Fertility blood tests, at home

AMH reflects the number of follicles (immature eggs) left in your ovaries. Above 2 ng/mL is good; below 1 ng/mL suggests low reserve; below 0.5 suggests very low reserve. It doesn't measure egg quality — that declines with age regardless of AMH. It's used heavily in IVF planning.

No. Many women with low AMH conceive naturally; many with high AMH struggle. AMH is a planning input, not a verdict. If your AMH is borderline and you want children, talk to a fertility specialist about timing.

FSH and LH are ideally on day 2 or 3 of menstruation. AMH, prolactin, testosterone and thyroid hormones can be tested any day. Don't delay testing because of cycle timing if your periods are irregular — most parameters still interpret reliably.

Volume > 1.5 mL, sperm count > 15 million/mL, total motility > 40%, progressive motility > 32%, normal morphology > 4% (WHO 2010 criteria). A single low reading needs a repeat 4–6 weeks later — parameters vary substantially.

Abstinence of 2–5 days (no less than 48 hours, no more than 7 days). Collect the sample in the lab if possible (some can be collected at home and brought in within 30 minutes). Avoid lubricants. Make sure the entire ejaculate is captured.