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Published in: Journal of Assisted Reproduction and Genetics 7/2009

01-07-2009 | Assisted Reproduction

Serum anti-Müllerian hormone predicts ovarian response and cycle outcome in IVF patients

Authors: Cheng-Hsuan Wu, Yu-Ching Chen, Hsin-Hung Wu, Jyuer-Ger Yang, Yu-Jun Chang, Horng-Der Tsai

Published in: Journal of Assisted Reproduction and Genetics | Issue 7/2009

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Abstract

Purpose

This prospective study was designed to investigate whether anti-Müllerian hormone (AMH) levels at basal and ovulation triggering day are associated with ovarian response and pregnancy outcome for in vitro fertilization (IVF).

Method

60 infertility women undergoing IVF were prospectively studied. On day 3 of the menstrual cycle (D3), measurements of AMH, inhibin B, FSH, LH, and E2 and ultrasound evaluation of antral follicle count (AFC) were performed. Serum AMH and inhibin B levels were remeasured on the day of hCG administration (DhCG). The outcome measures were the number of retrieved oocytes and clinical pregnancy.

Results

Number of retrieved oocytes was statistically significant and correlated with D3 AMH, AFC, DhCG AMH, DhCG inhibin B, FSH, and age (r = 0.885, 0.874, 0.742, 0.732, −0.521, −0.385, respectively). Statistically significant differences were found between pregnant and non-pregnant women regarding D3 AMH and AFC. Multiple regression analysis for prediction of pregnancy showed D3 AMH to be a good predictor of clinical pregnancy.

Conclusion

AMH correlates better than age, FSH, and inhibin B with the number of retrieved oocytes. Serum basal AMH may offer a better prognostic value for clinical pregnancy than other currently available markers of IVF outcome in our preliminary study.
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Metadata
Title
Serum anti-Müllerian hormone predicts ovarian response and cycle outcome in IVF patients
Authors
Cheng-Hsuan Wu
Yu-Ching Chen
Hsin-Hung Wu
Jyuer-Ger Yang
Yu-Jun Chang
Horng-Der Tsai
Publication date
01-07-2009
Publisher
Springer US
Published in
Journal of Assisted Reproduction and Genetics / Issue 7/2009
Print ISSN: 1058-0468
Electronic ISSN: 1573-7330
DOI
https://doi.org/10.1007/s10815-009-9332-8

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