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Introduction Low AMH levels are commonly linked to diminished ovarian reserve and reduced fertility. However, some women with low AMH still achieve spontaneous pregnancies. This study explores the correlation between low AMH and spontaneous conception in a group of 50 women. Aims and Objectives This study aims to evaluate the rate of spontaneous pregnancies in women with low AMH and to examine treatment options. Objectives include identifying predictors of spontaneous conception and assessing treatment efficacy in this group. Materials and Methods Fifty women aged 30-40 with AMH levels <1 ng/mL were enrolled. Data on age, menstrual cycle regularity, and reproductive health were collected. Participants were followed for 12 months to track spontaneous pregnancies and were offered treatments such as ovulation induction, IVF, and lifestyle modifications. Statistical analyses were used to identify factors influencing spontaneous pregnancy and treatment outcomes. Results Ten women (20%) with low AMH achieved spontaneous pregnancies. Younger age and regular menstrual cycles correlated with higher success rates. Ovulation induction led to pregnancies in 60%, while IVF resulted in a 25% success rate. Lifestyle modifications improved outcomes. Conclusions Despite low AMH levels, a subset of women achieved spontaneous pregnancies, particularly those under 35 with regular cycles. Ovulation induction and IVF proved effective treatments. Personalized treatment plans and lifestyle interventions are key for improving fertility outcomes.