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抗苗勒管激素(AMH)是绝经时间的良好预测指标。

Anti-Müllerian hormone (AMH) as a good predictor of time of menopause.

作者信息

Kruszyńska Aleksandra, Słowińska-Srzednicka Jadwiga

机构信息

Department of Endocrinology, Centre of Postgraduate Medical Education, Bielański Hospital, Warsaw, Poland.

出版信息

Prz Menopauzalny. 2017 Jun;16(2):47-50. doi: 10.5114/pm.2017.68591. Epub 2017 Jun 30.

Abstract

Anti-Müllerian hormone (AMH) in women is secreted by granulosa cells in late preantral and small antral follicles. AMH seems to be a very stable marker having some advantages over other biochemical and biophysical markers and is very useful in the assessment of ovarian reserve. AMH measurement may be used in cases of premature ovarian failure, including iatrogenic, due to treatment for cancer, hypogonadotropic hypogonadism, and lastly, in polycystic ovary syndrome (PCOS). It is also a very specific marker of ovarian tumors - folliculomas. According to outcomes of some studies, AMH seems to be highly predictive for the timing of menopause. There are mathematical models in which a single AMH measurement is used to predict the time of menopause even in very young women, many years before the last period.

摘要

女性体内的抗苗勒管激素(AMH)由窦前卵泡晚期和小窦状卵泡中的颗粒细胞分泌。AMH似乎是一种非常稳定的标志物,相较于其他生化和生物物理标志物具有一些优势,在评估卵巢储备方面非常有用。AMH检测可用于卵巢早衰的情况,包括医源性的(如因癌症治疗导致)、低促性腺激素性性腺功能减退,以及最后多囊卵巢综合征(PCOS)。它也是卵巢肿瘤——卵泡膜瘤的一种非常特异性的标志物。根据一些研究结果,AMH似乎对绝经时间具有高度预测性。有一些数学模型,其中单次AMH检测甚至可用于预测非常年轻女性在末次月经前许多年的绝经时间。

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