Discrepancies between Antimullerian Hormone and Follicle Stimulating Hormone in Assisted Reproduction

被引:11
作者
Hussain, Munawar [1 ]
Cahill, David [2 ]
Akande, Valentine [3 ,4 ]
Gordon, Uma [3 ,4 ]
机构
[1] St Michaels Hosp, Univ Hosp Bristol NHS Fdn Trust, Southwell St Bristol, Bristol BS2 8EG, Avon, England
[2] Univ Bristol, St Michaels Hosp, Bristol BS2 8EG, Avon, England
[3] Southmead Hosp, North Bristol NHS Trust, Bristol BS10 5NB, Avon, England
[4] Bristol Ctr Reprod Med Bristol, Bristol BS10 5NB, Avon, England
关键词
D O I
10.1155/2013/383278
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Data from 107 women undergoing their first IVF/ICSI were analyzed. Relationships between antimullerian hormone (AMH) and follicle stimulating hormone (FSH) were analyzed after dividing patients into four groups according to AMH/FSH levels. Concordance was noted in 57% of women (both AMH/FSHeither normal or abnormal) while 43% of women had discordant values (AMH/FSH one hormone normal and the other abnormal). Group 1 (AMH and FSH in normal range) and group 2 (normal AMH and high FSH) were younger compared to group 3 (low AMH and normal FSH) and group 4 (both AMH/FSH abnormal). Group 1 showing the best oocyte yield was compared to the remaining three groups. Groups 3 and 4 required higher dose of gonadotrophins for controlled ovarian hyperstimulation showing their low ovarian reserve. There was no difference in cycle cancellation, clinical pregnancy, and live birth/ongoing pregnancy rate in all groups. These tests are useful to predict ovarian response but whether AMH is a substantially better predictor is not yet established.
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页数:6
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