Low AMH Under 35: What It Means, Your Options, and Your Options

Introduction

Okay girl, let’s talk AMH—because honestly, if you’ve just been told your levels are low and you’re under 35, you’re probably feeling all kinds of confused, stressed, or even scared. First things first: take a deep breath. You’re definitely not alone, and more importantly, low AMH does not automatically mean you can’t have a baby.

AMH (short for Anti-Müllerian Hormone) is basically one way doctors gauge how many eggs you’ve got left—aka your “ovarian reserve.” But here’s the thing: there’s so much more to your fertility than just your AMH number. Your age, lifestyle, and overall health all play a huge role in your fertility journey.

So grab your favorite drink and get comfy—we’re going to break down exactly what low AMH means, what it doesn’t mean, and the real, practical steps you can take to protect and even boost your fertility. Ready? Let’s dive in!

What Exactly Is AMH (And Why Does Everyone Keep Talking About It)?

Alright, let’s back it up for a quick second. You’re probably hearing “AMH” everywhere—maybe your doctor mentioned it, or maybe you stumbled across it while scrolling fertility forums late at night. Either way, let’s clear things up.

AMH stands for Anti-Müllerian Hormone—fancy name, simple job. Basically, it’s a hormone your ovaries produce that gives doctors an idea of your ovarian reserve, meaning how many eggs you still have tucked away.

Think of it like your body’s little fertility messenger. Higher levels usually mean you’ve got a healthy stock of eggs, while lower levels might suggest that reserve is smaller than expected. But—and this is super important—a lower AMH number does not mean zero chance of pregnancy. Your AMH level is just one piece of a larger fertility puzzle.

Here’s the key thing to remember:

• AMH doesn’t measure egg quality, only quantity.
• AMH can fluctuate slightly, so one test isn’t always the full picture.
• Your fertility involves many factors, not just AMH—things like age, overall health, diet, stress levels, and more.

Bottom line? Low AMH isn’t a sentence—it’s simply an indicator that might help you plan your fertility journey better. Now, let’s explore why your AMH might be low at a younger age and what you can realistically do about it!

Why Is My AMH Low If I’m Under 35? (And Should I Be Worried?)

First off—deep breath. Low AMH when you’re under 35 can feel super stressful, but let’s unpack what’s really going on, because understanding it helps take away some of the anxiety.

Here’s the deal: most women’s AMH naturally decreases with age, typically dropping more significantly after your mid-30s. But if you’re younger and seeing low AMH, it usually raises some red flags (or at least a ton of questions). So why is this happening?

Common Reasons for Low AMH in Younger Women:

• Genetics: Sometimes it’s simply your genetics at play. Maybe your ovaries were always destined to have fewer eggs—it doesn’t automatically mean they’re lower quality.
• Endometriosis or Ovarian Surgery: Conditions like endometriosis, or surgeries involving the ovaries, can temporarily or permanently affect ovarian reserve.
• Autoimmune or Hormonal Conditions: Conditions like autoimmune disorders, thyroid problems, or PCOS might impact your AMH.
• Lifestyle Factors: Smoking, chronic stress, and certain environmental exposures can sometimes lower AMH levels as well.

But Should You Be Worried?

Honestly, it’s normal to feel worried, but don’t panic! Low AMH does not equal infertility—it simply means your fertility planning might need a bit more attention. Many women with low AMH conceive naturally, or successfully through fertility treatments, every single day.

Here’s what you can do right now:

• Get a complete fertility workup: Make sure you’re looking at the whole fertility picture, not just AMH alone.
• Consider early fertility preservation: Egg freezing can be a great option if you’re not ready to conceive yet.
• Adopt fertility-friendly lifestyle habits: Small changes in diet, stress levels, sleep, and supplements can really help.

Bottom line? It’s totally okay (and smart!) to pay attention to your AMH levels, but it’s also crucial to remember that a single hormone isn’t writing your fertility story—you are.

Next, let’s get into some practical things you can actually do to support and even boost your fertility, no matter what your AMH number says!

1. Give Your Diet Some Extra Love

Your body thrives on good nutrition, especially when it comes to fertility. Here’s what to focus on:

• Antioxidant-Rich Foods: Think berries, leafy greens, and colorful veggies—they help protect egg quality.
• Healthy Fats: Avocados, nuts, seeds, and oily fish like salmon help balance your hormones and nourish your eggs.
• Protein Power: Eggs, lean meats, beans, and lentils keep your hormones steady and your ovaries well-nourished.

2. Supplements That Really Help

Supplements aren’t magic, but certain nutrients have solid research behind them:

• CoQ10 (Ubiquinol): Supports egg quality and overall ovarian health.
• Vitamin D: Helps regulate hormones and supports reproductive function.
• Omega-3 Fatty Acids: Reduces inflammation and boosts overall egg health.
• Folate (Folic Acid): Supports early embryo development—plus, it’s essential for a healthy pregnancy.

(Quick tip: always chat with your healthcare provider before starting supplements!)

3. De-Stress Your Life (Seriously!)

Stress might feel unavoidable, especially if you’re navigating fertility worries. But managing stress levels can genuinely make a huge difference:

• Find Your Calm: Meditation, yoga, or gentle walks in nature can do wonders.
• Lean on Your Tribe: Open up to friends, family, or your Plum community—remember, you’re never alone in this journey.
• Prioritize Sleep: Getting enough quality sleep helps balance your hormones naturally. Treat yourself to an evening routine that truly relaxes you.

4. Consider Fertility Preservation

Egg freezing can be a total game-changer. It gives you breathing room, knowing you have a backup option if you’re not quite ready for babies yet. If you haven’t thought about it, now might be a great time to chat with a fertility specialist about this proactive option.

5. Be Proactive & Informed

Stay empowered by keeping track of your cycles, hormone levels, and overall health. Regular check-ins with a trusted fertility specialist can help you feel in control and prepared for any next steps.

Look, here’s the truth: Low AMH isn’t the end—it’s just a starting point. With the right mindset and practical steps, you’ve got every chance to achieve the family you’re dreaming of.

Can I Still Conceive Naturally with Low AMH? (Spoiler: Yes, You Can!)

Let’s tackle a big question that’s probably keeping you up at night: “Can I still get pregnant naturally with low AMH?” Girl, the short answer is a hopeful YES!

Here’s the thing—while low AMH is often painted as a scary fertility diagnosis, research shows it isn’t necessarily a deal-breaker. AMH levels indicate how many eggs you have, but they don’t say much about the quality of those eggs or your body’s overall ability to conceive naturally.

Here’s what research actually tells us:

• A comprehensive study (meta-analysis) found that low AMH doesn’t automatically mean reduced natural fertility. It turns out many women with low AMH conceive naturally without fertility treatments.
• Yes, some research suggests women with lower AMH might take a bit longer to get pregnant naturally—but pregnancy is still absolutely possible. One study showed women with low AMH had around a 23% lower likelihood of natural conception compared to those with normal AMH levels.
• Even with very low AMH levels, natural conception isn’t out of the picture. Cases have been documented where women with extremely low AMH still conceived naturally.

So, what’s the real takeaway here?

Your fertility is much more than one hormone measurement. Yes, low AMH might mean fewer eggs—but remember, you only need one healthy egg to conceive. Many women with low AMH still have successful natural pregnancies.

The best thing you can do? Stay informed, talk to a fertility specialist to get the full picture, and take good care of your body (and mind!) in the meantime. You’ve absolutely got this—and we’re right here to support you every step of the way.

How Lina Can Help You Build a Fertility-Friendly Meal Plan

Okay, girl, let’s make things easier—because figuring out the right foods for fertility (especially with low AMH) can feel totally overwhelming. The good news? Lina, your fertility AI bestie, is right here on Plum to help you build an easy, personalized meal plan designed specifically to support your hormones and ovarian health.

Wondering what to ask Lina? Here are some super helpful prompts you can use to get started:

• “Hey Lina, what foods should I eat to naturally support my AMH levels?”
• “Can you help me put together a weekly meal plan for better hormone balance?”
• “Lina, what’s a good fertility-friendly breakfast or snack idea?”
• “Are there any specific supplements or nutrients that help improve ovarian health?”
• “What foods can help reduce stress and support fertility naturally?”

Feel free to tweak these prompts however you like—Lina’s here 24/7 to chat and provide you with personalized, easy-to-follow advice so you can focus less on stress and more on self-care.

Ready to create a delicious, fertility-friendly meal plan that genuinely supports your body? Just head over and start chatting with Lina now!

Why Emotional Support and Community Matter (Hint: You’re Not Alone!)

Okay, let’s pause for some real talk. Navigating fertility—especially with something like low AMH—can sometimes feel incredibly isolating. But girl, trust me on this: you are not alone, and finding your tribe can change everything.

Here’s why emotional support and community are total game-changers:

• You Feel Seen and Understood: Connecting with other women who genuinely get what you’re experiencing makes everything feel lighter. You don’t have to explain yourself—they just know.
• Access Real-Life Tips & Advice: Sharing stories and experiences within a supportive community gives you access to practical tips you might never have discovered on your own.
• Less Anxiety, More Hope: Simply having someone to talk to (even virtually!) can significantly reduce stress, boost your mood, and help you stay positive and proactive about your journey.

Plum is Your Place

Here at Plum, we’ve built a vibrant, judgment-free community exactly for moments like these. It’s a place where you can ask honest questions, share your highs and lows, and lean on each other through every step of your fertility journey.

Ready to Join In?

We’d love to welcome you! Jump into our dedicated “Low AMH under 35” group here on Plum, where you’ll find a supportive community of women who truly get it.

Let’s start the conversation:

• What’s been your biggest challenge or fear about your AMH diagnosis?
• Or, share your best tip for staying positive during stressful fertility moments.

You’ve got this—and we’ve got you. Let’s talk it out together!

Citations

Seifer DB, Baker VL. AMH in Clinical Practice: A Review of the Literature. Reprod Biol Endocrinol. 2016;14(1):1. doi:10.1186/s12958-016-0134-2. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4720362/

Committee on Gynecologic Practice. Female Age-Related Fertility Decline. ACOG Committee Opinion No. 589. Obstet Gynecol. 2014;123(3):719-721. Available from: https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2014/03/female-age-related-fertility-decline

Bressler L, Hernandez-Nieto C, Lee JA, Copperman AB, Keltz MD. Understanding the Role of AMH in Women Undergoing Fertility Treatment. Fertil Steril. 2024. doi:10.1016/j.fertnstert.2024.03.013. Available from: https://www.fertstert.org/article/S0015-0282(24)00592-2/fulltext

Tal R, Seifer DB. Ovarian Reserve Testing: A User’s Guide. Am J Obstet Gynecol. 2017;217(2):129-140. doi:10.1016/j.ajog.2017.03.007. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5541444/

Dehghan Marvast L, Razavi M, Eslami M, et al. Association Between Cigarette Smoking and Serum AMH Levels: A Systematic Review and Meta-Analysis. Biol Reprod. 2022;106(5):908–918. doi:10.1093/biolre/ioac010. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9746951/

The American Journal of Managed Care (AJMC). Women With High Stress Have Lower Levels of Ovarian Reserve Markers. Published July 15, 2020. Available from: https://www.ajmc.com/view/women-with-high-stress-have-lower-levels-of-ovarian-reserve-markers

Cleveland Clinic. Diminished Ovarian Reserve. Updated January 2023. Available from: https://my.clevelandclinic.org/health/diseases/23975-diminished-ovarian-reserve

Broer SL, Broekmans FJ, Laven JS, et al. Anti-Müllerian hormone: ovarian reserve testing and its potential clinical implications. Hum Reprod Update. 2014;20(5):688-701. ​

Ben-Meir A, Burstein E, Borrego-Alvarez A, et al. Coenzyme Q10 restores oocyte mitochondrial function and fertility during reproductive aging. Aging Cell. 2015;14(5):887-895. ​Wiley Online Library+2PubMed+2PMC+2

Mikkelsen EM, Aagaard N, Skakkebæk NE, et al. Anti-Müllerian hormone concentrations do not predict natural fertility in women. Fertil Steril. 2015;103(1):e7. ​ASRM+11atlanticfertility.com+11ScienceDirect+11

Esteves SC, Alviggi C, Humaidan P, et al. The POSEIDON criteria and its measure of success through the eyes of clinicians and embryologists. Front Endocrinol (Lausanne). 2019;10:814. ​