How to Get Pregnant with Low AMH: A Functional Fertility Approach to Improving Egg Quality After 40

If you’ve been told your AMH is too low or that IVF is your only option, your numbers are not the full story.

I know how scary that result can feel, but AMH measures quantity, not quality. It doesn’t determine whether you can have a healthy pregnancy.

In this post, we’ll explore what AMH really means, the hidden reasons it can drop, and how to support egg quality naturally, especially after 40.

I’ll also share Samantha’s story; she conceived naturally at 44 with an AMH of just 0.02 ng/mL after taking a functional approach to fertility.

What AMH Really Tells You

AMH (anti-Müllerian hormone) reflects your ovarian reserve,  the number of eggs remaining, but it doesn’t tell you about egg health or potential.

• Research shows that AMH is a marker of quantity, not a predictor of natural conception outcomes. A 2022 meta-analysis found that women with low AMH still had comparable pregnancy rates when other health factors were optimized (Depmann et al., Human Reproduction Update 2022).

• Egg quality depends on mitochondrial energy, nutrient status, hormone balance, and inflammation, not just age.

• Many women with low AMH still conceive once underlying imbalances are identified and supported.

Listen next: What Your AMH Really Means for Fertility

Underlying Causes of Low AMH

Functional fertility looks deeper than numbers. These are the most common underlying factors that influence AMH and egg health.

1. Inflammation

High hsCRP levels, chronic infections, poor sleep, and toxin exposure all disrupt follicle development.

• Studies show inflammation damages ovarian tissue and reduces mitochondrial efficiency (Wang et al., 2024).

2. Gut Health

An imbalanced microbiome (or infections like H. pylori) affects nutrient absorption and estrogen metabolism. 

Restoring gut balance often improves hormone signaling and reduces inflammation.

Related episode: How Gut Health Impacts Egg Quality and Ovarian Reserve

3. Blood Sugar & Insulin

Even in lean women, elevated insulin can accelerate ovarian aging. 

Aim for meals balanced with protein, fat, and fiber to stabilize glucose and hormone balance.

4. Thyroid & Adrenals

Chronic stress and suboptimal thyroid function disrupt ovulation. 

Support with selenium, zinc, magnesium, and nervous-system regulation.
Read more: Why Thyroid Health Is Essential for Fertility

5. Nutrient Depletion

Low levels of CoQ10, vitamin D, zinc, and magnesium reduce mitochondrial energy in eggs. 

Testing helps personalize supplementation, especially for women over 40.

What to Test When AMH Is Low

A functional fertility workup helps uncover why AMH is low:

• Bloodwork: AMH, FSH, LH, estradiol, progesterone, DHEA-S, thyroid panel, hsCRP, ferritin, insulin

• GI-MAP: identifies gut infections and inflammation

• DUTCH test: maps cortisol patterns and estrogen metabolism

• Genetics: personalized plan based on gene variants customizes protocol and improves pregnancy outcomes.

Also explore: How the GI-MAP Test Can Support Egg Quality

How to Support Egg Quality After 40

Nutrition

• Prioritize anti-inflammatory, whole-food meals (gluten-free is recommended).

• Include antioxidant-rich foods: berries, leafy greens, turmeric, and green tea.

• Keep blood sugar stable for consistent hormone signaling.

Supplements

Common evidence-backed supports include:
CoQ10 (ubiquinol) – improves mitochondrial energy
Omega-3 fatty acids – lowers inflammation
Vitamin D & magnesium – improve hormone sensitivity
Myo-inositol & zinc – support ovulation and egg maturation

(Always personalize based on lab results and practitioner guidance.)

Lifestyle

• Sleep: 7–9 hours for hormone regulation

• Movement: walking, yoga, light resistance training

• Nervous-system care: breathwork, journaling, meditation

• Toxin reduction: switch to fragrance-free and BPA-free products

Listen next: Egg Quality: The Functional Connection

When IVF Fits In

IVF isn’t the enemy; it’s a powerful tool when your body is ready.
Preparing 3–6 months ahead supports better response, embryo quality, and implantation.
Use testing to guide readiness, not fear or pressure.

Success Story: Samantha 

At 44, Samantha’s AMH was 0.02 ng/mL. She’d experienced multiple miscarriages and irregular cycles.

Through the Fab Fertile Method, we uncovered:

• Gut infections and inflammation

• Elevated insulin

• Low thyroid function and mineral depletion

After focusing on gut healing, blood-sugar balance, and nervous-system support, she conceived naturally and delivered a healthy baby. 

Disclaimer: This story is shared for educational purposes only and is not a guarantee of outcome. Every fertility journey is unique, and results vary.

Next Steps in Your Fertility Journey

Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey.

Not sure where to start? Download our most popular guide:  Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action

For personalized support to improve pregnancy success, book a call here.

--

TIMSTAMPS

00:00 – What Low AMH Really Means for Fertility
→ Understanding what anti-Müllerian hormone (AMH) actually measures, and why it doesn’t define your pregnancy potential.

02:00 – Why Egg Quality Matters More Than Egg Quantity
→ How mitochondrial health, inflammation, and hormone balance shape egg potential even with low AMH.

03:30 – Inflammation, Stress, and the Type-A Fertility Pattern
→ The hidden link between hsCRP, stress, and fertility outcomes in high-achieving women over 40.

05:00 – Functional Team Approach: Beyond Hormones and IVF
→ How the Fab Fertile Method integrates thyroid, gut, and nervous system insights to improve ovarian reserve and egg health.

07:30 – Gut Health and Fertility Connection
→ What infections like H. pylori mean for nutrient absorption, estrogen balance, and ovarian function.

09:30 – Blood Sugar, Sleep, and Mood Clues to Hormonal Imbalance
→ Recognizing insulin resistance and blood-sugar swings as hidden drivers of poor egg quality and disrupted cycles.

11:00 – Foundational Fertility Supplements That Actually Matter
→ How CoQ10, magnesium, vitamin D3/K2, and methylated prenatals support mitochondria and hormone regulation.

12:00 – Samantha’s Story: Natural Conception at 44 with AMH 0.02 ng/mL
→ A real client case showing how addressing gut, thyroid, and adrenal imbalances made conception possible after repeated loss.

15:00 – Functional Tests That Reveal Why AMH Is Low
→ The key labs: full thyroid panel, hsCRP, ferritin, insulin, GI-MAP, DUTCH, and nutrient testing to find what’s missed in conventional care.

18:00 – Creating a Fertile Environment After 40
→ Practical steps to support egg quality, anti-inflammatory diet, toxin reduction, nervous system regulation, and realistic IVF timing.

---

TRANSCRIPTION

[00:00:00] If you're in your and you've been told that your AMH is too low, or that IVF is your only option. Your numbers are definitely not the full story, so I know how scary this result can feel. But the AMH measures quantity not quality, and it doesn't determine whether you have a healthy pregnancy.

So today we're talking about what AMH really means, the hidden reasons it can drop and how to support egg quality naturally, especially after 40. And also I'm going to share a client success story about Samantha who conceived naturally at 44 with an AMH of only 0.02 ng/mL after taking a functional approach.

Let's go.

Welcome back. I'm Sarah Clark, founder of Fab Fertile. For over a decade, my team and I have helped hundreds of couples improve their chances of pregnancy success. Whether naturally or through IVF, we specialize in helping those with low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, recurrent pregnancy loss through functional lab testing and personalized fertility strategies.

This episode is for you as if you've been told your AMH is too low, and you want to understand what that [00:01:00] really means for your fertility. You're in your late thir, you're in your late thirties or forties. And you want evidence-based ways to support a quality naturally, and you're unsure if IVF is your next step.

And you want clarity before investing time, money, and hope that it's going to work. Thanks so much for listening. I'm so thankful that you're here. Make sure you hit subscribe or follow and if you know someone else who's on the fertility journey, please share this podcast with them.

 I've talked about this before. Also, just before we get going, I'm recording in my new house, i'm actually sitting on a box, 'cause I'm trying to get this thing higher.

AMH, so mullerian hormone, it reflects ovarian reserve. So the number of eggs, not their potential. Egg quality depends on the mitochondrial energy so that the energy of the cells. Nutrients and we see a lot of people that have nutrient deficiencies across

 the board with low AMH and hormone balance. A lot of times we just focus in on the hormones, but we need to look at the whole body here. And many women with low AMH, they can still conceive. We've helped people with an AMH at [00:02:00] 44 of 0.02 ng/mL conceived naturally. So we need to know the number, the AMH, the FSH, the hormones, but we don't hang our hat on that.

We need to look beyond it. And so we need to look at the underlying issues. So egg quality is influenced by inflammation. So if you're high sensitivity, C-reactive protein. Is over one, which we see that a lot. We had one person just thinking of one where hers was 1.3, and it was secondary infertility.

We see a lot of people with wait, not easy breezy. They're able to have their first child and then the second child seems to get this low AMH high FSH diagnosis comes outta the blue. You were pregnant, gave birth your postpartum period, fed and birthed a human and now wondering why your reserves are low.

So we just need to boost everything up a look beyond those numbers. Her inflammation was high and she had a lot of stress. People that come to see me, they're typically type A and that theme, it's literally a theme I see over and over again of working on [00:03:00] the graduate studies, working, looking after a child, trying to have the second child.

And in this case she was also working on a master's program her MBA. A lot of stress. Also, she had some gut health issues and blood sugar. And then she went on to conceive naturally within about seven to eight months. Looking at the blood sugar, so inflammation, gut health, stress, blood sugar.

It's not just focusing in on her age. In this case study, she was in her late thirties. Like we just talked about the chronic inflammation. I see many people are I feel totally fine. I'm not stressed at all. I don't think I need any kind of mindset, nervous system regulation.

But then when we look at their adrenals, our whole thesis on this, is it actually early menopause or is it your adrenals that impact the thyroid? And people tell me, my thyroid's normal. They've checked it over and over again. We don't want normal, we want optimal. We need to look at the full panel, including antibodies, if you're on thyroid medication, then we know for sure there's an issue, but maybe it's subclinical and it's the liver or the gut, and [00:04:00] so that can impact your AMH, your FSH, and your follicle count and your body's ability to implant. This is also for you if you've had recurrent pregnancy loss, so you're able to get pregnant, and then we keep going having multiple losses.

The devastation of going through that. Then we're going to a fertility clinic and they haven't dug deeper. I say it over and over again to people. You don't have a medication deficiency. So we can use medication, we can deploy it at the right time. Bring in medicated cycles.

Look at an IUI look at an IVF, maybe do a PRP the ovarian rejuvenation, but we need to deploy it at the right time, even donor eggs. So we've got to get the host you in the best possible shape. We can't skip all this piece and say, oh, wait a minute. Just went to see my REI, the reproductive endocrinologist infertility specialist, and he said, let's give medication.

I think you got a shot at this. You've got some follicles, let's go. But he's not going to look at any of this stuff. He's trained to do surgeries and medication. We just asked the wrong person, so we needed to really, include a team with us. So we do have a functional medicine, ob, GYN as part of our team here at [00:05:00] Fab Fertile.

We have functional nutrition practitioners, fertility mindset coaches. We ship tests worldwide and we look at your biomarkers, look at testing, and then also bring in the nervous system regulation to be able to help your body prepare for pregnancy success. If you are looking for an IVF, get your body in the absolute best shape.

So addressing chronic inflammation, if you've got inflammation coming in from a food sensitivity from environmental toxins. All the, the toxins we're exposed to the, making sure you have a water filter, all your personal care and your household cleaning products, making sure those are toxic free, not throwing everything in the garbage right away.

But as each one expires, throw it out except do not be having those candles going on in your house. Those fragrances get a nice non non-toxic candle. Everything we can do to reduce inflammation that can help with egg development and poor sleep.

I see it over and over again. People tell me, I've got insomnia. I haven't slept. This whole last year, I wake up [00:06:00] for two or three hours in the middle of the night. So we've done a whole podcast episodes on link and below on, on sleep. If you're waking up between one to three, is it blood sugar issues?

Maybe your blood sugar's crashing and that's why you're up. Is there magnesium deficiency, liver sluggishness? Maybe you're waking up early in the morning, is that your adrenaline spiking, so you should go to bed and bye-bye night and sleep through the night.

Wake up feeling rested. I got people in their late twenties and thirties telling me they're so tired. I am exhausted. That's been a theme this week. Obviously we had the time change going on I'm recording this middle of November. We had the time change that just happened and that one hour seems to have us like drag on for a week.

I came back from Italy, I don't know three or four weeks ago in the six hours that took me weeks to come back to my normal. But I think it's worse somehow coming back than going. Because when you're going you're excited to be there and you come back, you're like, oh, okay, all this.

You should be sleeping seven to nine hours, nine best and waking up feeling refreshed. That's a huge [00:07:00] clue. And if you're feeling you've got mood swings or if you've got poor sleep, that's a huge clue. Stress obviously anyone on the fertility journey and then life in general.

I ask people, how are they doing on the stress scale? One, not stressed, 10 super stressed, 7, 8, 9. I had someone yesterday tell me they were 15. If your stress is blowing off the chart, you know that's impacting your egg quality and your AMH levels and your FSH levels. Processed foods.

We know that eating ultra processed foods, fast food, we all know that's not good, but the stuff is addictive and it's not about willpower. It's about chopping it out. So just ripping off the bandaid and doing an elimination diet, send me a message to hello@fabfertile.ca, subject line 10 DAY, I'll give you that elimination diet so we can look at that and you can start making those changes right away.

There's a sweet spot, you've got Thanksgiving coming up on a couple weeks in between Thanksgiving and Christmas. If you celebrate, you can do that elimination diet, have it done right before Christmas. There's no point of point delaying these things.

Make the changes [00:08:00] now, and then you'll be further ahead. And so we want to reduce inflammation from improving your sleep. Looking at your stress, not eating the processed foods and the fast foods. I don't need to tell you. You already know that. And then the toxins, like we just talked about, your personal care, your water, your air.

You're not supposed to put yourself in a bubble, but minimize your exposure as much as possible. And then gut health, a lot of people don't think this when you're on the fertility journey, that your gut health is highly tied to the health of your ovaries. And we see infections all the time.

So if you've got infections like h pylori, which is going to lower your stomach acid, so if you've got GERD or acid reflux, we know there's an issue going on. Or you don't even need to have those symptoms and you can still have it. Or maybe it's your partner that has it and you guys are passing it back and forth.

If one person has it, the other person needs to be treated. And so sometimes we can do antibiotics. Bear in mind, it seems like the fast way of addressing this if you have it, but then we then will then take out all the good bacteria as well as the bacteria, the bad bacteria, and it takes longer to then repair the [00:09:00] gut.

So we need to be mindful of the strategies we deploy on this piece. But if you've got an an overgrowth of h pylori, it lowers your stomach acid. You eat a beautiful diet, you don't absorb any of those nutrients. And so we see this as a theme. And then that impacts your, your nutrient and absorption and your estrogen balance.

And then so gut repair, we start to repair the gut address infections that can then help with hormone balance, blood sugar, like we talked about,. If you've got poor sleep, if you're hangry, if you have mood swings, if your partner is breathing and you want to like claws, little eyeballs out.

'cause he's breathing or he's chewing, whatever he may be doing. Obviously there could be some maybe you need some bioidentical hormones to help too. You may want to bring in some bioidentical hormones.

Sometimes progesterone cream can help with that. Or we can get a compounding pharmacy and actually use bioidentical hormones. We don't want to use synthetic. Those can have negative side effects. For the blood sugar piece, if you've got poor sleep, if you've got mood swings, if you feel hangry.

That could be a sign that you've got blood sugar issues. And we use [00:10:00] continuous glucose monitors to be able to stabilize your blood sugar. You want to make sure you have more protein and fat and fiber if you're starting the day with a big bowl of oatmeal and a big muffin or a croissant or a piece of bread that can then have your blood sugar on a swing the whole entire day.

Send a message to hello@fabfertile.ca, subject line PROTEIN. And we talk about all how to bring in protein into your diet.

Most people we see are not eating enough protein. You need more than 90 grams, even even higher than that. Thyroid, like we just said, the adrenals impact the thyroid impact the AMH, the FSH, and the follicle count. So if you've got chronic stress, we look at the adrenals of their flat line.

It's supposed to go up in the morning. Your cortisol. Down at night. Maybe yours are flatline from chronic stress that can disrupt your ovulation and your hormone signaling. So we need to support with the proper nutrients, bringing in magnesium, B vitamins and nervous system regulation exercises, the vagus nerves.

So gargling or singing meditation, yoga. Having some [00:11:00] essential oils, something five minutes a day, getting outside whatever helps with you to be able to address the stress even if you're like, I don't feel stressed. It's important to weave these things into your day, and it's not about long hours of meditating.

It's how do we take little breaths to take little breaks, to do some breathing, to get outside, to hang out with people that give you joy. So the nutrient depletion. So typically for the foundational supplements that we recommend to start with, we want to do a methylated prenatal. We want to do a Vitamin D3/K2.

We see a lot of people with low AMH and have low vitamin D. You want the D between 60 to 80. I regularly see it way lower. We want to supplement, but we also want to see why is it low? Is there gut infections going on? Magnesium glycinate, this is for both you and your partner. Same with the D.

Same with the coq 10 which is good for egg and sperm health. The magnesium, our soils are depleted, more than 85% of us are deficient in magnesium. And that can help with the sleep and help calm you down if you're really [00:12:00] just like on edge, overwhelmed, magnesium, spray it on your feet, you have Epsom salt.

Bath and adding and magnesium glycinate that can really help with the mitochondrial health, which is the powerhouse of the cells and hormone balance. We see that nutrient deficiency, like things just low across the board. We boost everything up. Lo and behold the hormones come back online.

We were talking about Samantha, so she had an AMH of 0.02 ng/mL. She'd had some pregnancy losses, irregular cycles. So she was 44. She had gut infections, high insulin in inflammation, low thyroid function. In our fab fertile method, we focused on gut healing, blood sugar balance, nervous system, and then she was able to go on and conceive naturally when they told her there was no hope.

She also had a very strong faith. So I'll ask people, where is your hope? Sometimes they're like, I feel guarded. I'm not sure. They've told me that AMH is too low, that I don't know if it's going to work, or some people are like, I just know it's going to work. Usually what I see in a couple. Doing this for over a decade.

The [00:13:00] woman is a little more pessimistic and the man is more optimistic. Sometimes we do have, both couples are optimistic, but that's what I see. So the woman's she's doing a lot of research. She's put a lot of pressure on herself. She's listening to the conventional medicine, but then something's telling her, there's a reason why they're listening to my podcast.

Something's telling her something has been missed. But still in the back of the mind that AMH number just sits there telling you, oh, you're running outta time, and you start to panic, and the shoulders go up to the ears and you think AMH is a poor predictor of live birth outcomes.

Lots of studies talking about it's important to look at the AMH and the FSH, a poor predictor of live birth outcomes. We need to look beyond those levels. It doesn't look at it.

Basically the AMH is how well you'll do with IVF. They think it's too low. They'll tell you donor eggs or they won't be able to do, if they think it's too low they'll tell you donor eggs. It doesn't test your egg quality and doesn't test your uterine receptivity.

We need to know it, but we don't hang our hat on it. We need to look beyond it. We want to know the AMH, the FSH, the lh, the [00:14:00] estrodiol, the progesterone the D-H-E-A-S. We want to do a full thyroid panel. We want to look at the high sensitivity, C-reactive protein.

Want that below one. The ferritin. We want that 80-100. We see a lot of people going to IVF and over and over again. So the ferritin being in the thirties. Twenties. And so if you're anemic and your iron stores are not good, that could be why it's not working. And then also we see iron and thyroid correlated, and then insulin levels.

If your A1C is over 5.4. Even though you could be told that's normal or you're pre-diabetic, we need to get your blood sugar in the best shape. So it's important to know all your biomarkers. Our whole piece here at Fab Fertile is to educate you so you understand what's going on with your health.

You can make educated decisions of when to deploy. I-U-I-I-V-F-P-R-P, and so you're not throwing your money down the drain. Looking at stool testing, and I do caution you doing one a la carte test. Oh, I did a food sensitivity with a, direct to consumer test. Those tests may be cheaper, but it's not giving you [00:15:00] the full picture of things.

And sometimes it comes back, oh, great, I'm fine. I can still eat gluten and dairy. The test said I was good. There's a lot of false negatives with those. We're using practitioner grade testing, and we vetted these. We don't have any kind of affiliation with any of the labs that we do.

Food sensitivity testing using blood stool testing. So we like the food sensitivity tests we like is the zoomer and from vibrant America in the states. We like the GI Map test. We believe that one's the best one in the market right now. And then also we do genetic testing. Which is different from the karyotype that you're going to do at the fertility clinic.

This is looking at your gene variants, and then how do we personalize your protocol so we're not just throwing spaghetti at the wall and guessing and oh, wait a minute. I'm going to read, some of the popular books in the market. It starts with the egg, pound down a whole bunch of supplements, maybe just have expensive pee.

We need to address the infections look at gut inflammation, not do one off testing. We need to pull it all together. This piece is, it's multifactorial, otherwise you'll just waste your money. And then we may want to bring in hormone testing. So you can see in black and white what's going on [00:16:00] with your adrenals.

We can see where the hormones are over the 24 hour period. And then how do we then make customized adjustments. And then we can look at your biomarkers, all your blood work, and then looking at the testing, food stool, genetics. And then we can bring in a vaginal microbiome, bring in a nutrient deficiency test, bring in the adrenals.

We don't do it all. People are like, I want to do all the tests. So that's way too many. So we start with the food stool, genetics, blood work for you and your partner, semen testing, including DNA, fragmentation. He's got to be part of it even though it's you with the low AMH. We need to make sure you're not passing infections back and forth either via saliva or during intercourse.

So the vaginal microbiome and the seminal microbiome. Maybe that's why the transfers aren't working. Maybe that's why you're having pregnancy loss. Maybe you have ureaplasma. Maybe you have an overgrowth of bad bacteria. We need to, address all of this. We do the gut first, and then we do the vaginal and potential seminal

microbiome. So we want to do that whole food, [00:17:00] anti-inflammatory diet, definitely taking out gluten and dairy for 60 to 90 days and doing that elimination diet antioxidant foods, berries, leafy greens, turmeric, some green tea, balance your blood sugar, so it's going to help import support your hormone balance.

Those supplements that we talked about, the coq 10, we could do Omegas, Vitamin D3/K2, magnesium glycinate, do the methylfolate, prenatal and also a probiotic. And then after that it's always personalized based on testing. Otherwise, you just take a whole bunch of Vitex and maca and bee pollen and all these different, inositol you're taking the whole

cupboard full of vitamins, but maybe you have expensive piece. We need to be mindful about the supplement piece 'cause people just go off the rails there as well? Prioritize your sleep seven to nine hours. Gentle movement. We do not want to be doing vigorous

exercise, bootcamp or HIIT. Walking, yoga, resistance training. You can do some weightlifting too. Supporting your nervous system. So breath work, journaling, meditation, pick something and reduce all those toxins. The plastics, do [00:18:00] not use a plugin anywhere in your house. The toxins you're inhaling you want to reduce the chemicals in your home they're exposed to.

And then if your body doesn't feel safe to procreate, 'cause we're so nervous that you're over 40 and you're thinking, what can you do? And the time is ticking and we feel so pressured and potentially desperate. That's not when the baby comes in, the baby comes in when we're feeling

grounded. People in their forties have babies all the time. That we feel safe, that we're not in a rush, we're not impatient, we're not rushing off to the clinic because we feel like, our fertility is dropping off a cliff. We don't want to be blind to your age, so we need to make targeted action.

And this. Approach. Our Fab Fertile method is target action, looking at testing and then making some informed decisions. Slowing down, creating that calm environment. And so we're not anti IVF, we need to determine when IVF [00:19:00] is appropriate. So typically three to six months beforehand to support your egg quality, the embryo health implantation.

'cause I see people the retrieval is canceled, the transfer, doesn't work or it's not implanting, or it does, you have pregnancy loss. Once we've looked at our biomarkers, looking at the testing and making an informed decision of when to deploy, IUI or IVF, sometimes we can do cycle monitoring to see what's happening with the follicles, and then we can make an informed decision on when we want to bring it in.

Using the testing to guide the readiness. So it's not like this fear or pressure, we come in there with an informed knowledge about our health. And so when you work on your health, the Fast Track isn't an IVF. The fast track is always getting you and your partner in the best shape. Like we said, we were talking about Samantha's story there where she was 44 with AMH of 0.02 ng/mL conceived naturally.

And I don't want to sugarcoat, that's low AMH, but we need to look beyond what's being missed and people will come to tell me over and over again, I'm like, how is your health? [00:20:00] I feel fine. When we dig deeper, we have more conversations. We have a hundred question health history.

We find out. You may feel fine. Something's being missed. Maybe you have skin issues, acne, psoriasis, dermatitis. Maybe you have joint issues, so inflamed joints maybe you're dealing with digestive issues, constipation, diarrhea, burping, bloating. All those are common, but not normal. Maybe you're dealing with mood issues, brain fog, or A ADHD or irritability.

All those are common but not normal. Maybe you have an autoimmune disease. People tell me oh, I have low AMH. By the way, I also have celiac. That's a huge clue. Or, oh, by the way, I have Crohn's, that's not by the way, that is a massive clue.

Or, oh, by the way, I'm on thyroid medication 'cause my TSH was over 2 mIU/L and they put me on thyroid medication and no one's looked at the full panel of the thyroid and your antibodies are trending the wrong way. We want the TPO antibody below 10.

The TBG below 30. I got people going for IVF and their antibodies [00:21:00] are 500, 600. No wonder it's not in implanting. No wonder you've had pregnancy loss. Educate yourself and not blindly trust the doctors. Use them. You're hiring them. Especially for IVF, you're paying them.

And so to really advocate for your health. AMH is not your destiny. It is a clue. So we need to create an environment where your eggs, your hormones, your body are going to thrive. You can get pregnant naturally or improve the chances of IVF working. So if you wanted to book a call with me and

get my eyes on your specific situation. Send a message to hello@fabfertile.ca. Subject line FERTILE, and then we will talk about some options to help take care.

---

How to Get Started With Functional Fertility Support

Book your call here to get your personalized plan and options to help improve pregnancy success either naturally or with IVF treatment. 

Check out our Fab Fertile functional fertility program here and learn how to improve AMH levels naturally.  We work with couples that have low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, and recurrent pregnancy loss.

---

FAQ- Low AMH and Women Over 40 Pregnancy Options

1. Can you get pregnant naturally with low AMH?

Yes. AMH measures egg quantity, not quality. Many women with low AMH conceive naturally once underlying factors are supported.

2. Does AMH predict IVF success?

AMH helps estimate ovarian response, but does not guarantee embryo quality or implantation. Functional preparation can improve both.

3. How long does it take to see changes in AMH?

AMH doesn’t shift overnight. Most women notice improvements in energy, digestion, and cycle quality within 3–6 months, but rebuilding thyroid, gut, and adrenal function to influence AMH usually takes 6–12 months of consistent work. 

4. How long does it take to improve egg quality and fertility outcomes?

Egg development follows a 90-day window, yet full-body restoration takes longer. For women over 40 with low AMH or DOR, pregnancy success typically happens within 12–18 months of focused, personalized support. Results vary. Fertility timelines depend on health history, partner factors, and program adherence.

---

Key Takeaway

Your AMH doesn’t define your fertility; it’s information, not identity. By uncovering the underlying factors that affect ovarian function and addressing them with a functional fertility approach, you can support your egg quality, hormone health, and overall chances of pregnancy, naturally or with IVF.

---

Resources

📩 Get your free 10-day elimination diet plan! Email hello@fabfertile.ca with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility.

The Link Between Sleep and Fertility: Why Getting Enough Rest Matters: https://fabfertile.com/blogs/podcasts/how-poor-sleep-could-be-sabotaging-your-egg-quality?_pos=6&_sid=08f940f89&_ss=r

What does gut health have to do with hormone balance and infertility:  https://fabfertile.com/blogs/education/gut-health-hormone-balance-fertility?_pos=5&_sid=6f54e787f&_ss=

Pregnancy After 40 with Low AMH and High FSH: https://fabfertile.com/blogs/education/pregnancy-after-40-with-low-amh-and-high-fsh?_pos=2&_sid=2db9414bf&_ss=r

How To Improve Low Estrogen And Get Pregnant Naturally (especially if you've been told IVF or Donor Eggs are the only option): https://fabfertile.com/blogs/education/how-to-improve-low-estrogen-and-get-pregnant-naturally-especially-if-youve-been-told-ivf-or-donor-eggs-are-the-only-option?_pos=2&_sid=9a2c4879e&_ss=r

Our favorite fertility tracker (use code FABFERTILE15 to save 15) - https://www.inito.com/en-us/?srsltid=AfmBOoo85sXu_esmFN5Kz6iysaTkBKgYl35Jubv-BaLkkxXVggdk6nes