes. Many women with low AMH conceive naturally, especially under age 38. AMH measures egg quantity, not quality, and you only need one healthy egg to conceive. IVF with low AMH typically yields fewer eggs per cycle, but the quality of those eggs can still be excellent. The most important factor is not delaying evaluation.
Can AMH levels fluctuate?
AMH is relatively stable throughout the menstrual cycle, but minor fluctuations can occur. Levels may temporarily decrease during hormonal contraceptive use and typically recover within 2–3 months after stopping. Recent illness, surgery, or vitamin D deficiency can also cause temporary dips.
How often should I retest AMH?
If your AMH is in the normal range and you are not planning treatment, retesting every 1–2 years is reasonable. If your AMH is low or trending down, your fertility specialist may recommend retesting every 6–12 months to track trends rather than reacting to a single value.
How fast does AMH decline per year between 30 and 35?
On average, AMH declines roughly 5–10% per year between ages 30 and 35, and accelerates to 10–15% per year after age 37. The rate varies widely between individuals. A single AMH value is informative, but a trend across 1–2 years is more meaningful than a single reading.
Does high AMH mean better fertility?
Not necessarily. Moderately high AMH (3.0–4.0 ng/mL) often reflects a healthy ovarian reserve. Very high AMH (>4.0–5.0 ng/mL) is frequently associated with PCOS, which can cause irregular or absent ovulation and make natural conception harder. Higher is not automatically better.