19/03/2026
High FSH + Low AMH?
Don't Panic, But Be Prepared!
The blood tests show high FSH and low AMH can feel scary, like your chances are slipping away. But let's break it down simply.
Your ovaries are like a factory: AMH shows how many "machines" (eggs) are left, while FSH shows how loudly your brain has to shout to get them working.
When AMH is low and FSH is high, it means fewer eggs remain, and they need extra effort to respond during treatment. This can lead to some challenges in IVF.
One common issue is empty follicles – scans show follicles growing, but when they're collected, no egg is inside. This happens in roughly 1 in 6 women under 35, about 1 in 4 between 35-40, and over half in women over 40.
Another hurdle is immature eggs: even when eggs are retrieved, they might not be fully ready. Low AMH can increase this risk significantly, and high FSH adds to it.
Age plays a huge role too – after 40, egg quality often drops sharply, with up to 90% of eggs having genetic issues by the mid-40s, making success harder.
The good news? These results don't mean zero hope. Many women still succeed!
But it often means fewer eggs overall, a higher chance of cycle changes or cancellation, and lower success per attempt.
That's why getting the timing right, choosing the best treatment plan, and having open discussions with your doctor are so important.
Knowledge helps you make empowered choices!
For any queries:
Dr. Fahmida Sharmin Joty MBBS, DGO, FCPS
Associate Professor
Obstetrician and Gynaecologist
Infertility and IVF Specialist
Laparoscopic and Hysteroscopic Surgeon
care
Information Bangladesh
fertility Bangladesh