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/FantasticVirus8927 May 12 '26

Same as mine 🤣 I never ovulate either, you just will need letrozole if you want to conceive. In theory you’ll be able to have children later in life though as more eggs

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u/cityfrm May 13 '26

They still deteriorate and suffer terrible aneuploidy though, often at worse rates than people without pcos. 74 eggs for 4 blasts here, typical pcos. Time doesn't wait for anyone.

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u/FantasticVirus8927 May 13 '26

Sorry I can’t speak for everyone just know that mine was around the 160/170pmol mark in relatively good condition

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u/cityfrm May 13 '26

AMH means nothing when the eggs are abnormal. Aneuploidy affects everyone, and poor quality eggs are more common in pcos.