Low AMH Fertility Treatment in Kolkata — Fewer Eggs Does Not Mean No Hope
Being told your AMH is low can feel devastating — like your window is closing. But at Maatritva IVF in Newtown, Kolkata, Dr. Ankita Mandal has helped many women with AMH below 1.0 — even below 0.5 — achieve successful pregnancies. The key is not how many eggs you have, but making the best possible use of the ones you do.
Understanding This Condition
Anti-Müllerian Hormone (AMH) is produced by small follicles in the ovaries and is the most reliable marker of ovarian reserve — how many eggs remain. A low AMH (typically below 1.0–1.1 ng/mL) indicates a diminished ovarian reserve, meaning fewer eggs available for stimulation. However, AMH measures quantity, not quality. Even with a low AMH, if the remaining eggs are healthy, successful IVF is absolutely achievable.
Symptoms & Diagnosis
Anyone with a blood AMH level below 1.0 ng/mL who is trying to conceive, women who produced few eggs in a previous IVF cycle, those with a low antral follicle count (under 5–7 follicles), women over 37 seeing declining fertility, and those who have undergone ovarian surgery (endometrioma removal, cystectomy) which may have reduced reserve.
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Treatment Options
- 1Step 1: Comprehensive assessment — AMH, FSH (Day 2–3), antral follicle count scan — to understand your true reserve
- 2Step 2: Personalised stimulation protocol — higher gonadotropin doses, sometimes flare or antagonist protocols to maximise egg recruitment
- 3Step 3: DHEA supplementation (3 months before IVF if time allows) — shown to improve egg quality in low reserve patients
- 4Step 4: Egg retrieval — even 2–3 mature eggs can lead to a successful pregnancy with ICSI
- 5Step 5: Blastocyst culture — extending to Day 5 selects the strongest embryo from limited options
- 6Step 6: If needed — embryo banking (accumulating from multiple cycles) before transfer
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