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Rethinking AMH Testing in Natural Fertility: Beyond its IVF Origins



As a fertility acupuncturist, my journey into understanding the complexities of fertility treatment has led me to question the conventional approaches, particularly the role of Anti-Mullerian Hormone (AMH) testing in assessing natural fertility. AMH testing, originally introduced within the realm of In Vitro Fertilisation (IVF), was primarily utilised to predict ovarian reserve and avoid Ovarian Hyperstimulation Syndrome (OHSS). However, its widespread adoption in assessing natural fertility raises critical questions about its relevancy and impact on holistic fertility evaluations.


While AMH levels can offer insights into a woman's ovarian reserve, the reliance on this marker alone for gauging fertility potential can be misleading. The test doesn't provide a comprehensive picture of overall reproductive health, neglecting crucial factors contributing to conception and a healthy pregnancy.

In the context of natural fertility, my practice revolves around embracing a holistic approach, acknowledging the interconnectedness of various bodily systems and the influence of lifestyle, stress, diet, and emotional well-being on fertility.


AMH testing doesn't account for these holistic aspects. It merely reflects a snapshot of ovarian reserve, excluding other vital elements affecting fertility. As an acupuncturist, I've witnessed the transformative effects of holistic treatments that encompass acupuncture, dietary adjustments, stress reduction techniques, and lifestyle modifications in supporting natural fertility.


The origins of AMH testing within IVF, aimed at preventing OHSS, spotlight its limitations when applied outside this context. It's crucial to distinguish between its utility in assisted reproductive technologies and its relevance in assessing natural fertility. Furthermore, the emotional impact of AMH testing cannot be overlooked. A mere number on a report can significantly affect a woman's mental and emotional well-being, potentially creating unnecessary stress and anxiety, which, ironically, could further impact fertility. Crazy right?


In Australia, embracing a more integrative approach that combines traditional practices like acupuncture with modern medical advancements has gained traction. Women seeking natural fertility support are increasingly drawn to holistic modalities that offer personalised care, addressing the multifaceted aspects of their fertility journey.


Rather than solely relying on AMH testing, I advocate for a comprehensive evaluation that considers a woman's overall health, menstrual cycle regularity, hormone balance, emotional well-being, and lifestyle factors. This inclusive approach not only supports natural fertility but also enhances overall health and well-being.


In conclusion, while AMH testing holds its place within specific fertility treatments, its relevancy in assessing natural fertility needs to be reconsidered. As a fertility acupuncturist, my commitment lies in offering holistic support that acknowledges the intricate interplay of mind, body, and spirit in the journey toward conception.


Understanding the limitations of singular tests like AMH encourages a more comprehensive and compassionate approach to natural fertility, one that empowers women to embrace holistic well-being while pursuing their dreams of parenthood.


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