Dergiler / The European Research Journal / 2018 / Cilt: 4 - Sayı: 1

The relation between serum anti-Mullerian hormone levels and follicle count in polycystic ovary syndrome

Sayfa
32–37
Yayın Tarihi
2018-01-04
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

More studies are suggested for researching the different PCOS subgroups to detect optimal AMH thresholds.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Polycystic ovary syndrome (PCOS) is one of the most common endocrine disorders, affecting up to 10% of reproductive-age women.
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Temel Bulgular & Veri:This was a prospective clinical trial in which diagnoses of 50 PCOS patients based on Rotterdam revised criteria were compared to 50 normo-ovulatory cases.
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Sonuç & Katkı:More studies are suggested for researching the different PCOS subgroups to detect optimal AMH thresholds.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:anti-Mullerian hormone · ovarian follicles · polycystic ovary syndrome

Abstract

Objective. Polycystic ovary syndrome (PCOS) is one of the most common endocrine disorders, affecting up to 10% of reproductive-age women. Anti-Mullerian hormone (AMH) is a member of the transforming growth factor β family and has an inhibitory effect on primordial follicle recruitment in the ovary. The study aimed to investigate the importance of serum AMH levels in the different phenotypes of PCOS and find the optimal cut-off level of AMH in PCOS patients. Methods. This was a prospective clinical trial in which diagnoses of 50 PCOS patients based on Rotterdam revised criteria were compared to 50 normo-ovulatory cases. Additionally, the PCOS group was divided into 2 subgroups based on 2 or 3 Rotterdam criteria and compared to 50 normo-ovulatory cases. Results. When compared with the control group, the AMH levels of the PCOS group were significantly higher than those of the control group (6.81 ± 2.8 ng/ml vs. 3.22 ± 2.2 ng/ml, p < 0.001). In the subgroup analysis, the AMH levels of Group 1 and Group 2 were significantly higher than those of the control group (p < 0.001). The AMH cut-off value of 4.1 ng/ml was found to distinguish healthy women from PCOS patients, with 84% sensitivity and 80% specificity. Conclusions. Subgroup analyses showed higher levels of AMH in the severe PCOS group, but the difference was not statistically significant. More studies are suggested for researching the different PCOS subgroups to detect optimal AMH thresholds.

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Bu Makaleye Atıf Yap

OKCU, N. T., NAZİK, H., AKDUMAN, A. T., UNCU, G. (2018). The relation between serum anti-Mullerian hormone levels and follicle count in polycystic ovary syndrome. The European Research Journal, Cilt: 4 - Sayı: 1, 32–37. https://ajindex.com/articles/703994

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Kaynakça (12)

  1. Norman RJ, Dewailly D, Legro RS, Hickey TE. Polycystic ovary syndrome. Lancet 2007;370:685-97
  2. Azziz R, Woods KS, Reyna R, Key TJ, Knochenhauer ES, Yildiz BO. The prevalence and features of the polycystic ovary syndrome in an unselected population. J Clin Endocrinol Metab 2004;89:2745-49
  3. Zawadzki JK, Dunaif A. Diagnostic criteria for polycystic ovary syndrome: towards a rational approach. In: Dunaif AGJ, Haseltine F. eds., Polycystic Ovary Syndrome. Blackwell Scientific 1992, pp. 377-84
  4. Rotterdam ESHRE/ASRM-Sponsored PCOS Consensus Workshop Group. Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome (PCOS). Hum Reprod 2004;19:41-7
  5. Azziz R, Carmina E, Dewailly D, Diamanti-Kandarakis E, Escobar-Morreale HF, Futterweit W, et al. Positions statement: criteria for defining polycystic ovary syndromeas a predominantly hyperandrogenic syndrome: an Androgen Excess Society guideline. J Clin Endocrinol Metab 2006;91:4237-45
  6. Webber LJ, Stubbs S, Stark J, Trew GH, Margara R, Hardy K, et al. Formation and early development of follicles in the polycystic ovary. Lancet 2003;362:1017-21
  7. Stubbs SA, Hardy K, da Silva-Buttkus P, Stark J, Webber LJ, Flanagan AM, et al. Anti-mullerian hormone protein expression is reduced during the initial stages of follicle development in human polycystic ovaries. J Clin Endocrinol Metab 2005;90:5536-43
  8. Pigny P, Jonard S, Robert Y, Dewailly D. Serum anti-Mullerian hormone as a surrogate for antral follicle count for definition of the polycystic ovary syndrome. J Clin Endocrinol Metab 2006;91:941-5
  9. Jayaprakasan K, Deb S, Batcha M, Hopkisson J, Johnson I, Campbell B, et al. The cohort of antral follicles measuring 2-6 mm reflects the quantitative status of ovarian reserve as assessed by serum levels of anti-mullerian hormone and response to controlled ovarian stimulation. Fertil Steril 2010;94:1775-81
  10. La Marca A, Broekmans FJ, Volpe A, Fauser BC, Macklon NS; ESHRE Special Interest Group for Reproductive Endocrinology--AMH Round Table. Anti-mullerian hormone (AMH): what do we still need to know? Hum Reprod 2009;24:2264-75
  11. Jonard S, Dewailly D. The follicular excess in polycystic ovaries, due to intraovarianhyperandrogenism, may be the main culprit for the follicular arrest. Hum Reprod Update 2004; 10: 107-17
  12. Piouka A, Farmakiotis D, Katsikis I, Macut D, Gerou S, Panidis D. Anti-mullerian hormone levels reflect severity of PCOS bu