Hipp Heather, Loucks Tammy L, Nezhat Ceana, Sidell Neil, Session Donna R
Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, GA, USA
Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, GA, USA.
Reprod Sci. 2015 Sep;22(9):1129-33. doi: 10.1177/1933719115578927. Epub 2015 Mar 29.
Anti-Müllerian hormone (AMH) has potential local effects on ovarian function and endometrial tissue, including endometriosis, but its presence in peritoneal fluid is not fully understood. This is a cross-sectional study evaluating AMH in peritoneal fluid and plasma from women with endometriosis (N = 61) and from control women without endometriosis (N = 36). There was a significant correlation between AMH in plasma and peritoneal fluid from both patients with endometriosis (r(2) = .767 [P < .001]) and control participants (r(2) = .647 [P < .001]) less than 45 years of age. Anti-Müllerian hormone declined with women's increasing age in both plasma and peritoneal fluid in women with and without endometriosis. There were no differences in the plasma or peritoneal fluid AMH in women with endometriosis versus control women. The strong relationship between plasma and peritoneal fluid may allow plasma AMH to be a marker for peritoneal AMH in studies evaluating the local effects of AMH.
抗苗勒管激素(AMH)对卵巢功能和子宫内膜组织(包括子宫内膜异位症)具有潜在的局部作用,但其在腹水中的存在情况尚未完全明确。这是一项横断面研究,评估了患有子宫内膜异位症的女性(N = 61)和未患子宫内膜异位症的对照女性(N = 36)腹水中和血浆中的AMH。年龄小于45岁的子宫内膜异位症患者(r(2) = .767 [P < .001])和对照参与者(r(2) = .647 [P < .001])的血浆和腹水中的AMH之间存在显著相关性。在患有和未患子宫内膜异位症的女性中,血浆和腹水中的抗苗勒管激素均随女性年龄增长而下降。患有子宫内膜异位症的女性与对照女性的血浆或腹水中的AMH没有差异。在评估AMH局部作用的研究中,血浆和腹水中的强相关性可能使血浆AMH成为腹水AMH的一个标志物。