Increased anti-Mullerian hormone and decreased FSH levels in follicular fluid obtained in women with polycystic ovaries at the time of follicle puncture for in vitro fertilization  

Oleh:

Desforges-Bullet, Virginie ; Gallo, Cecile ; Lefebvre, Catherine

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 94 no. 01 (Jun. 2010), page 198-204.
Topik: Anti-Mullerian hormone; Mullerian inhibiting substance; polycystic ovary syndrome; FSH; follicular fluid

Ketersediaan

Perpustakaan FK Nomor Panggil: F02.K.2010.04 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Objective To confirm the increased levels of anti-Müllerian hormone (AMH) in preovulatory follicles from patients with polycystic ovary syndrome (PCOS) and to study the role of other hormones involved in folliculogenesis in this increased secretion. Design Prospective study. Setting University hospital in France. Patient(s) Twenty-two patients with PCOS and 20 controls undergoing IVF. Intervention On the day of oocyte retrieval, follicular fluid (FF) from one small follicle (8–13 mm) (SF) and one large follicle (16-23 mm) (LF) was collected in each patient. Main Outcome Measure(s) Per-follicle AMH, FSH, estradiol, androstenedione, hCG, and progesterone levels, and pregnancy rate. Result(s) In FF from both SF and LF of PCOS patients, AMH level was significantly increased, and FSH level was significantly decreased when compared with controls. Both hormone levels were negatively and significantly related in controls but not in PCOS. The AMH levels from SF and LF were significantly lower in patients who began a pregnancy. Conclusion(s) Our findings suggest that the granulosa cells from polycystic ovaries continue to produce elevated levels of AMH, possibly because of impaired access of FSH to follicles. Such an excess in FF AMH may have harmful consequences on oocyte quality and final maturation through unknown mechanisms.

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