Anti-Mullerian hormone as an ovarian reserve marker in women with the most frequent muscular dystrophies

被引:4
作者
Parmova, Olesja [1 ,2 ,3 ]
Vlckova, Eva [1 ,2 ,3 ,4 ]
Hulova, Monika [1 ,2 ]
Mensova, Livie [3 ,5 ,6 ]
Crha, Igor [2 ,7 ]
Stradalova, Petra [1 ,2 ]
Kralickova, Eva [1 ]
Jurikova, Lenka [2 ,3 ,8 ,9 ]
Podborska, Martina [10 ]
Mazanec, Radim [3 ,8 ,9 ]
Dusek, Ladislav [11 ]
Jarkovsky, Jiri [11 ]
Bednarik, Josef [1 ,2 ,3 ,4 ]
Vohanka, Stanislav [1 ,2 ,3 ,4 ]
Srotova, Iva [1 ,2 ,3 ,4 ]
机构
[1] Univ Hosp Brno, Dept Neurol, Jihlavska 20, Brno 62500, Czech Republic
[2] Masaryk Univ, Fac Med, Brno, Czech Republic
[3] European Reference Network Rare Neuromuscular Dis, Prague, Czech Republic
[4] Masaryk Univ, CEITEC Cent European Inst Technol, Brno, Czech Republic
[5] Charles Univ Prague, Fac Med 2, Dept Neurol, Prague, Czech Republic
[6] Univ Hosp Motol, Prague, Czech Republic
[7] Univ Hosp Brno, Dept Obstet & Gynaecol, Brno, Czech Republic
[8] Masaryk Univ, Dept Paediat Neurol, Brno, Czech Republic
[9] Univ Hosp Brno, Brno, Czech Republic
[10] Univ Hosp Brno, Dept Clin Biochem, Brno, Czech Republic
[11] Masaryk Univ, Inst Biostat & Anal, Brno, Czech Republic
关键词
anti-Mullerian hormone; fertility; muscular dystrophy; myotonic dystrophy; ovarian reserve; MYOTONIC-DYSTROPHY; ANTIMULLERIAN HORMONE; FOLLICULAR STATUS; HEALTHY FEMALES; SERUM-LEVELS; STIMULATION; POPULATION; PREDICTION; ESTRADIOL; FSH;
D O I
10.1097/MD.0000000000020523
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Some muscular dystrophies may have a negative impact on fertility. A decreased ovarian reserve is 1 of the factors assumed to be involved in fertility impairment. AMH (anti-Mullerian hormone) is currently considered the best measure of ovarian reserve. A total of 21 females with myotonic dystrophy type 1 (MD1), 25 females with myotonic dystrophy type 2 (MD2), 12 females with facioscapulohumeral muscular dystrophy (FSHD), 12 female carriers of Duchenne muscular dystrophy mutations (cDMD) and 86 age-matched healthy controls of reproductive age (range 18 - 44 years) were included in this case control study. An enzymatically amplified 2-site immunoassay was used to measure serum AMH level. The MD1 group shows a significant decrease of AMH values (median 0.7ng/mL; range 0 - 4.9ng/mL) compared with age-matched healthy controls (P<.01). AMH levels were similar between patients and controls in terms of females with MD2 (P=.98), FSHD (P=.55) and cDMD (P=.60). This study suggests decreased ovarian reserve in women with MD1, but not in MD2, FSHD and cDMD.
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页数:6
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