Center of Reproductive Medicine, Hospital Foch, Suresnes, France; CAPES Foundation, Brasilia, Brazil.
Center of Reproductive Medicine, Hospital Foch, Suresnes, France.
Fertil Steril. 2017 Sep;108(3):518-524. doi: 10.1016/j.fertnstert.2017.07.001.
To investigate whether serum antimüllerian hormone (AMH) levels are independently related to miscarriage rates after in vitro fertilization-embryo transfer (IVF-ET).
Cohort study.
University-affiliated IVF-ET center.
PATIENT(S): A total of 1,060 patients who attained a clinical pregnancy after IVF-ET.
INTERVENTIONS(S): Centralized serum AMH measurements were performed within the 12 months before IVF-ET. Binary logistic regression was used to verify whether serum AMH levels were associated with the occurrence of a miscarriage independently from confounding factors, such as age and intensity of ovarian response to controlled ovarian stimulation assessed by the number of oocytes retrieved.
MAIN OUTCOME MEASURE(S): Miscarriage rates.
RESULT(S): In patients displaying reduced serum AMH levels, miscarriage rates were significantly increased independently from age and the number of oocytes retrieved.
CONCLUSION(S): The present data indicate that serum AMH levels are independently associated with the occurrence of a miscarriage after IVF-ET.
探讨血清抗缪勒管激素(AMH)水平是否与体外受精-胚胎移植(IVF-ET)后流产率独立相关。
队列研究。
大学附属 IVF-ET 中心。
共 1060 例在 IVF-ET 后获得临床妊娠的患者。
在 IVF-ET 前 12 个月内进行集中的血清 AMH 测量。使用二元逻辑回归来验证血清 AMH 水平是否与流产的发生独立相关,这些因素包括年龄和通过获得的卵母细胞数量评估的控制性卵巢刺激的卵巢反应强度等混杂因素。
流产率。
在血清 AMH 水平降低的患者中,流产率显著增加,与年龄和获得的卵母细胞数量无关。
本研究数据表明,血清 AMH 水平与 IVF-ET 后流产的发生独立相关。