Abdelsalam Walid A, Harb Ola A, Shazly Sherin A
Department of Gynecology and Obstetrics, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Department of Pathology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
J Obstet Gynaecol India. 2022 Aug;72(Suppl 1):295-298. doi: 10.1007/s13224-021-01506-w. Epub 2022 Jan 4.
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.
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.
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.
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).
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.
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。
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。
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。
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)。
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。