You have to know that AC analysis starts from DC operation point computation (or simply from DC analysis).
After that circuit is linearized around operational point and AC analysis is carried out.
If your OTA is imbalanced by some offset (e.g. due to MC sims) it will impact on gain.
Just imagine what should be on output if multiply expected offset by expected gain?
So you have to balance OTA for computing a real gain. This means that for DC analysis your OTA should
have stabilizing by negative feedback around, or closed loop, or e.g. to be in unit gain configuration as frequently used.
For AC analysis (after DC) loop should be open (aka broken), otherwise gain will be determined by negative feedback.
To break loop for AC analysis (not for DC) RC/LC LPFs are used as well as other components I described before.
Try to start with offset MC simulation (conventional DC) than if you succeed you can proceed with gain simulation (DC+AC).
Personally I use MC for offset prediction, and I never use MC sim for gain, I use PVT instead.
This is because MC mismatch has a negligible impact on gain while MC process just underestimates impact of process on gain.