What is the optimal threshold of serum Anti-Müllerian hormone (AMH) necessary for IVM treatments?
J Assist Reprod Genet
; 30(6): 745-51, 2013 Jun.
Article
en En
| MEDLINE
| ID: mdl-23608780
ABSTRACT
PURPOSE:
To assesse circulating levels of Anti-Müllerian hormone (AMH) as a predictor of oocyte number and their potential to mature in vitro in both normo-ovulatory (NO) women and in women with Polycystic Ovary Syndrome (PCOS) undergoing in vitro maturation (IVM) treatments.METHODS:
We prospectively studied NO women and women diagnosed with PCOS, (age range 21-39 years) underwent IVM treatments at our center. Serum AMH levels were quantified before each cycle and correlated to oocytes number, maturation and fertilization during in vitro maturation.RESULTS:
104 NO and 30 PCOS IVM cycles were followed with retrieval of a total of 672 and 491 oocytes, respectively. In NO women, the serum AMH level positively correlated with the number of oocytes retrieved, (R = 0.6; P <0.0001) the number of M2 oocytes at 24 and 48 h (R = 0.4; P <0.01; R = 0.26 p < 0.007, respectively) and with the total number of M2 oocytes (R = 0.47; P < 0.0001). In the PCOS group, the serum AMH level positively correlated only with the number of oocytes retrieved (R = 0.43; P <0.03). Receiver operating characteristic (ROC) analyses showed that a cutoff AMH level of 1.56 (ng/ml) could identify patients with 5 or more oocytes at OPU with a sensitivity of 83 % and a specificity of 75 %. An AMH level of 1.63 (ng/ml) was the threshold for 5 or more matured oocytes (sensitivity = 81 %, specificity = 53 %).CONCLUSIONS:
Serum AMH may be used as a marker to identify candidates for IVM treatment in both NO and PCOS women.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Oocitos
/
Oogénesis
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Síndrome del Ovario Poliquístico
/
Hormona Antimülleriana
Tipo de estudio:
Prognostic_studies
Límite:
Adult
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Aged
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Female
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Humans
/
Pregnancy
Idioma:
En
Año:
2013
Tipo del documento:
Article