Prognostic indicators of assisted reproduction technology outcomes of cycles with ultralow serum antimüllerian hormone: a multivariate analysis of over 5,000 autologous cycles from the Society for Assisted Reproductive Technology Clinic Outcome Reporting

Abstract:

OBJECTIVE:To assess cycle outcomes when antimüllerian hormone (AMH) is ultralow (≤0.16 ng/mL) and to determine which parameters contribute to the probability of cycle cancellation and/or outcome. DESIGN:Retrospective analysis. SETTING:Not applicable. PATIENT(S):5,087 (7.3%) fresh and 243 (1.5%) thawed cycles with ultralow AMH values. INTERVENTION(S):Linear and logistic regression, comparison with age-matched cycles with normal AMH concentrations. MAIN OUTCOME MEASURE(S):Cancellation rate; number of retrieved oocytes, embryos, transferred embryos, and cryopreserved embryos; clinical pregnancy, live-birth, and multiple birth rates. RESULT(S):The total cancellation rate per cycle start for fresh cycles was 54%. Of these, 38.6% of the cycles were canceled before retrieval, and 3.3% of cycles obtained no oocytes at time of retrieval. Of all retrieval attempts, 50.7% had three oocytes or fewer retrieved, and 25.1% had no embryo transfer. The live-birth rates were 9.5% per cycle start. Cycles with ultralow AMH levels compared with age-matched normal AMH cycles demonstrated more than a fivefold greater pre-retrieval cancellation rate, a twofold less live-birth rate per cycle and a 4.5-fold less embryo cryopreservation rate. CONCLUSION(S):Refusing treatment solely on the basis of ultralow AMH levels is not advisable, but patients should be counseled appropriately about the prognostic factors for cancellation and outcomes.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Seifer DB,Tal O,Wantman E,Edul P,Baker VL

doi

10.1016/j.fertnstert.2015.10.004

subject

Has Abstract

pub_date

2016-02-01 00:00:00

pages

385-93.e3

issue

2

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(15)02011-7

journal_volume

105

pub_type

杂志文章
  • Adhesion prevention by solutions of sodium carboxymethylcellulose in the rat. II.

    abstract::In a rat model, sodium carboxymethylcellulose (SCMC) was compared with normal saline and 32% dextran 70 in the prevention of surgically induced intraperitoneal adhesions. The 32% dextran 70 was similar to normal saline in the initial prevention of adhesions, and both appeared less effective than SCMC. After lysis of t...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)47910-0

    authors: Elkins TE,Ling FW,Ahokas RA,Abdella TN,Homsey CA,Malinak LR

    更新日期:1984-06-01 00:00:00

  • Assessing brain-derived neurotrophic factor as a novel clinical marker of endometriosis.

    abstract:OBJECTIVE:To evaluate novel clinical markers of endometriosis including the neurotrophins brain-derived neurotrophic factor (BDNF), nerve growth factor (NGF), and neurotrophin 4/5 (NT4/5) and compare them to others previously reported in the literature including cancer antigen 125 (CA-125) and C-reactive protein (CRP)....

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2015.09.003

    authors: Wessels JM,Kay VR,Leyland NA,Agarwal SK,Foster WG

    更新日期:2016-01-01 00:00:00

  • Effect of hysteroscopy on the peritoneal dissemination of endometrial cancer cells: a meta-analysis.

    abstract:OBJECTIVE:To determine whether preoperative hysteroscopic examination increases the risk for peritoneal dissemination of endometrial cancer cells and the effect of hysteroscopy on disease prognosis. DESIGN:Meta-analysis. SETTING:Literature search conducted via domestic and international databases for studies on preop...

    journal_title:Fertility and sterility

    pub_type: 杂志文章,meta分析

    doi:10.1016/j.fertnstert.2011.07.1146

    authors: Chang YN,Zhang Y,Wang YJ,Wang LP,Duan H

    更新日期:2011-10-01 00:00:00

  • Evaluation of endometrial tissue specific complement activation in women with endometriosis.

    abstract:OBJECTIVE:To determine if endometrial tissue specific complement (C) activation occurs in patients with endometriosis. DESIGN:Prospective. SETTING:University of Oklahoma Health Sciences Center, a tertiary care referral center. PATIENTS:Twenty-six women, 9 with endometriosis and 17 without endometriosis. INTERVENTIO...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:

    authors: D'Cruz OJ,Wild RA

    更新日期:1992-04-01 00:00:00

  • Cryptorchidism concordance in monozygotic and dizygotic twin brothers, full brothers, and half-brothers.

    abstract:OBJECTIVE:To study concordance rates of cryptorchidism (undescended testis) in pairs of boys with varying family structure, to evaluate the risk contribution from the intrauterine environment and genetic factors. DESIGN:Population based study of 1,024,500 Danish boys born from January 1, 1973 to December 31, 2004. Cla...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2008.09.041

    authors: Jensen MS,Toft G,Thulstrup AM,Henriksen TB,Olsen J,Christensen K,Bonde JP

    更新日期:2010-01-01 00:00:00

  • Congenital anomalies and assisted reproductive technology: more of the same.

    abstract::Klemetti's birth registry study is put in context of other major studies. Summary advice is offered to practitioners as to what they should tell parents who conceive with assisted reproductive technology. ...

    journal_title:Fertility and sterility

    pub_type: 评论,信件

    doi:10.1016/j.fertnstert.2005.04.067

    authors: Sutcliffe AG

    更新日期:2005-11-01 00:00:00

  • Mycoplasma genitalium, Chlamydia trachomatis, and tubal factor infertility--a prospective study.

    abstract:OBJECTIVE:To determine the presence of M. genitalium and C. trachomatis in women attending fertility clinics and to follow these women for the effects of previous infections or tubal damage on pregnancy rate and outcome. DESIGN:Prospective study. SETTING:Fertility clinics and university. PATIENT(S):Two hundred twelv...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2006.12.056

    authors: Svenstrup HF,Fedder J,Kristoffersen SE,Trolle B,Birkelund S,Christiansen G

    更新日期:2008-09-01 00:00:00

  • Large-needle percutaneous aspiration biopsy of the testicle in men with nonobstructive azoospermia.

    abstract::Two hundred thirteen testicular specimens of men with nonobstructive azoospermia were obtained by large-needle percutaneous aspiration biopsy. The mean values of the number of seminiferous tubules per histologic section, dimension, weight, and the fraction of biopsies with spermatogenetic cells (53, 0.2 x 0.3 x 0.62 c...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2005.12.053

    authors: Carpi A,Fabris FG,Todeschini G,Nardini V

    更新日期:2006-08-01 00:00:00

  • Glucocorticoid receptor-mediated regulation of MMP9 gene expression in human ovarian surface epithelial cells.

    abstract:OBJECTIVE:To obtain proof-of-concept that locally produced anti-inflammatory steroids suppress ovulation-associated extracellular matrix proteases in human ovarian surface epithelial (OSE) cells. DESIGN:Primary OSE cell cultures treated with interleukin-1alpha (IL-1alpha) (500 pg/mL) as proxy for inflammation, with/wi...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2008.06.040

    authors: Rae MT,Price D,Harlow CR,Critchley HO,Hillier SG

    更新日期:2009-08-01 00:00:00

  • In utero exposures and endometriosis: the Endometriosis, Natural History, Disease, Outcome (ENDO) Study.

    abstract:OBJECTIVE:To assess in utero exposures and the odds of an endometriosis diagnosis. DESIGN:Matched cohort design. SETTING:Fourteen participating clinical centers in geographically defined areas in Utah and California. PATIENT(S):Operative cohort comprised 473 women undergoing laparoscopy/laparotomy, and an age- and r...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2012.11.013

    authors: Wolff EF,Sun L,Hediger ML,Sundaram R,Peterson CM,Chen Z,Buck Louis GM

    更新日期:2013-03-01 00:00:00

  • Lack of correlation between oocyte-corona-cumulus complex morphology and nuclear maturity of oocytes collected in stimulated cycles for intracytoplasmic sperm injection.

    abstract:OBJECTIVE:To evaluate the usefulness of morphology grading of the oocyte-corona-cumulus complex (OCCC) as a marker of oocyte nuclear maturity, fertilizability, embryo cleavage, and likelihood of pregnancy. DESIGN:Prospective cohort study. SETTING:Academic fertility center. PATIENT(S):Eighty-three infertile couples u...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(99)00100-4

    authors: Rattanachaiyanont M,Leader A,Léveillé MC

    更新日期:1999-05-01 00:00:00

  • Effects of tumor necrosis factor-alpha on porcine oocyte meiosis progression, spindle organization, and chromosome alignment.

    abstract:OBJECTIVE:To evaluate the effects of tumor necrosis factor-alpha (TNF-alpha) on porcine oocyte maturation, spindle dynamics, and chromosome alignment. DESIGN:Controlled, prospective study. SETTING:University hospital and IVF research laboratory. ANIMAL(S):Ovaries collected from slaughtered prepubertal gilts. MAIN O...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2009.01.131

    authors: Ma CH,Yan LY,Qiao J,Sha W,Li L,Chen Y,Sun QY

    更新日期:2010-02-01 00:00:00

  • Exaggerated effects of progestogen on uterine artery pulsatility index in Turner's syndrome patients receiving hormone replacement therapy.

    abstract:OBJECTIVE:To investigate the effect of estrogen and progestogen on the resistance to blood flow in the uterine arteries of Turner's syndrome patients. DESIGN:Prospective clinical study. SETTING:A tertiary infertility clinic. PATIENTS:Five Turner's syndrome patients, six patients who had surgical castration, and five...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)57968-0

    authors: Biljan MM,Taylor CT,Matijevic R,Jones SV,Garden AS,Fraser WD,Diver MJ,Kingsland CR

    更新日期:1995-12-01 00:00:00

  • Effect of sperm treatment with exogenous platelet-activating factor on the outcome of intrauterine insemination.

    abstract:OBJECTIVE:To evaluate the effect of sperm treatment with exogenous platelet-activating factor (PAF) on IUI clinical pregnancy rate. DESIGN:Prospective randomized study. SETTING:Assisted Reproduction Unit, 2nd Department of Obstetrics and Gynecology, University of Athens, Aretaieion Hospital, Athens, Greece. SUBJECT(...

    journal_title:Fertility and sterility

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/j.fertnstert.2004.07.980

    authors: Grigoriou O,Makrakis E,Konidaris S,Hassiakos D,Papadias K,Baka S,Creatsas G

    更新日期:2005-03-01 00:00:00

  • Tubal embryo transfer as a treatment for infertility due to male factor.

    abstract::Transvaginal follicular aspiration (TVA) with ultrasonically guided needles allows the transfer of in vitro generated embryos to the fallopian tubes (TET), performing only one surgical procedure in the process. Up to now, this approach has been used to treat 16 couples with infertility due to severe male factor. Folli...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)60136-x

    authors: Balmaceda JP,Gastaldi C,Remohi J,Borrero C,Ord T,Asch RH

    更新日期:1988-09-01 00:00:00

  • Low fertility awareness in United States reproductive-aged women and medical trainees: creation and validation of the Fertility & Infertility Treatment Knowledge Score (FIT-KS).

    abstract:OBJECTIVE:To create, validate, and use a fertility awareness survey based on current U.S. DATA: DESIGN:Cross-sectional study. SETTING:Not applicable. PATIENT(S):Phase 1 included U.S. women ages 18-45; phase 2 included female medical students and obstetrics and gynecology trainees at two urban academic programs. IN...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2017.07.1158

    authors: Kudesia R,Chernyak E,McAvey B

    更新日期:2017-10-01 00:00:00

  • Adiponectin levels in women with polycystic ovary syndrome: impact of metformin treatment in a randomized controlled study.

    abstract:OBJECTIVE:To evaluate the effect of metformin in polycystic ovary syndrome (PCOS). As follow-up on a previous paper describing hormonal and metabolic factors, this paper focuses on correlations between adiponectin and anthropometric, hormonal, and metabolic factors in PCOS and the effect of metformin. DESIGN:Randomize...

    journal_title:Fertility and sterility

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.fertnstert.2010.01.057

    authors: Trolle B,Lauszus FF,Frystyk J,Flyvbjerg A

    更新日期:2010-11-01 00:00:00

  • Assessment of insulin resistance in lean women with polycystic ovary syndrome.

    abstract:OBJECTIVE:To develop and validate a specific simple measure of insulin sensitivity using oral glucose tolerance test (OGTT) values for lean polycystic ovary syndrome (PCOS) women. DESIGN:Retrospective study. SETTING:Gynecologic Outpatient Clinic of University Hospital, affiliated with Unit of Gynecologic Endocrinolog...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2014.04.004

    authors: Morciano A,Romani F,Sagnella F,Scarinci E,Palla C,Moro F,Tropea A,Policola C,Della Casa S,Guido M,Lanzone A,Apa R

    更新日期:2014-07-01 00:00:00

  • Contrast infusion sonography to assess microinsert placement and tubal occlusion after Essure.

    abstract:OBJECTIVE:To develop a technique for contrast infusion sonography and assess the possible use in determining microinsert placement and tubal status after Essure sterilization. DESIGN:Techniques and instrumentation. SETTING:Healthy women in an academic multispecialty group. PATIENT(S):Ten women desiring permanent ste...

    journal_title:Fertility and sterility

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.fertnstert.2005.10.075

    authors: Connor VF

    更新日期:2006-06-01 00:00:00

  • Interaction between human cervical mucus and sperm surface antibodies.

    abstract::The immunobead test was used to study the immunoglobulin class of antibodies on sperm before and after penetration through a microcolumn of cervical mucus. Sixteen men with positive sperm antibodies (positive sperm immobilization test) and sperm that penetrated cervical mucus in prior tests were selected for study. Ho...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)48916-8

    authors: Wang C,Baker HW,Jennings MG,Burger HG,Lutjen P

    更新日期:1985-10-01 00:00:00

  • Idiopathic hirsutism: an uncommon cause of hirsutism in Alabama.

    abstract:OBJECTIVE:To determine the prevalence of idiopathic hirsutism among a population of consecutive hirsute patients. DESIGN:Prospective cohort study. SETTING:University-based clinic. PATIENT(S):Premenopausal women with a complaint of hirsutism who were not receiving hormonal therapy. INTERVENTION(S):Evaluations for to...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(98)00141-1

    authors: Azziz R,Waggoner WT,Ochoa T,Knochenhauer ES,Boots LR

    更新日期:1998-08-01 00:00:00

  • Chromothripsis: potential origin in gametogenesis and preimplantation cell divisions. A review.

    abstract:OBJECTIVE:To review the discovery of chromothripsis and analyze its impact on human reproduction. DESIGN:Database and literature analysis. SETTING:University hospital. PATIENT(S):Carriers of massive and complex chromosomal rearrangements. INTERVENTION(S):Cytogenetic analysis and molecular testing (fluorescence in s...

    journal_title:Fertility and sterility

    pub_type: 杂志文章,评审

    doi:10.1016/j.fertnstert.2014.09.006

    authors: Pellestor F,Gatinois V,Puechberty J,Geneviève D,Lefort G

    更新日期:2014-12-01 00:00:00

  • Estrogen and progesterone receptors in endometriotic tissue and endometrium: comparison according to localization and recurrence.

    abstract:OBJECTIVE:To study the hormonal regulation of primary and recurrent endometriosis by comparing the levels of estrogen receptors (ER) and progesterone receptors (PR) with the levels in uterine endometrium obtained simultaneously. DESIGN:Tissue samples collected at routine operations. SETTING:One university clinic. PA...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:

    authors: Bergqvist A,Fernö M

    更新日期:1993-07-01 00:00:00

  • Environmentally relevant levels of bisphenol A affect uterine decidualization and embryo implantation through the estrogen receptor/serum and glucocorticoid-regulated kinase 1/epithelial sodium ion channel α-subunit pathway in a mouse model.

    abstract:OBJECTIVE:To investigate whether bisphenol A (BPA) exposure is associated with uterine decidualization and embryo implantation failure in mice. DESIGN:Experimental animal study and in vitro study. SETTING:University-based infertility center. ANIMAL(S):ICR mice. INTERVENTION(S):Mice treated with different doses of B...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2017.12.003

    authors: Yuan M,Hu M,Lou Y,Wang Q,Mao L,Zhan Q,Jin F

    更新日期:2018-04-01 00:00:00

  • Compound genetic abnormalities in patients with cystic fibrosis transmembrane regulator gene mutation.

    abstract:OBJECTIVE:To determine the prevalence of compound genetic abnormalities in patients who are carriers of cystic fibrosis mutations. DESIGN:Case report. SETTING:Tertiary referral center for male infertility. PATIENT(S):Between 2000 and 2005, 65 patients were identified to be carriers of cystic fibrosis transmembrane r...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2006.07.1537

    authors: Karpman E,Williams DH 4th,Wilberforce S,Lipshultz LI

    更新日期:2007-06-01 00:00:00

  • Immunoglobulin (Ig) G, IgA, and IgA subclass antibodies against fertilization antigen-1 in cervical secretions and sera of women of infertile couples.

    abstract:OBJECTIVES:To assess the occurrence of immunoglobulin (Ig) G, IgA, and IgA subclass antibodies against human sperm fertilization antigen-1 (FA-1) in cervical mucus (CM) and serum of women of infertile couples. DESIGN:Enzyme-linked immunosorbent assay methodology was used to detect anti-FA-1 antibodies. Antisperm antib...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)56217-7

    authors: Menge AC,Naz RK

    更新日期:1993-10-01 00:00:00

  • Assisted reproductive technologies in Canada: 2005 results from the Canadian Assisted Reproductive Technologies Register.

    abstract:OBJECTIVE:To present a report on assisted reproductive technologies (ART) cycles performed in 2005 in Canada. This is the fifth annual report from the Canadian ART Register (CARTR). DESIGN:Prospective cohort study. SETTING:Twenty-five of 25 ART centers in Canada. PARTICIPANT(S):Couples undergoing ART treatment in Ca...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2008.02.125

    authors: Gunby J,Bissonnette F,Librach C,Cowan L,IVF Directors Group of the Canadian Fertility and Andrology Society.

    更新日期:2009-05-01 00:00:00

  • Relationship of the individual uterine size and the endometrial thickness in stimulated cycles.

    abstract::At present there is no agreement regarding the usefulness of monitoring the endometrial thickness in stimulated cycles. We tested prospectively the hypothesis of a linear relationship of the given individual uterine size and the endometrial thickness in stimulated cycles using a 240 degrees transvaginal sector scanner...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)56716-8

    authors: Strohmer H,Obruca A,Radner KM,Feichtinger W

    更新日期:1994-05-01 00:00:00

  • New MCM8 mutation associated with premature ovarian insufficiency and chromosomal instability in a highly consanguineous Tunisian family.

    abstract:OBJECTIVE:To identify the gene(s) involved in the etiology of premature ovarian insufficiency in a highly consanguineous Tunisian family. DESIGN:Genetic analysis of a large consanguineous family with several affected siblings. SETTING:University hospital-based cytogenetics and molecular genetics laboratories. PATIEN...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2017.07.015

    authors: Bouali N,Francou B,Bouligand J,Imanci D,Dimassi S,Tosca L,Zaouali M,Mougou S,Young J,Saad A,Guiochon-Mantel A

    更新日期:2017-10-01 00:00:00

  • High expression of luteinizing hormone receptors messenger RNA by human cumulus granulosa cells is in correlation with decreased fertilization.

    abstract:OBJECTIVE:To elucidate the LH receptor (LHR) expression patterns in human granulosa cells (GCs) from antral to preovulatory stages, and to investigate a correlation to oocyte function. DESIGN:Luteinized preovulatory GCs were obtained from preovulatory follicles aspirated during IVF (≥ 17 mm). The GCs from small- (<10 ...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2011.12.027

    authors: Maman E,Yung Y,Kedem A,Yerushalmi GM,Konopnicki S,Cohen B,Dor J,Hourvitz A

    更新日期:2012-03-01 00:00:00