International Journal of Medical Research & Health Sciences
  • Year: 2014
  • Volume: 3
  • Issue: 2

Serum anti Mullerian hormone levels: A better hormonal marker of ovarian reserve

  • Author:
  • Radha Vembu1,, Sanjeeva Reddy Nellapalli2, Anjalakshi Chandrashekar3, R Nalini Ganesan4
  • Total Page Count: 4
  • Page Number: 420 to 423

1Associate Professor, Department of Obstetrics & Gynecology, Sri Ramachandra University, Tamil Nadu, India

2Professor & Head, Department of Reproductive Medicine, Sri Ramachandra University, Tamil Nadu

3Professor & Head, Department of Obstetrics & Gynecology, Sri Ramachandra University, Tamil Nadu, India

4Professor, Department of Biochemistry, Sri Ramachandra University, Tamil Nadu

*Corresponding author email: ganesh_radha@yahoo.in

Online published on 11 April, 2014.

Abstract

To determine whether Serum AMH is a better hormonal marker of Ovarian Reserve.

1. To correlate AMH with FSH and maternal Age and whether AMH is a better predictor of ovarian response than FSH.

A total of 246 women enrolled for IVF-ICSI fulfilling the selection criteria were recruited for the study at a tertiary ART centre. On day 3 of the cycle serum AMH, FSH were assayed along with LH, E2, TSH and Prolactin. Within 3 months they were subjected to IVF-ICSI. Serum AMH and FSH levels were compared with Age and Oocytes retrieved.

All the 246 women enrolled were analysed. The mean age of the women was 30.7 ± 4.5, average number of oocytes retrieved was 11.8 ±7.1. There was a negative correlation of AMH with age (r= -0.28) which is statistically significant where as FSH showed a positive correlation (r= 0.27). With regard to retrieval of mature oocytes, AMH showed a high positive correlation (r= 0.60) which is statistically significant (p <0.000) when compared to serum FSH (r = -0.26).

AMH is a better hormonal marker of Ovarian Reserve and a better predictor of Oocytes retrieved than serum FSH levels.

Keywords

AMH, Ovarian reserve, ovarian response