Is anti-Müllerian hormone associated with IVF outcomes in young patients with diminished ovarian reserve?

Womens Health (Lond)

The Ronald O Perelman & Claudia Cohen Center for Reproductive Medicine, Weill Cornell Medical College, 1300 York Ave., New York, NY 10065, USA.

Published: December 2016

Aim: To investigate whether anti-Müllerian hormone (AMH) is associated with IVF cycle outcomes in young patients with diminished ovarian reserve.

Materials & Methods: Retrospective study of patients <35 years of age undergoing fresh IVF who had at least two 8-cell, day-3 embryos transferred with grades 1, 1.5 or 2. Patients were subgrouped, a priori, based on serum AMH levels: <1 or >1 ng/ml and <0.5 or >0.5 ng/ml.

Results: In total, 1005 patients were included. Patients in the >1 ng/ml group required lesser gonadotropins compared with the <1 ng/ml and the <0.5 ng/ml group. More oocytes were retrieved from the same group compared with the latter two (p < 0.001). Despite these differences, the overall rates of clinical pregnancy, spontaneous abortion and live birth were comparable between the two groups.

Conclusion: In patients with diminished ovarian reserve who have good quality embryos, AMH is not associated with clinical pregnancy, spontaneous miscarriage or live birth rates.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5375045PMC
http://dx.doi.org/10.2217/whe.15.102DOI Listing

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