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Early menopause is the cessation of menstrual periods before age 45, leading to significant hormonal changes and health implications. It is caused by diminished ovarian function resulting in decreased production of estrogen and progesterone, along with depleted egg reserves. The Anti-Mullerian Hormone (AMH) test is the most important test for assessing early menopause risk because it directly measures ovarian reserve and predicts menopausal timing.
Early menopause is caused by premature ovarian insufficiency, where the ovaries stop producing normal amounts of estrogen and progesterone before age 45. This can result from genetic factors, autoimmune disorders that attack ovarian tissue, chemotherapy or radiation treatment, surgical removal of the ovaries, or certain chromosomal abnormalities like Turner syndrome. In many cases, the exact cause remains unknown, though family history of early menopause significantly increases risk.
The Anti-Mullerian Hormone (AMH) test is the most important test for early menopause because it directly measures ovarian reserve by detecting the hormone produced by developing egg follicles in the ovaries. AMH levels naturally decline with age, but a drastic drop indicates diminished ovarian function and can predict the timing of menopause years in advance. This test is especially valuable for women under 45 experiencing irregular periods or menopausal symptoms, as it provides clear insight into remaining egg supply and reproductive aging. Healthcare providers often combine AMH testing with FSH (follicle-stimulating hormone) and estradiol measurements for a comprehensive assessment of ovarian function.
You should get tested if you experience irregular or missed periods before age 45, hot flashes, night sweats, vaginal dryness, difficulty sleeping, or mood changes that suggest hormonal fluctuation. Testing is particularly important if you have a family history of early menopause, have undergone cancer treatment, or have been diagnosed with autoimmune conditions. Women who are experiencing difficulty conceiving or want to understand their fertility window should also consider AMH testing to assess their ovarian reserve and plan accordingly.
What this means
Your AMH level is slightly below the optimal range, which may indicate a lower ovarian reserve than average for your age. While this doesn't mean pregnancy is impossible, it suggests your fertility window may be shorter than expected and you may want to consider your family planning timeline more carefully.
Recommended actions
Consult with a fertility specialist to discuss your reproductive timeline and options
Focus on supporting egg quality through antioxidant-rich foods like berries, leafy greens, and nuts
Maintain a healthy lifestyle with regular moderate exercise and stress management
Consider retesting in 12-18 months to monitor changes in ovarian reserve
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