Anti-mullerian hormone:: clinical relevance in assisted reproductive therapy

被引:13
作者
Freour, T. [1 ]
Mirallie, S.
Colombel, A.
Bach-Ngohou, K.
Masson, D.
Barriere, P.
机构
[1] CHU Nantes, Serv Med Reprod, F-44035 Nantes 01, France
[2] CHU Nantes, Lab Biochim Specialisee, F-44035 Nantes, France
关键词
anti-Mullerian hormone; ovarian reserve;
D O I
10.1016/S0003-4266(06)73008-6
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Anti-Mullerian Hormone (AMH) is a member of the transforming Growth Factor-P (TGF-beta) family synthesized exclusively by the gonads of both sexes. Over the last four years, numerous studies have examined the clinical usefulness of serum AMH levels as a predictor of ovarian response and pregnancy in assisted reproductive technology cycles. Assessment of ovarian reserve in women undergoing assisted reproduction is useful in optimising the treatment protocol. Availability of a reliable measure of ovarian reserve is essential. Currently, serum AMH level seems to be more strongly related to the ovarian reserve and to be a more discriminatory marker of assisted reproductive technology outcome than follicle-stimulating hormone, inhibin B or estradiol, which are more commonly used markers. Our study involving 69 women undergoing a cycle of in vitro fertilisation (IVF) or intracytoplamic sperm injection (ICSI) treatment, confirmed these results. We have shown in this study that AMH is significantly correlated with the number of eggs collected and is of great interest as a negative predictive value for the success of assisted reproductive technology (ART). Further studies are needed to determine AMH cut-off values.
引用
收藏
页码:567 / 574
页数:8
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