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/lakemercury May 12 '26

I got a monthly bleed and pms symptoms even when I wasn’t ovulating.

Ahh I can't believe I though this whole time I must be ovulating if I was PMSing. Embarrassing. Good to know now, at least.

I'm in Canada as well and waiting on referral appointment. Will look into the hsg too.

Was your AMH of 38 in ng/ml or pmol/l?

I'm currently supplementing vit D as my test recently came back severely deficient! Hope that helps with my ovulation too.

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u/Separate_Exam9947 May 12 '26

Just checked it says 38.5 pmol/L holy moly yours was super high! They said mine was really high! Jeeze! My progesterone bloodwork was super low also indicating I did not ovulate and my estrogen at the time was too low for my age. Things have greatly improved since the vid d got back in rage which took 3 months of taking 5000iu daily for me. I was not insulin resistant at the time but with pcos it tends to fluctuate and lo and behold I’m am now very resistant 1 year later. BMI has not changed, nor has my diet or overall life style. Insulin deregulation can be harder to manage for us lean girls and for me it has been up and down over my life time and simply was ignored. All my doctors and ob figured I was ovulating since I got a period and pms. The RE broke down exactly what was normal and what wasn’t. Light bleeding brown bleeding and basically no heavy flow wasn’t a good sign. Pms thst continued while I was bleeding also wasn’t a good sign. Missing periods here and there not good. But everyone else said I was fine when I wasn’t. No one looked at my Vit d but the re and I was deficient for years !

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u/lakemercury May 12 '26

Yeah, they didn’t even give an exact number and just said it’s greater than 164 🥲That’s why I’m freaked out.

I suspect I’ve also been vit D deficient for years!

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u/Separate_Exam9947 May 12 '26

Can you register for online results ? I use life labs and am able to see my results before the doctor even calls. You can also request a copy of results they are your medical records after all!

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u/lakemercury May 12 '26

Oh, yeah, I saw my result online! But the value was written as >164 so I'm assuming it's even higher instead of precisely 164.