Normal Ovarian Reserve: An AMH level of 6.05 ng/mL in a 36-year-old female is generally considered within the normal range, indicating a normal ovarian reserve. This suggests that the patient has a typical number of remaining eggs for her age, which is a good indicator of fertility potential.

Polycystic Ovary Syndrome (PCOS): Elevated AMH levels are common in women with PCOS, a condition characterized by irregular menstrual periods, cysts on the ovaries, and hormonal imbalance. However, an AMH level of 6.05 is not significantly elevated, making this less likely but still a consideration.
Ovarian Cysts or Tumors: Certain types of ovarian cysts or tumors can produce AMH, potentially leading to elevated levels. However, these conditions are less common and would typically be associated with other symptoms or findings on imaging studies.

Granulosa Cell Tumors: Although rare, granulosa cell tumors of the ovary can produce AMH, leading to elevated serum levels. These tumors are typically benign but can cause significant symptoms and require surgical intervention. Missing this diagnosis could lead to delayed treatment and potential complications.
Ovarian Hyperthecosis: A rare condition characterized by the growth of ovarian stroma, leading to androgen excess and potentially elevated AMH levels. This condition can have significant implications for fertility and hormonal balance.

Fragile X Syndrome: A genetic condition that can affect ovarian function and lead to elevated AMH levels in some cases. However, this condition is rare and typically associated with other genetic and clinical findings.
Other Rare Ovarian Tumors: There are several rare types of ovarian tumors that can produce AMH, including Sertoli-Leydig cell tumors and sex cord-stromal tumors. These conditions are extremely rare and would typically be considered only after other more common causes have been ruled out.