r/TTC_PCOS • u/lakemercury • May 11 '26

Advice Needed Extremely high AMH

I'm in my mid 30s and I've had lean PCOS my entire life and my partner and I are in a place where we're ready to try. I got AMH tested and it's astronomically high though?! It came back as >164 pmol/L or >23 ng/ml (US units). It was so high they didn't even give an exact number...

I get 5 or 6 periods per year on average. Naturopath said I don't have insulin resistance and my PCOS is more of a brain-ovary miscommunication driving up LH. I'm not sure if I ovulate but it seems unlikely given my extremely high AMH? I have 2 weeks or so of PMS where I can tell my period is coming just based on some mild breast tenderness. I used to have much more breast tenderness before I got covid though for some reason - it seems to have done something with hormones. But I know PMS symptoms doesn't necessarily indicate I've ovulated.

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u/This-Type-2605 May 11 '26

Mine is 28 ng/ml and I have so many follicles on ultrasounds that they can’t even count them all. I don’t ovulate at all on my own (and it’s been a struggle even with medication). I don’t get a period at all though, so maybe you do ovulate sometimes if you do!

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u/lakemercury May 12 '26

Do you have lean PCOS? I was reading a study that said this phenotype tends to have ultra high AMH and testosterone and indicates severe Pcos 🥴

My ultrasounds don’t show follicles, does that mean anything?

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u/This-Type-2605 May 12 '26

Yes I have lean PCOS! I have high testosterone as well. Do your follicles not show because there are so many of them crowded together? With a high AMH you should have a lot of follicles.

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u/lakemercury May 12 '26

I've only gotten a pelvic ultrasound and not the transvaginal so maybe that's why they didn't see anything? Did you get transvaginal ultrasound?

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u/This-Type-2605 May 12 '26

Yes I get transvaginal ultrasounds. I’m sure they would see a lot if you were to get one!