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Antral follicle count determines poor ovarian response better than anti-Müllerian hormone but age is the only predictor for live birth in in vitro fertilization cycles.窦卵泡计数比抗苗勒管激素更能准确预测卵巢反应不良，但年龄是体外受精周期活产的唯一预测因素。
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Specific ranges of anti-Mullerian hormone and antral follicle count correlate to provide a prognostic indicator for IVF outcome.抗苗勒管激素的特定范围与窦卵泡计数相关，可为体外受精结果提供预后指标。
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Infertile women below the age of 40 have similar anti-Müllerian hormone levels and antral follicle count compared with women of the same age with no history of infertility.与年龄相同、无不孕史的女性相比，40 岁以下的不孕女性的抗苗勒氏管激素水平和窦卵泡计数相似。
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Recombinant anti-Müllerian hormone in the maturation medium improves the in vitro maturation of human immature (GV) oocytes after controlled ovarian hormonal stimulation.在控制性卵巢激素刺激后，成熟培养基中的重组抗苗勒管激素可改善人未成熟（GV）卵母细胞的体外成熟。
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The relationship between anti-Müllerian hormone (AMH) levels and pregnancy outcomes in patients undergoing assisted reproductive techniques (ART).接受辅助生殖技术（ART）的患者中抗苗勒管激素（AMH）水平与妊娠结局的关系。
PeerJ. 2020 Dec 22;8:e10390. doi: 10.7717/peerj.10390. eCollection 2020.
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The comparison of evaluative effectiveness between antral follicle count/age ratio and ovarian response prediction index for the ovarian reserve and response functions in infertile women.窦卵泡计数/年龄比值与卵巢反应预测指数在评估不孕女性卵巢储备和反应功能方面的评估效果比较。
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The role of anti-Müllerian hormone (AMH) in ovarian disease and infertility.抗缪勒管激素（AMH）在卵巢疾病和不孕中的作用。
J Assist Reprod Genet. 2020 Jan;37(1):89-100. doi: 10.1007/s10815-019-01622-7. Epub 2019 Nov 21.
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Pregnancy outcomes after assisted reproductive procedures with embryos that had been derived from affected and unaffected ovaries among women with small unilateral endometriomas.单侧小子宫内膜异位症女性中，使用来自患侧和未患侧卵巢的胚胎进行辅助生殖手术后的妊娠结局。
Reprod Med Biol. 2017 Mar 22;16(2):152-156. doi: 10.1002/rmb2.12020. eCollection 2017 Apr.
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The meaning of anti-Müllerian hormone levels in patients at a high risk of poor ovarian response.抗苗勒管激素水平在卵巢反应不良高风险患者中的意义。
Clin Exp Reprod Med. 2016 Sep;43(3):139-45. doi: 10.5653/cerm.2016.43.3.139. Epub 2016 Sep 22.

本文引用的文献

1
Serum anti-Müllerian hormone level as a predictor of poor ovarian response in in vitro fertilization patients.血清抗苗勒管激素水平作为体外受精患者卵巢反应不良的预测指标。
Reprod Med Biol. 2010 Sep 2;10(1):9-14. doi: 10.1007/s12522-010-0066-1. eCollection 2011 Mar.
2
The predictive accuracy of anti-Müllerian hormone for live birth after assisted conception: a systematic review and meta-analysis of the literature.抗苗勒管激素预测辅助受孕后活产的准确性：文献的系统评价和荟萃分析。
Hum Reprod Update. 2014 Jul-Aug;20(4):560-70. doi: 10.1093/humupd/dmu003. Epub 2014 Feb 13.
3
Anti-Müllerian hormone and polycystic ovary syndrome: assessment of the clinical pregnancy rates in in vitro fertilization patients.抗苗勒管激素与多囊卵巢综合征：体外受精患者临床妊娠率评估。
Gynecol Endocrinol. 2013 May;29(5):440-3. doi: 10.3109/09513590.2013.769519. Epub 2013 Mar 6.
4
Serum anti-müllerian hormone levels in healthy females: a nomogram ranging from infancy to adulthood.健康女性血清抗缪勒管激素水平：从婴儿期到成年期的列线图。
J Clin Endocrinol Metab. 2012 Dec;97(12):4650-5. doi: 10.1210/jc.2012-1440. Epub 2012 Sep 19.
5
Serum anti-müllerian hormone, follicle stimulating hormone and antral follicle count measurement cannot predict pregnancy rates in IVF/ICSI cycles.血清抗缪勒管激素、卵泡刺激素和窦卵泡计数测量不能预测体外受精/卵胞浆内单精子注射周期的妊娠率。
J Assist Reprod Genet. 2012 Jul;29(7):589-95. doi: 10.1007/s10815-012-9754-6. Epub 2012 Apr 11.
6
Serum anti-Müllerian hormone levels as a predictor of the ovarian response and IVF outcomes.血清抗苗勒管激素水平作为卵巢反应和体外受精结局的预测指标。
Clin Exp Reprod Med. 2011 Sep;38(3):153-8. doi: 10.5653/cerm.2011.38.3.153. Epub 2011 Sep 30.
7
Using anti-Müllerian hormone to identify a good prognosis group in women of advanced reproductive age.使用抗苗勒管激素识别高龄育龄女性中的预后良好组。
Aust N Z J Obstet Gynaecol. 2011 Oct;51(5):411-5. doi: 10.1111/j.1479-828X.2011.01374.x.
8
Gonadotrophin-releasing hormone antagonists for assisted reproductive technology.用于辅助生殖技术的促性腺激素释放激素拮抗剂
Cochrane Database Syst Rev. 2011 May 11(5):CD001750. doi: 10.1002/14651858.CD001750.pub3.
9
Defining ovarian reserve to better understand ovarian aging.定义卵巢储备，以更好地理解卵巢衰老。
Reprod Biol Endocrinol. 2011 Feb 7;9:23. doi: 10.1186/1477-7827-9-23.
10
Multi-marker assessment of ovarian reserve predicts oocyte yield after ovulation induction.多标志物评估卵巢储备可预测促排卵后卵母细胞的产量。
Hum Reprod. 2011 Feb;26(2):414-22. doi: 10.1093/humrep/deq339. Epub 2010 Dec 8.

抗苗勒管激素水平作为高龄育龄女性妊娠率的预测指标

Anti-müllerian hormone levels as a predictor of the pregnancy rate in women of advanced reproductive age.

作者信息

Sahmay Sezai, Oncul Mahmut, Tuten Abdullah, Tok Abdullah, Acıkgoz Abdullah Serdar, Cepni Ismail

机构信息

Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.

出版信息

J Assist Reprod Genet. 2014 Nov;31(11):1469-74. doi: 10.1007/s10815-014-0324-y. Epub 2014 Sep 4.

DOI:10.1007/s10815-014-0324-y
PMID:25186502
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4389927/
Abstract

PURPOSE

To investigate whether serum anti-müllerian hormone (AMH), follicle stimulating hormone (FSH), or antral follicle count (AFC) are predictive for clinical pregnancy in women who underwent IVF cycles at the age of 35 and older

METHODS

A total of 240 consecutive women who underwent IVF cycles at the age of 35 and older were enrolled in this crsoss- sectional study. Pregnant and nonpregnant women were compared.

RESULTS

The median AMH level of pregnant women was higher than non-pregnant women [3.20 (0.63-9.60) vs 1.15 (0.01-14.90) ng/ml, p < 0.001]. On logistic regression analysis, AMH was an independent predictor of clinical pregnancy rate (CPR) (OR 1.353; 95 % CI 1.141-1.605; P < 0.001). After controlling for the other independent variables (the number of retrieved oocytes, AFC and age), the significant association between AMH and clinical pregnancy rate remained strong (OR 1.677; 95 % CI 1.216-2.311; p = 0.002) on multivariate logistic regression analysis.

CONCLUSIONS

AMH is an effective measure of quantitative ovarian reserve and it can predict ovarian response to controlled stimulation for advanced age women. The CPR tends to increase as AMH increases.

摘要

目的

探讨血清抗苗勒管激素（AMH）、卵泡刺激素（FSH）或窦卵泡计数（AFC）是否可预测35岁及以上接受体外受精（IVF）周期的女性的临床妊娠情况。

方法

本横断面研究共纳入240例35岁及以上接受IVF周期的连续女性。对妊娠和未妊娠女性进行比较。

结果

妊娠女性的AMH水平中位数高于未妊娠女性[3.20（0.63 - 9.60）对1.15（0.01 - 14.90）ng/ml，p < 0.001]。经逻辑回归分析，AMH是临床妊娠率（CPR）的独立预测因素（OR 1.353；95%CI 1.141 - 1.605；P < 0.001）。在控制其他自变量（获卵数、AFC和年龄）后，多因素逻辑回归分析显示AMH与临床妊娠率之间的显著关联仍然很强（OR 1.677；95%CI 1.216 - 2.311；p = 0.002）。

结论

AMH是评估卵巢储备功能的有效指标，可预测高龄女性对控制性刺激的卵巢反应。随着AMH升高，CPR往往增加。