"A low AMH does not mean you can't get pregnant on your own." Dr. Roy Handelsman says it more than once in this episode, on purpose, because it may be the single most misunderstood number in fertility care.


This week we sit down with Dr. Roy Handelsman, a board-certified OB/GYN and fellowship-trained reproductive endocrinologist at HRC Fertility, for a clear, honest, and genuinely fascinating deep dive into anti-Müllerian hormone, aka AMH. If you have ever had your AMH tested and walked away more confused or more anxious than before, this one is for you. Dr. Handelsman has an engineering background and a gift for the "why," and he uses both to explain what AMH actually measures, what it can't tell you, and how to think about your own number without spiraling into comparison.


In this episode, we cover:


  • What AMH really is, where it comes from in the ovary, and why fertility providers test it
  • The difference between egg quantity and egg quality, and why age, not your AMH, is most closely tied to quality
  • Why a low AMH does not mean you can't conceive, and why a high AMH is not a guarantee
  • Whether you can actually raise your AMH, and which lifestyle factors genuinely matter
  • How birth control affects your AMH result, and how long to wait after stopping before you test
  • The other ovarian reserve tests (FSH, estradiol, and antral follicle count), and what to do when they disagree
  • Why AMH runs high in PMOS (Polyendocrine Metabolic Ovarian Syndrome, the new consensus name for PCOS) and what that means for egg quality
  • What an "average" AMH looks like by age, and why average is not the same as normal
  • Why seeing a fertility doctor does not automatically put you on the path to IVF


More than anything, this episode is a reminder that one number was never meant to define your fertility. Your AMH is a snapshot, not a verdict, and understanding it is a way to take your reproductive goals into your own hands rather than a reason to panic.


If you have had your AMH tested, are thinking about it, or just want to finally understand what all of it means, this episode is for you.


Connect with Dr. Roy Handelsman:Website: https://havingbabies.com/physicians/roy-handelsman-md/Instagram: https://www.instagram.com/royhandelsmanmd/

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