One in two women who could not conceive were found to have poor levels of egg reserves, which is one of the indicators of infertility in women.
The findings by a Mumbai-based diagnostic chain were based on the Anti Mullerian Hormone (AMH) Test, more popularly known as the Ovarian Reserve Test, which gives a fair indication of a woman’s fertility. AMH is a hormone secreted by cells in developing egg sacs (follicles). The level of AMH in a woman’s blood is generally a good indicator of her ovarian reserve. Eggs become embryos after fertilisation.
Fertility experts, however, said that the survey data was incomplete, because, though it claims that there is an incidence of poor levels of AMH among women, the study does not define the range for normal or poor levels.
The survey analysed 29,621 samples from women aged between 20 and 55 years who went for a fertility test after difficulty in conceiving. Of these samples processed at Metropolis Healthcare Mumbai, over 14,807 samples ranked either low or very low in the fertility index. Over 54% of the women in the age group 30-35 who underwent the AMH test had extremely low or low levels, indicating fertility problems.
“AMH test is extremely important, as it is an indicator of ovarian reserve. It becomes almost a necessity when trying to ascertain infertility or the cause of it,” said Dr Bipin Pandit, an in-vitro fertilisation (IVF) expert. “The reasons for poor AMH can be many, from lifestyle to late marriages to environmental pollution,” said Dr Pandit.
The survey further revealed that over 38% of women in the age group 26-30 who underwent the test reported extremely low or low levels of AMH.
“While we are observing a rise in poor ovarian reserve, that itself cannot be the final indicator for concluding infertility. Moreover, the low and normal levels of AMH should be defined,” said Dr Hrishikesh Pai, president, Indian Society for Third Party Assisted Reproduction (Instar). “AMH is of greater importance for newly married couples in terms of planning pregnancy. To conclude infertility, it is imperative that we have other equally important indicators along with AMH,” said Dr Pai.