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1
High antimüllerian hormone levels are associated with preterm delivery in patients with polycystic ovary syndrome.高抗苗勒管激素水平与多囊卵巢综合征患者的早产有关。
Fertil Steril. 2020 Feb;113(2):444-452.e1. doi: 10.1016/j.fertnstert.2019.09.039. Epub 2020 Jan 20.
2
Müllerian-Inhibiting Substance/Anti-Müllerian Hormone as a Predictor of Preterm Birth in Polycystic Ovary Syndrome.苗勒管抑制物质/抗苗勒管激素作为多囊卵巢综合征患者早产的预测指标。
J Clin Endocrinol Metab. 2018 Nov 1;103(11):4187-4196. doi: 10.1210/jc.2018-01320.
3
Elevated prenatal anti-Müllerian hormone reprograms the fetus and induces polycystic ovary syndrome in adulthood.孕期升高的抗苗勒氏管激素会重新编程胎儿,并导致成年后患多囊卵巢综合征。
Nat Med. 2018 Jun;24(6):834-846. doi: 10.1038/s41591-018-0035-5. Epub 2018 May 14.
4
Use of the serum anti-Müllerian hormone assay as a surrogate for polycystic ovarian morphology: impact on diagnosis and phenotypic classification of polycystic ovary syndrome.将血清抗苗勒管激素检测作为多囊卵巢形态的替代指标:对多囊卵巢综合征的诊断和表型分类的影响。
Hum Reprod. 2017 Aug 1;32(8):1716-1722. doi: 10.1093/humrep/dex239.
5
Polycystic ovarian morphology and the diagnosis of polycystic ovary syndrome: redefining threshold levels for follicle count and serum anti-Müllerian hormone using cluster analysis.多囊卵巢形态学与多囊卵巢综合征的诊断:应用聚类分析重新定义卵泡计数和血清抗苗勒管激素的临界值。
Hum Reprod. 2017 Aug 1;32(8):1723-1731. doi: 10.1093/humrep/dex226.
6
Retrospective cohort study: AMH is the best ovarian reserve markers in predicting ovarian response but has unfavorable value in predicting clinical pregnancy in GnRH antagonist protocol.回顾性队列研究:抗缪勒管激素(AMH)是预测卵巢反应的最佳卵巢储备标志物,但在预测促性腺激素释放激素(GnRH)拮抗剂方案中的临床妊娠方面价值不佳。
Arch Gynecol Obstet. 2017 Mar;295(3):763-770. doi: 10.1007/s00404-016-4274-8. Epub 2016 Dec 23.
7
Interactions between androgens, FSH, anti-Müllerian hormone and estradiol during folliculogenesis in the human normal and polycystic ovary.在人类正常和多囊卵巢中,卵泡生成过程中雄激素、FSH、抗苗勒管激素和雌二醇之间的相互作用。
Hum Reprod Update. 2016 Nov;22(6):709-724. doi: 10.1093/humupd/dmw027. Epub 2016 Aug 27.
8
Baseline AMH Level Associated With Ovulation Following Ovulation Induction in Women With Polycystic Ovary Syndrome.多囊卵巢综合征女性促排卵后排卵与基线抗缪勒管激素水平的相关性
J Clin Endocrinol Metab. 2016 Sep;101(9):3288-96. doi: 10.1210/jc.2016-1340. Epub 2016 May 26.
9
Pregnancy complications in women with polycystic ovary syndrome.多囊卵巢综合征女性的妊娠并发症。
Hum Reprod Update. 2015 Sep-Oct;21(5):575-92. doi: 10.1093/humupd/dmv029. Epub 2015 Jun 27.
10
Characterization of women with elevated antimüllerian hormone levels (AMH): correlation of AMH with polycystic ovarian syndrome phenotypes and assisted reproductive technology outcomes.抗苗勒管激素水平(AMH)升高的女性特征:AMH与多囊卵巢综合征表型及辅助生殖技术结局的相关性
Am J Obstet Gynecol. 2014 Jul;211(1):59.e1-8. doi: 10.1016/j.ajog.2014.02.026. Epub 2014 Mar 2.

多囊卵巢综合征患者通过辅助生殖技术受孕后抗苗勒管激素水平及其与流产和早产的关系

Antimullerian Hormone Levels and Association with Abortion and Preterm Delivery in Patients with Polycystic Ovary Syndrome Who Conceived with Assisted Reproductive Techniques.

作者信息

Abdelsalam Walid A, Harb Ola A, Shazly Sherin A

机构信息

Department of Gynecology and Obstetrics, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Department of Pathology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

出版信息

J Obstet Gynaecol India. 2022 Aug;72(Suppl 1):295-298. doi: 10.1007/s13224-021-01506-w. Epub 2022 Jan 4.

DOI:10.1007/s13224-021-01506-w
PMID:35928099
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9343493/
Abstract

BACKGROUND

Pregnant PCOS patients were found to suffer from many adverse outcomes of pregnancy. Prediction of the fate of pregnancy and labor in PCOS patients was highly needed. There were recently discovered roles of serum AMH in those patients who were seeking for pregnancy and who were conceiving with assisted reproductive techniques.

AIM

To analyze the predictive roles of measuring serum levels of AMH in patients with PCOS who became pregnant spontaneously or used assisted reproductive techniques regarding abortion and preterm delivery.

PATIENTS AND STUDY DESIGN

A total of 100 females with PCOS were included in the study and they underwent assisted reproductive techniques were included in the study and underwent measurement of AMH levels regularly.

RESULTS

We found that a total of 70 patients had a term delivery, and 30 patients had a preterm delivery. We found no statistically significant differences between both groups regarding their age or body mass index (BMI). We showed that serum AMH levels were higher in the group of PCOS patients who had preterm delivery than in the group of patients with term delivery ( < .0.001).

CONCLUSIONS

High serum AMH levels were found to be associated with higher risks of occurrence of preterm labor in patients with PCOS who underwent assisted reproductive techniques. Our results gave a clue to clinicians for better management of the pregnancy process in these patients.

摘要

背景

已发现患有多囊卵巢综合征(PCOS)的孕妇会出现许多不良妊娠结局。因此,非常需要对PCOS患者的妊娠和分娩结局进行预测。最近发现血清抗缪勒管激素(AMH)在那些寻求妊娠以及采用辅助生殖技术受孕的患者中发挥着作用。

目的

分析测定血清AMH水平对自然受孕或采用辅助生殖技术的PCOS妊娠患者流产和早产的预测作用。

患者与研究设计

本研究共纳入100例PCOS女性患者,她们均接受了辅助生殖技术,并定期进行AMH水平测定。

结果

我们发现,共有70例患者足月分娩,30例患者早产。两组患者在年龄或体重指数(BMI)方面无统计学显著差异。我们发现,早产的PCOS患者组血清AMH水平高于足月分娩患者组(P<0.001)。

结论

在接受辅助生殖技术的PCOS患者中,血清AMH水平升高与早产风险增加有关。我们的研究结果为临床医生更好地管理这些患者的妊娠过程提供了线索。