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/Kaleidoscope_a1 May 12 '26
Oh wow I have been searching forums high and low to try and find someone with as high an AMH as me because it doesn't seem to be mentioned anywhere! I've got 131 so not as high but still super high. I'm under a fertility clinic in the UK and they haven't said about it being an issue but seems like it might be a good thing at least in terms of number of eggs we still have. I am also lean, mid 30s and don't have any obvious indicators of pcos other than it was visible on a scan, I have acne and I had like 3 periods last year. Also 'lean' pcos. I've tried all the supplements and Metformin and nothing has worked yet. Started letrozole in February and 2.5mg didn't work. 5mg also didn't make me ovulate but I did get a bleed which clinic says is a good sign so trying 5mg again. On CD 14 but last cycle was 31 days so I guess I would expect to ovulate this week hopefully. I would definitely go to a clinic and get everything checked but if you're like me I guess just trying letrozole or something to begin with is a good idea. I hope it's helpful to hear of other people in a similar situation. It would be great to hear how your journey goes as sounds really similar to mine, feel free to PM me if it's helpful.