Ayyavoo Charmila, Baxi Asha, Mandrupkar Gorakh, Malik Sonia, Kannan Jayam, Goenka Deepak, Kumar Nagesh, Singh Monica, Kulkarni Sharda, Agarwal Kanchan Murarka, Baxi Sonam
Parvathy Ayyavoo Fertility Centre, Aditi Hospital, 5, Usman Ali Street, TVS Tolgate, Trichy, Tamil Nadu 620020 India.
Disha Fertility and Surgical Centre, E-30, Saket Nagar, Indore, Madhya Pradesh 452018 India.
J Obstet Gynaecol India. 2021 Oct;71(5):510-521. doi: 10.1007/s13224-020-01410-9. Epub 2021 May 8.
The physical characteristics which are known to affect the ovarian reserve are age, body mass index (BMI), occupational exposures, age at menarche and menstrual cycle length. A correlation between different physical characteristics and the ovarian reserve will help to identify areas which need to be tackled to increase the chances of fertility of women in India.
In this retrospective, observational study, namely the MOTHER Study, data of women between 18 and 45 years of age, attending the selected fertility centers across different states in India were taken for evaluation. Demographic information along with information on factors potentially related to fertility like age of menarche, menstrual cycle length and occupational factors were collected by review of medical records at screening visit. Most recent AMH assay and antral follicle count (AFC) where the subject has not taken any contraceptives 12 months prior to the test were collected.
Age of woman, years of marriage, years of infertility and smoking have shown effect on ovarian reserve testing like AMH and AFC. The other physical characteristics which were evaluated and considered to affect the ovarian reserve like body mass index BMI, occupational exposures, age at menarche and menstrual cycle length have not shown statistically significant correlation.
Age of woman and years of infertility are inversely proportional to ovarian reserve markers, namely AMH and AFC. Addictions like smoking and alcohol affect ovarian reserve.
已知会影响卵巢储备的身体特征包括年龄、体重指数(BMI)、职业暴露、初潮年龄和月经周期长度。不同身体特征与卵巢储备之间的相关性将有助于确定在印度需要解决哪些方面的问题,以增加女性的生育机会。
在这项回顾性观察研究即母亲研究中,选取了印度不同邦的生育中心,纳入年龄在18至45岁之间的女性数据进行评估。通过筛查访视时查阅病历,收集人口统计学信息以及与生育可能相关的因素信息,如初潮年龄、月经周期长度和职业因素。收集受试者在测试前12个月未服用任何避孕药情况下的最新抗缪勒管激素(AMH)测定值和窦卵泡计数(AFC)。
女性年龄、结婚年限、不孕年限和吸烟对卵巢储备测试指标如AMH和AFC有影响。其他经评估认为会影响卵巢储备的身体特征,如体重指数BMI、职业暴露、初潮年龄和月经周期长度,未显示出统计学上的显著相关性。
女性年龄和不孕年限与卵巢储备标志物即AMH和AFC成反比。吸烟和酗酒等成瘾行为会影响卵巢储备。