Each small antral follicle in ovaries of women with polycystic ovary syndrome produces more antimüllerian hormone than its counterpart in a normal ovary: an observational cross-sectional study

Objective To ascertain if subfertile women with polycystic ovary syndrome (PCOS) secrete more antimüllerian hormone (AMH) per antral follicle than control women. Design Observational cross-sectional study. Setting Fertility clinic. Patient(s) A total of 438 women attending the fertility clinic over...

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Veröffentlicht in:Fertility and sterility 2015-02, Vol.103 (2), p.537-541
Hauptverfasser: Bhide, Priya, M.R.C.O.G, Dilgil, Merve, M.Sc, Gudi, Anil, M.R.C.O.G, Shah, Amit, M.R.C.O.G, Akwaa, Charity, B.Sc, Homburg, Roy, F.R.C.O.G
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container_end_page 541
container_issue 2
container_start_page 537
container_title Fertility and sterility
container_volume 103
creator Bhide, Priya, M.R.C.O.G
Dilgil, Merve, M.Sc
Gudi, Anil, M.R.C.O.G
Shah, Amit, M.R.C.O.G
Akwaa, Charity, B.Sc
Homburg, Roy, F.R.C.O.G
description Objective To ascertain if subfertile women with polycystic ovary syndrome (PCOS) secrete more antimüllerian hormone (AMH) per antral follicle than control women. Design Observational cross-sectional study. Setting Fertility clinic. Patient(s) A total of 438 women attending the fertility clinic over a period of 13 months from September 2012 to September 2013. Intervention(s) Serum concentrations of AMH and the total antral follicle count (AFC) were obtained from women attending the fertility clinic. The ratio of AMH/AFC for each subject was calculated. Women were categorized into three groups: PCOS, polycystic ovarian morphology (PCOM), and control. PCOS and PCOM were defined based on the European Society for Human Reproduction and Embryology/American Society for Reproductive Medicine Rotterdam consensus criteria. Main Outcome Measure(s) The ratio of AMH/AFC for each subject in the three groups: PCOS, PCOM, and control. Result(s) The median AMH/AFC ratios in the PCOS, PCOM, and control groups were 1.92, 1.13, and 1.00, respectively. The AMH/AFC ratio was significantly higher in the PCOS group compared with the PCOM and control groups (F[2,152] = 21.82). Women in the three groups were not statistically different regarding age, body mass index, earlier ovarian surgery, and smoking status. Conclusion(s) Subfertile women with PCOS secrete significantly more AMH per antral follicle than women with PCOM only and control women.
doi_str_mv 10.1016/j.fertnstert.2014.10.033
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Design Observational cross-sectional study. Setting Fertility clinic. Patient(s) A total of 438 women attending the fertility clinic over a period of 13 months from September 2012 to September 2013. Intervention(s) Serum concentrations of AMH and the total antral follicle count (AFC) were obtained from women attending the fertility clinic. The ratio of AMH/AFC for each subject was calculated. Women were categorized into three groups: PCOS, polycystic ovarian morphology (PCOM), and control. PCOS and PCOM were defined based on the European Society for Human Reproduction and Embryology/American Society for Reproductive Medicine Rotterdam consensus criteria. Main Outcome Measure(s) The ratio of AMH/AFC for each subject in the three groups: PCOS, PCOM, and control. Result(s) The median AMH/AFC ratios in the PCOS, PCOM, and control groups were 1.92, 1.13, and 1.00, respectively. The AMH/AFC ratio was significantly higher in the PCOS group compared with the PCOM and control groups (F[2,152] = 21.82). Women in the three groups were not statistically different regarding age, body mass index, earlier ovarian surgery, and smoking status. Conclusion(s) Subfertile women with PCOS secrete significantly more AMH per antral follicle than women with PCOM only and control women.</description><identifier>ISSN: 0015-0282</identifier><identifier>EISSN: 1556-5653</identifier><identifier>DOI: 10.1016/j.fertnstert.2014.10.033</identifier><identifier>PMID: 25467043</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Anti-Mullerian Hormone - blood ; Antimüllerian hormone (AMH) ; antral follicle count (AFC) ; Biomarkers - blood ; Cross-Sectional Studies ; Female ; Humans ; Infertility, Female - blood ; Infertility, Female - diagnosis ; Internal Medicine ; Obstetrics and Gynecology ; Ovarian Follicle - metabolism ; Ovary - metabolism ; polycystic ovarian morphology (PCOM) ; polycystic ovarian syndrome (PCOS) ; Polycystic Ovary Syndrome - blood ; Polycystic Ovary Syndrome - diagnosis</subject><ispartof>Fertility and sterility, 2015-02, Vol.103 (2), p.537-541</ispartof><rights>American Society for Reproductive Medicine</rights><rights>2015 American Society for Reproductive Medicine</rights><rights>Copyright © 2015 American Society for Reproductive Medicine. 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Design Observational cross-sectional study. Setting Fertility clinic. Patient(s) A total of 438 women attending the fertility clinic over a period of 13 months from September 2012 to September 2013. Intervention(s) Serum concentrations of AMH and the total antral follicle count (AFC) were obtained from women attending the fertility clinic. The ratio of AMH/AFC for each subject was calculated. Women were categorized into three groups: PCOS, polycystic ovarian morphology (PCOM), and control. PCOS and PCOM were defined based on the European Society for Human Reproduction and Embryology/American Society for Reproductive Medicine Rotterdam consensus criteria. Main Outcome Measure(s) The ratio of AMH/AFC for each subject in the three groups: PCOS, PCOM, and control. Result(s) The median AMH/AFC ratios in the PCOS, PCOM, and control groups were 1.92, 1.13, and 1.00, respectively. The AMH/AFC ratio was significantly higher in the PCOS group compared with the PCOM and control groups (F[2,152] = 21.82). Women in the three groups were not statistically different regarding age, body mass index, earlier ovarian surgery, and smoking status. 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Design Observational cross-sectional study. Setting Fertility clinic. Patient(s) A total of 438 women attending the fertility clinic over a period of 13 months from September 2012 to September 2013. Intervention(s) Serum concentrations of AMH and the total antral follicle count (AFC) were obtained from women attending the fertility clinic. The ratio of AMH/AFC for each subject was calculated. Women were categorized into three groups: PCOS, polycystic ovarian morphology (PCOM), and control. PCOS and PCOM were defined based on the European Society for Human Reproduction and Embryology/American Society for Reproductive Medicine Rotterdam consensus criteria. Main Outcome Measure(s) The ratio of AMH/AFC for each subject in the three groups: PCOS, PCOM, and control. Result(s) The median AMH/AFC ratios in the PCOS, PCOM, and control groups were 1.92, 1.13, and 1.00, respectively. The AMH/AFC ratio was significantly higher in the PCOS group compared with the PCOM and control groups (F[2,152] = 21.82). Women in the three groups were not statistically different regarding age, body mass index, earlier ovarian surgery, and smoking status. Conclusion(s) Subfertile women with PCOS secrete significantly more AMH per antral follicle than women with PCOM only and control women.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>25467043</pmid><doi>10.1016/j.fertnstert.2014.10.033</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Anti-Mullerian Hormone - blood
Antimüllerian hormone (AMH)
antral follicle count (AFC)
Biomarkers - blood
Cross-Sectional Studies
Female
Humans
Infertility, Female - blood
Infertility, Female - diagnosis
Internal Medicine
Obstetrics and Gynecology
Ovarian Follicle - metabolism
Ovary - metabolism
polycystic ovarian morphology (PCOM)
polycystic ovarian syndrome (PCOS)
Polycystic Ovary Syndrome - blood
Polycystic Ovary Syndrome - diagnosis
title Each small antral follicle in ovaries of women with polycystic ovary syndrome produces more antimüllerian hormone than its counterpart in a normal ovary: an observational cross-sectional study
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