Low AMH - What it Means for Your Fertility and Egg Health

Discover how AMH affects your ability to conceive and how our personalized
functional nutrition approach can help you reclaim hope and clarity.

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What Is AMH and Why It Matters

Low AMH reflects egg quantity, not quality. Many women with low AMH still conceive naturally or with support.

If you are found to have low AMH, we will first focus on identifying the underlying imbalances or health issues that may be contributing to low AMH or poor egg quality. We run tests that may fall outside of basic or conventional protocols and take a whole-body approach to guide our assessment and we offer access to this testing worldwide.

Why AMH Matters for Fertility ?

AMH is just one piece of the fertility puzzle. Many women with low AMH can still conceive successfully with the right fertility strategies and support. 

  • Poor response to fertility medications.
  • Fewer eggs retrieved in IVF.
  • Higher chance of cycle cancellation.
  • Shortened fertility window
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Causes of Low AMH

Low AMH can result from many different reasons, including:

  • Age-related decline (natural with age)
  • Genetic factors
  • Autoimmune conditions
  • History of birth control use
  • Chronic stress
  • Thyroid dysfunction
  • Environmental toxin exposure

Symptoms of Low AMH

If you have Low AMH, you may experience:

  • Irregular or short menstrual cycles
  • Difficulty conceiving
  • History of poor IVF response
  • Early miscarriage
  • Early menopause symptoms

The Fab Fertile Approach to Low AMH

If you are found to have low AMH, we will first focus on figuring out what type of underlying imbalances or health issues you may have that are contributing to low AMH or poor egg quality.  We will run tests that may fall outside of basic or conventional protocols and at your whole body systems to help in our assessments.

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Low AMH, High FSH & Poor Egg Quality: A Functional Fertility Roadmap

Hormone Testing

Comprehensive hormone panel: Estrogen (E1, E2), progesterone, testosterone, DHEA, and cortisol to assess hormone balance and adrenal function.

DUTCH Test: An advanced urine test that measures hormone levels and how your body metabolizes them — vital for understanding estrogen dominance, low progesterone, and adrenal health.

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Thyroid Function

Thyroid panel including TSH, Free T3, Free T4, Reverse T3, and thyroid antibodies (TPO, TgAb) to detect subtle thyroid dysfunction or autoimmune thyroid issues affecting fertility.

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Nutrient Testing

Blood levels of Vitamin D, B12, iron (ferritin), zinc, and CoQ10 — essential for egg development, hormone balance, and embryo implantation.

Hair Tissue Mineral Analysis (HTMA) for mineral imbalances and heavy metals that may disrupt mitochondrial and hormone function.

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Gut Health/Food Sensitivity Testing

GI-MAP stool test to identify bacterial overgrowth, yeast (Candida), parasites, inflammation, and immune function in your gut — all important for systemic and reproductive health.

Food sensitivity testing to identify immune reactions to common foods that may cause inflammation and hormonal disruption.

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Microbiome Testing

Vaginal microbiome analysis to check for Lactobacillus dominance and detect bacteria like Gardnerella or Ureaplasma that impair implantation or increase miscarriage risk.

Seminal microbiome testing to detect infections or imbalances in the male partner that may affect sperm quality and fertility.

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Create a image for genetics and environmental testing

Genetic & Environmental Testing

Testing for MTHFR and other fertility-related genetic variants that affect methylation and detoxification.

Screening for mycotoxins, mold, and heavy metals if symptoms suggest toxin exposure impacting egg quality.

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Why Functional Fertility Testing Matters ?

Most conventional tests only offer a snapshot. We use functional testing to uncover deeper imbalances like:

  • Chronic inflammation
  • Gut dysbiosis and hidden infections
  • Hormonal or adrenal stress
  • Chronic inflammation
  • Vaginal and seminal microbiome issues

Additional Advanced Tests We May Recommend

These additional tests help uncover deeper root causes when needed — especially in complex fertility cases like low AMH:

  • Autoimmune Screening (ANA): Detects hidden immune responses that may affect egg quality or implantation.
  • Thrombophilia Panel: Screens for blood clotting issues that impair ovarian or uterine blood flow.
  • Inflammation Markers (hs-CRP, Fibrinogen, Homocysteine): Identify chronic inflammation impacting hormone and vascular health.
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Functional Fertility Strategies to Improve Low AMH

Nutrition & Anti-Inflammatory Diet
Whole-food, gluten-free, dairy-free meals rich in antioxidants, healthy fats, and detox nutrients. Think leafy greens, organic berries, and wild-caught fish to fuel mitochondria and reduce inflammation.

Hidden Gluten Sensitivity

Even if you're not celiac, gluten can still trigger inflammation that disrupts hormones. Non-celiac gluten sensitivity often goes undetected and might be sabotaging your egg health.

Supplements & Lifestyle to Support Fertility

Foundational Supplementation

Tailored vitamins like methylated prenatals, Omega-3s, CoQ10, magnesium, and probiotics lay the groundwork for egg and sperm health.

Targeted Supplementation

No more guessing. Based on your functional test results, we fill in the gaps with specific nutrients that move the needle on your fertility.

Fuel Your Cells

Ditch sugar and ultra-processed foods. Embrace mitochondrial superstars like L-carnitine, ALA, and detox support to energize your eggs.

Sync with Your Body Clock

Prioritize deep sleep, reduce blue light at night, and align your lifestyle with your natural rhythm to balance hormones and reduce stress.

Regulate from Within

Practice HeartMath, breathwork, somatic therapy, and yoga nidra to soothe your nervous system and replace fear with empowerment.

Clean Inside & Out

Switch to non-toxic products, filter your water, and nourish your detox pathways with cruciferous veggies, hydration, and fiber.

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Success Stories from Our Community

We’ve helped hundreds of clients with low AMH improve pregnancy success either naturally or via IVF, often after years of trying without clear answers

Success Story: Pregnant Naturally AMH 0.15 and FSH 33 and Low Motility

Annie and Miles were told donor eggs were their only option (she had an Anti Mullerian Hormone (AMH) 0.15 and her Follicle Stimulating Hormone (FSH) was 33) and his sperm motility was low. They joined the Fab Fertile program and we developed a customized program utilizing functional lab testing that addressed their health (physical and emotional) which positively impacted their fertility.

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Pregnant With Own Eggs: Overcoming FSH In 60’s, Diminished Ovarian Reserve and Multiple Failed IVF’s

Stefanie's Journey to Joy: Finally a Family of Four Stefanie first approached us for help during her initial quest for pregnancy success. Prior to working with us, she had experienced multiple failed IVFs, her FSH was between 18-60, she had an extremely low follicle count, and was told she was in early menopause or diminished ovarian reserve. The doctors told her the only hope was donor eggs. But she knew something was being missed. So she signed up for our Fab Fertile program. She felt a little skeptical but she wanted to ensure she had done everything possible before she moved to donor eggs. She followed our Fab Fertile Method and within seven (7) months in the program (after we did our testing and developed a protocol which includes targeted diet and lifestyle changes using cutting-edge functional lab testing), she returned to the fertility clinic where her REI told her that her FSH was a 7. She opted for another IVF (using her own eggs) and this time it was a success and she welcomed her baby boy. She returned to Fab Fertile to prepare for her second child and she got to work with our guidance and implemented our proven Fab Fertile Method. Today, as Stefanie and her family eagerly anticipate the arrival of their second child, we celebrate not only the success of her pregnancy but the triumph over the challenges she faced. Her story exemplifies the power of collaboration between a determined couple and a supportive team of fertility experts. We take pride in being a part of Stefanie's remarkable journey and look forward to welcoming her second child into the world. If you're on a similar path or facing your own fertility challenges, know that you don't have to navigate it alone. Our practice is here to be your support system, guide you through the ups and downs, and help you uncover the unique healing opportunities that will pave the way to your own success story.

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From POI Diagnosis to Natural Pregnancy Success Story

After struggling with irregular cycles, low energy, and a miscarriage following her diagnosis of premature ovarian insufficiency (POI), Amanda was searching for a way to improve her fertility, balance her hormones, and increase her chances of getting pregnant naturally. She joined the Fab Fertile Couples Coaching Program. Together, we explored a deeper functional approach. With personalized fertility testing and protocols, Amanda gained clarity on what her body needed, including support for inflammation, hormone balance, and gut health. Over time, she noticed huge shifts: – Her cycles became more predictable – Her energy levels returned – Her body felt more balanced – And… she became pregnant naturally and had her daughter. Amanda's story is proof that even with a diagnosis like POI, a natural pregnancy is possible.

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See More Inspiring Stories

Podcasts by Sarah Clark

Real Conversations. Real Solutions. Functional Fertility Strategies.

On the podcast, we discuss the latest research and functional strategies for improving egg quality and ovarian reserve in women with low AMH. Each episode offers practical insights to help you navigate fertility challenges with confidence.
Sarah Clark, host of the Get Pregnant Naturally podcast, discussing hsCRP (high sensitivity C-reactive protein) and how inflammation may impact fertility, egg quality, IVF success, and diminished ovarian reserve.
Hidden Causes of Fertility Challenges

Stop Ignoring hsCRP and the Role of Inflammation in Diminished Ovarian Reserve

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Functional fertility expert Sarah Clark discussing the link between perfectionism, control, and egg quality in women with low AMH.
Mind Body Connection

Could My Fertility Stress and Control Issues Be Lowering My AMH?

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Functional medicine fertility success story with low AMH and high FSH"
Fertility Basics

Pregnant Naturally at 43: Overcoming Low AMH, High FSH, and Two Miscarriages

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Browse all episodes

Ready to Personalize Your Path to Pregnancy?

Discover the underlying imbalances that may be holding you back - and get expert guidance to move forward with clarity and confidence. Our free discovery call is the first step.

Book Your Free Discovery Call

FAQ's

Can AMH levels improve?

Yes, AMH levels can sometimes improve when inflammation, oxidative stress or hormonal imbalances are addressed. Functional fertility approaches that support gut health, thyroid function, detox pathways, and nutrient status can improve the ovarian environment and hormone signaling. While AMH is often considered stable, research and clinical outcomes show it’s more dynamic than we thought.

How long does it take to improve egg quality with low AMH?

Egg quality improves in 90-120 days, which is the time it takes for an egg to mature. During this window, supporting mitochondrial function, hormone balance, nutrition and toxin reduction can have a measurable impact on fertility outcomes even with diminished ovarian reserve.

What foods are best for improving egg quality and AMH?

Go gluten-free, dairy-free, anti-inflammatory and eat organic vegetables, high-antioxidant fruits (berries), wild-caught fish, pasture-raised meats, leafy greens, sulfur rich veggies (broccoli, cauliflower) and healthy fats (avocado, olive oil). These support hormone production, detoxification and mitochondrial health – all important for egg development.

Science-Backed Insights: Why AMH Is  A Poor Predictor Of Live Birth Outcomes

Anti-Müllerian Hormone (AMH) is a marker of ovarian reserve, but it’s only one piece of the puzzle. These science-backed studies show why AMH alone doesn’t determine your fertility potential and how environmental toxins, celiac and non-celiac gluten sensitivity, mitochondrial health, and targeted supplementation impact egg quality. A functional fertility lens reveals what matters when you have low AMH, diminished ovarian reserve, premature ovarian insufficiency, or recurrent pregnancy loss.

SOURCES

Is AMH a Reliable Fertility Predictor?

Why AMH Doesn’t Tell the Full Story About Egg Quality

Anti-Müllerian Hormone (AMH) is often used to assess ovarian reserve, but low AMH doesn’t mean you're infertile. Research shows AMH reflects egg quantity, not quality. Many people with low AMH conceive naturally or with IVF, especially when taking a functional fertility approach.“AMH levels should not be interpreted in isolation when evaluating fertility potential.”Broer et al., Human Reproduction Update, 2014

Environmental Toxins and Diminished Ovarian Reserve

How Endocrine Disruptors Affect Egg Quality and AMH Levels

A growing body of evidence links toxins like BPA, phthalates, and pesticides with reduced ovarian reserve and low AMH. These exposures can silently interfere with hormone function, deplete follicles, and accelerate reproductive aging.“There is strong correlation between EDC exposure and impaired ovarian function.”Zhang et al., Int J Environ Res Public Health, 2022

Celiac and Non-Celiac Gluten Sensitivity and Low AMH

Can Gluten Impact Hormone Balance and Fertility?

Even in non-celiac individuals, gluten sensitivity can drive inflammation and autoimmune activity, both of which are common in cases of low AMH or unexplained infertility. Removing inflammatory foods is a core principle of functional fertility care.“Gluten sensitivity may be an underrecognized factor in otherwise unexplained fertility issues.”Isasi et al., Reprod Biol Endocrinol, 2018

DHEA and Functional Fertility Supplementation

Targeted Nutrient Support for Ovarian Function

In select cases, DHEA has been shown to improve egg quality and ovarian response for those with low AMH and diminished ovarian reserve. However, this must be part of a personalized strategy based on functional testing.“DHEA was associated with improved IVF outcomes in women with poor ovarian reserve.”Gleicher et al., Reprod Biomed Online, 2010

Mitochondrial Health and Egg Quality Decline

Why Supporting Mitochondria Is Key in Low AMH Protocols

Eggs rely on mitochondria for energy. Oxidative stress and poor mitochondrial function can damage egg quality, even if AMH is not dramatically low. A functional fertility protocol always addresses cellular energy and inflammation.“Targeting mitochondrial health may offer new strategies for those with diminished ovarian reserve.”May-Panloup et al., Human Reproduction Update, 2022