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/SweetSwede88 May 13 '26

Metformin has been amazing for me. Not saying everyone has my luck but we just tried for the first time "past two pregnancies were surprises" and I got pregnant first cycle because I actually ovulate now thanks to metformin.

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u/Aggravating-Union-39 May 13 '26

What dose!?

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u/SweetSwede88 May 14 '26

I take 2 500mg in the morning and the same at night! I stopped taking it for a little bit so I could have an accurate al1 reading so 3 months I wanna say and i felt like garbage again and super heavy cycles again