Variation in antimüllerian hormone concentration during the menstrual cycle may change the clinical classification of the ovarian response.

Abstract:

OBJECTIVE:To assess the variability of antimüllerian hormone (AMH) concentrations in women with "adequate ovarian reserve" during unstimulated menstrual cycles and to determine the impact on clinical classifications. DESIGN:Pilot cohort study. SETTING:Private fertility clinic. PATIENT(S):Twelve consecutive women (aged 29 to 43 years) referred to a fertility service, with AMH measurements repeated throughout unstimulated cycle, and who had at least one AMH measurement indicating "adequate ovarian reserve." INTERVENTION(S):None. MAIN OUTCOME MEASURE(S):AMH concentrations assessed in 82 serum samples from 12 women compared against the published cutoffs for reduced ovarian reserve and for risk of excessive response to ovarian stimulation. RESULT(S):Over half the women (7 of 12) were reclassified as a result of testing AMH concentrations at different phases of the menstrual cycle. Over one-third (4 or 5 of 12) crossed a cutoff for reduced ovarian reserve; 2 of 12 crossed cutoffs predicting hyperstimulation. There was a statistically significant change in AMH concentration according to the day of the cycle, with a negative trend of the median AMH concentration from the follicular to luteal phase. The maximum change in median AMH concentration over cycle was 7.9 pmol/L, and the mean difference between the maximum and minimum AMH was 6.7 pmol/L. CONCLUSION(S):In this pilot study, the AMH concentration varied during menstrual cycle, and the clinical classification of the ovarian response was altered.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Hadlow N,Longhurst K,McClements A,Natalwala J,Brown SJ,Matson PL

doi

10.1016/j.fertnstert.2013.01.132

subject

Has Abstract

pub_date

2013-05-01 00:00:00

pages

1791-7

issue

6

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(13)00188-X

journal_volume

99

pub_type

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