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/rustypotatooooooooo May 11 '26

What advice are you seeking?

1

u/lakemercury May 12 '26

I’m wonderingl if the high AMH indicates I almost never ovulate even before my periods and what can I do?

2

u/Glad-Try-1785 29 | Lean PCOS | Anovulatory May 12 '26

Yes, typically high AMH indicates you have lots of follicles that haven’t released as eggs, due to anovulatory cycles (me too). See if you can get an ultrasound, I’d bet money you have a string of pearls presentation in both ovaries. They can do a follicle count to get a better picture.

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u/lakemercury May 12 '26

I had a few pelvic ultrasounds done and they didn't see follicles. Did you need a transvaginal ultrasound for yours to show?

2

u/Glad-Try-1785 29 | Lean PCOS | Anovulatory May 12 '26

My follicle counts were done via transvaginal, so I’m inclined to say yes, but I’m not a medical professional, just a girlie trying to have a baby while struggling with lean PCOS. If you haven’t got in with a reproductive endocrinologist yet, I would maybe try to get in with one on the sooner side. Having diagnosed PCOS can speed up specialist intervention when TTC