Anti-Mullerian hormone (AHM) tests are a common part of fertility testing in the medical profession. However, they are only one piece of the puzzle, with no evidence supporting the idea that they can be used to predict fertility. A study of 27 websites across the world showed that the amount and type of information available regarding the tests was highly varied among sellers, and "most contained statements about the AMH test that were not supported by evidence, including that it can reliably predict fertility potential or age of menopause. Anti-Mullerian hormone levels in the blood can correspond to the number of follicles in the ovaries that could produce an egg. In turn, an AMH test is used to estimate an individual's 'ovarian reserve'—how many eggs they could reasonably produce.
However, egg reserve estimates are only one measure of fertility, and an at-home test cannot reliably conclude whether or when a person will be fertile.
Problems or considerations of home fertility tests can be addressed in the following;
1. Limited scope: Home fertility tests typically focus on measuring one or two parameters related to fertility, such as hormone levels or sperm count. However, fertility is a complex process that involves multiple factors, including ovulation, sperm quality, fallopian tube patency, and uterine health. Home tests may not assess all these factors, leading to an incomplete evaluation of fertility.
2. Lack of medical supervision: Home fertility tests are performed without the guidance or interpretation of a healthcare professional. This means that individuals may misinterpret the results or fail to consider other important factors that could affect fertility. Without medical supervision, it is challenging to accurately interpret the test results and understand their implications.
3. False reassurance or unnecessary worry: Home fertility tests may provide false reassurance to individuals who receive normal results, leading them to believe that they have no fertility issues. Conversely, false positive results may cause unnecessary worry and stress. It is important to remember that a single test cannot definitively determine fertility status, and a comprehensive evaluation by a healthcare professional is necessary for a more accurate assessment.
4. Variability in test accuracy: The accuracy of home fertility tests can vary widely depending on the specific brand or type of test used. Some tests may have higher rates of false positives or false negatives, leading to incorrect conclusions about fertility status. It is crucial to choose a reputable and validated test if opting for a home fertility test.
5. Lack of personalized guidance: Fertility is a highly individualized and complex issue. Home fertility tests do not provide personalized guidance or recommendations based on the test results. A healthcare professional can offer personalized advice, considering various factors such as medical history, lifestyle, and other relevant factors that may impact fertility.
6. Potential for misinterpretation: Interpreting the results of a home fertility test can be challenging, especially for individuals without a medical background. Misinterpretation of the results may lead to unnecessary anxiety or incorrect assumptions about fertility status
Ref:
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2808552 
