What Is the AMH Test For NHS Access, Normal Levels, PCOS & Private Testing Explained
Author: Dr Lauren, Clinical Lead – Marylebone Diagnostic Centre
The AMH test is one of the most misunderstood fertility blood tests in the UK. Patients often receive numbers without context, or conflicting advice from online kits, GPs, and private clinics. This article explains what the AMH test is actually used for, when it is appropriate, how it differs from NHS and home testing, and how results should be interpreted in real clinical practice.
What Is the AMH Test For?
The AMH (Anti-Müllerian Hormone) test measures a hormone released by small follicles in the ovaries. Clinically, it is used to:
- Estimate ovarian reserve (egg quantity)
- Support fertility planning
- Guide IVF or egg-freezing strategy
- Help predict ovarian response to stimulation
AMH is not a fertility guarantee test. It does not measure egg quality or confirm the ability to conceive naturally. At Marylebone Diagnostic Centre (MDC), AMH is used as a decision-support tool, not a diagnostic label.
Is the AMH Test Free on the NHS?
In most cases, no. The NHS does not routinely provide AMH testing.
It may be offered only if:
- You are already under a fertility clinic
- IVF treatment is being formally planned
Even then:
- Access varies by region
- Waiting times can be long
- Results are not always explained in detail
For patients seeking early clarity or proactive planning, private testing is often the only option.
How Much Does an AMH Test Cost in the UK? £80
Private AMH testing in the UK usually costs £60 - £150 depending on:
- Laboratory standards
- Speed of results
- Clinical review
At MDC, the price includes:
- Venous blood collection
- Laboratory-validated assay
- Quality control aligned with the Marylebone High Standard
- Professional interpretation
This differs significantly from:
- High-volume screening clinics
- Automated result-only services
- Retail-style testing models
Can My GP Do an AMH Test?
Most GPs do not request AMH testing routinely. Reasons include:
- Limited NHS availability
- Local commissioning restrictions
- Lack of clear referral pathways
Some GPs may advise private testing instead. A GP referral is not required at MDC.
Do I Need a GP Referral for an AMH Test?
No. At Marylebone Diagnostic Centre, you can:
- Self-refer
- Book directly
- Attend without GP involvement
This allows faster access and greater privacy.
What Is a Normal AMH Level to Get Pregnant?
There is no single “normal” AMH level that guarantees pregnancy. AMH reflects egg quantity, not egg quality. Pregnancy depends on many factors, including:
- Age
- Ovulation
- Sperm quality
- Tubal health
- General health
Some individuals with low AMH conceive naturally. Some with high AMH require fertility support. This is why interpretation matters more than numbers.
What Is the AMH Level in PCOS?
In Polycystic Ovary Syndrome (PCOS), AMH levels are often higher than average. This occurs because:
- There are more small follicles
- AMH production is increased
However:
- High AMH in PCOS does not equal high fertility
- Ovulation may still be irregular
- Hormonal balance remains essential
AMH in PCOS must be interpreted alongside:
- LH and FSH
- Testosterone
- Cycle history
- Clinical symptoms
AMH Testing vs Home Test Kits
Home AMH kits are widely advertised in the UK. Limitations include:
- Finger-prick sampling variability
- Sample stability concerns
- Automated, non-clinical reporting
At MDC:
- Blood is collected via venepuncture
- Testing is laboratory-controlled
- Results are reviewed by clinicians
AMH testing should support clinical decisions, not cause confusion.
AMH Testing as Part of Comprehensive Hormone Assessment
AMH is most useful when combined with other markers. At MDC, AMH is commonly paired with:
- FSH, LH, Oestradiol
- Prolactin
- Thyroid function
- Androgen assessment where relevant
This provides a complete hormonal picture, not a single isolated value.
Frequently Asked Questions (FAQ)
It measures ovarian reserve by assessing hormone production from ovarian follicles.
No. It is a planning and response-prediction tool, not a pregnancy test.
AMH generally declines with age. Significant increases are uncommon.
Yes. Many patients test AMH for future fertility planning or egg freezing decisions.
Results are typically available within 24–42 hours, depending on the test.
Book an AMH Test in London
If you are seeking:
- Accurate testing
- Clinical interpretation
- Discreet care
📍 73 Baker Street, London W1U 6RD
🚇 5-minute walk from Baker Street tube
🕘 Monday–Saturday, 8:00–16:00
📞 +44 7495 970109
🌐 marylebonediagnosticcentre.com
Results within 24–42 hours depending on the test.
QCMD quality assurance ensures Marylebone High Standard compliance.
Why Choose Marylebone Diagnostic Centre?
- Results within 24–42 hours
- On-site consultant review
- Private suites
- Discreet & confidential care
- CQC-accredited & aligned with Marylebone High Standard
- Optional teleconsultations for results
