1. Using anti-Müllerian hormone to predict premature ovarian insufficiency: a retrospective cross-sectional study
- Author
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Yuanxin Huang, Xiaojun Kuang, Huiting Jiangzhou, Meiling Li, Dongjian Yang, and Dongmei Lai
- Subjects
premature ovarian insufficiency (POI) ,anti-Mullerian hormone (AMH) ,follicle stimulating hormone (FSH) ,big data ,reproductive health ,Diseases of the endocrine glands. Clinical endocrinology ,RC648-665 - Abstract
BackgroundPremature ovarian insufficiency/failure (POI/POF) is a significant issue for women of reproductive age. Anti-Müllerian hormone (AMH) is a potential biomarker of ovarian reserve, but its clinical value in diagnosing and predicting POI/POF remains unclear. This study aimed to analyze the correlation between AMH and basal follicle-stimulating hormone (FSH) levels in women aged 18 to 40 and evaluate AMH’s predictive value for POI/POF.MethodsA total of 21,143 participants aged 18-40 who visited the gynecology department or underwent physical examinations at the International Peace Maternity and Child Health Hospital in Shanghai, China, from July 2016 to June 2021 were enrolled. Demographic information and laboratory test results were collected, including age, FSH, AMH, E2 and test dates. Participants were grouped by FSH and AMH levels, and subgroup analyses were performed to investigate the relationship between these hormones and age. The AMH level associated with POI risk was evaluated using restricted cubic splines (RCS) and logistic regression. Clinical benefit was assessed by decision curve analysis (DCA).ResultsParticipants with higher FSH levels had significantly lower median AMH levels and vice versa(p40 IU/L, AMH levels remain very low to undetectable values. The RCS showed that the risk of POI/POF in the overall population sharply increased until serum AMH reached a low level (below 0.5ng/ml). DCA showed that a low AMH level had good clinical diagnostic utility in predicting POI/POF.ConclusionOur analysis of a large dataset suggests that serum AMH levels are inversely correlated with FSH levels and that AMH is a good predictor of POI until it drops to a low level.
- Published
- 2024
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