The role of anti-Mullerian hormone assessment in assisted reproductive technology outcome

被引:94
作者
Broer, Simone L. [1 ]
Mol, BenWillem [2 ]
Dolleman, Madeleine [1 ]
Fauser, Bart C. [1 ]
Broekmans, Frank J. M. [1 ]
机构
[1] Univ Med Ctr Utrecht, Div Obstet Neonatol & Gynecol, Dept Reprod Med, NL-3508 GA Utrecht, Netherlands
[2] Univ Amsterdam, Acad Med Ctr, Dept Obstet & Gynecol, NL-1105 AZ Amsterdam, Netherlands
关键词
anti-Mullerian hormone; assisted reproductive technology; intracytoplasmic sperm injection; in-vitro fertilization; ovarian response; IN-VITRO FERTILIZATION; ANTRAL FOLLICLE COUNT; OVARIAN RESPONSE; INHIBITING SUBSTANCE; ANTIMULLERIAN HORMONE; POOR RESPONDERS; MENSTRUAL-CYCLE; INTERNATIONAL VARIABILITY; OVULATION INDUCTION; OOCYTE QUALITY;
D O I
10.1097/GCO.0b013e3283384911
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Purpose of review The purpose of this study is to summarize the role of anti-Mullerian hormone (AMH) in assisted reproductive technology (ART) treatment. Recent findings AMH is a good marker in the prediction of ovarian response to controlled ovarian hyperstimulation. In clinical practice, this means that AMH may be used for identifying poor or excessive responders. So far, studies show that AMH is not a good predictor for the occurrence of pregnancy after ART treatment. Therefore, routine screening for a poor ovarian reserve status using AMH is not to be advocated. Still, ovarian response prediction using AMH may open ways for patient-tailored stimulation protocols in order to reduce cancellations for excessive response, possibly improve pregnancy prospects and reduce costs. Summary AMH is able to predict extremes in ovarian response to controlled ovarian hyperstimulation but cannot predict pregnancy after ART treatment. Its future clinical role may be in the individualization of ART stimulation protocols.
引用
收藏
页码:193 / 201
页数:9
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