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Anti-Müllerian hormone and antral follicle count predict ovarian response in women less than 45 years following GnRH antagonist multiple-dose protocol

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Asian pacific Journal of Reproduction 2022年第5期11卷 208-216页

作者： Mohammed M.Laqqan Maged M.Yassin Department of Laboratory Medical Sciences Faculty of Health SciencesIslamic University of GazaP.O.Box 108GazaPalestine Department of Human Physiology Faculty of MedicineIslamic University of GazaP.O.Box 108GazaPalestine

Objective:To speculate which of the following parameters:antral follicle count(AFC),anti-Müllerian hormone(AMH),follicle-stimulating hormone(FSH)and age can be used as a predictor of ovarian response to gonadotropin-releasing hormone(GnRH)antagonist stimulation multiple-dose protocol in women under 45 years,and to determine the cutoff value of these parameters and their correlations for predicting low and high ovarian response.Methods:This prospective study included 462 women with the mean age of(29.3±6.5)years.All women were subjected to the GnRH antagonist stimulation multiple-dose protocol.On the second day of the menstrual cycle,ultrasonography was conducted to determine AFC in both ovaries.Peripheral blood samples were collected to evaluate the level of estradiol,FSH,luteinizing hormone,prolactin,thyroid-stimulating hormone,and AMH.The women were divided into three groups:low response(AHHresponse(AMH=1.0-3.5 ng/mL,n=175),and high response(AMH>3.5 ng/mL,n=114).Results:A significant decrease was found in the age and FSH level in the high response group compared to other groups(Presponse group compared to the other two groups(Povarian reserves(Povarian reserves with a cutoff value of≥14.50,≥3.63,and≤27.50 years,respectively(P<0.01).A significant decrease was observed in women's age,estradiol level,and oocyte fertilization rate in pregnant women compared to non-pregnant women(P<0.001).Additionally,significant negative correlations were found between

关键词： Antral follicle count Anti-Müllerian hormone Antagonist Controlled ovarian stimulation GnRH Multiple-dose ovarian response

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Anti-Müllerian hormone, antral follicle count and folliclestimulating hormone for predicting the number of oocytes retrieved in IVF/ICSI cycles

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Journal of Reproduction and Contraception 2016年第2期27卷 89-93页

作者： Jie-ru ZHU Jian-ping OU Wei-jie XING Wei-hao LI Wei-jie ZHU Center for Reproductive Medicine the Third Affiliated Hospital of Sun Yat-sen University Department of Developmental and Regenerative Biology College of Life Science and Technology Jinan University

Objective To evaluate the efficacy of anti-Müllerian hormone（AMH）, antral follicle count（AFC） and follicle-stimulating hormone（FSH） for predicting the number of oocytes retrieved in in-vitro fertilization/intracytoplasmic sperm injection（IVF/ICSI）cycles.Methods In this retrospective study, a total of 122 infertile women were divided into two groups： group A, 〈35 years（n=71）; group B, ≥35 years（n=51）. AMH and FSH were determined on 2-5 d of the early menstrual cycle. AFC was tested on the second day of the menstrual cycle before the start of stimulation.Results Group B had higher FSH levels compared with group A（8.2±3.5 IU/L vs 6.8±2.4 IU/L, P〈0.05）. However, levels of AMH and AFC in group B were lower than those of group A（AMH： 4.2±3.5 μg/L vs 2.7±2.7 μg/L; AFC： 9.0±3.9 vs 5.4±3.3, P〈0.05）. The number of oocyte retrieved in the two groups was not significantly different（11.5±6.8 vs 9.6±6.9, P〉0.05）. The level of AMH was more strongly correlated with the number of oocytes retrieved than that of AFC or FSH level. The strengths of the correlation degrees were AMH level, AFC, and FSH level in turn（r=0.600, 0.511,-0.369）.Conclusion AMH would be a useful predictor for ovarian response.

关键词： anti-Müllerian hormone（AMH） antral follicle count（AFC） follicle-stimulating hormone（FSH） ovarian response

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Pharmacogenetic study of Asn680Ser and-29A>G in FSHR gene in Chinese women undergoing controlled ovarian hyperstimulation

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Journal of Bio-X Research 2018年第3期1卷 147-152页

作者： Xiaohe Sun Tianxiang Ni Guangyu Li Jingjing Jiang Junhao Yan Zi-Jiang Chen Center for Reproductive Medicine Shandong UniversityThe Key Laboratory of Reproductive Endocrinology(Shandong University)Ministry of EducationShandong Provincial Key Laboratory of Reproductive Medicine National Research Center for Assisted Reproductive Technology and Reproductive Genetics JinanShandong Province Center for Reproductive Medicine Renji HospitalSchool of MedicineShanghai Jiao Tong UniversityShanghai Key Laboratory for Assisted Reproduction and Reproductive GeneticsShanghai Assisted Reproduction Unit Department of Obstetrics and GynecologySir Run Run Shaw HospitalSchool of MedicineZhejiang UniversityKey Laboratory of Reproductive Dysfunction Management of Zhejiang ProvinceHangzhouZhejiang ProvinceChina

The outcome of controlled ovarian hyperstimulation(COH)is various and unpredictable.According to previous studies,2 single nucleotide polymorphisms,Asn680Ser and-29A/G,have a pharmacogenetic association with ovarian response to COH.However,studies on the Asn680Ser polymorphism have yielded inconsistent conclusions and only a few studies with small sample sizes have been performed on-29A/G.The association of these 2 polymorphisms with ovarian response remains unclear.The present study evaluated the association of Asn680Ser and-29A/G genotypes with COH.A total of 414 Chinese women undergoing in vitro fertilization-embryo transfer were included.Genotypes for these single nucleotide polymorphisms were identified by high-resolution melting-curve analysis.The value of exogenous follicle-stimulating hormone dosage per oocyte divided by the body surface area(Dosage/OocyteSurface)was calculated for each patient as an indicator of ovarian response.The results of statistical analyses showed no association between Asn680Ser genotype and ovarian response.As for-29A/G,heterozygote individuals had more oocytes retrieved(P=0.034).Combinatorial analysis of these 2 single nucleotide polymorphisms showed that genotype A/G-Asn/Asn had lower basal-follicle-stimulating hormone and more oocytes retrieved.Analysis of genotype association with ovarian response also revealed this genotype had a significantly higher risk of developing hyper response(OR=7.86;95%CI:1.31-9.43).To some extent,there were associations between the studied polymorphisms and ovarian response;however,the power of this link is weak and has limited value for clinical prediction.

关键词： controlled ovarian hyperstimulation FSH FSHR ovarian response SNP

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Improved Prediction of In Vitro Fertilization Clinical Outcomes by Combining Ultrasound, Serum Hormones and Body Mass Index

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Journal of Reproduction and Contraception 2014年第3期25卷 147-158页

作者： Xue DAI Jia-yin LIU Jie WU Center of Clinical Reproductive Medicine the Second Affiliated Hospital of Nanjing Medical University State Key Laboratory of Reproductive Medicine Department of Obstetrics and Gynecology the First Affiliated Hospital of Nanjing Medical University

Objective To identify efficient predictors of clinical outcomes of in vitro fertilization （IVF）. Methods Two hundred and one women undergoing their first IVF cycle were measured for antral follicle count （AFC） and endometrial thickness via ultrasound. On day 2 or 3 of the menstrual cycle and the day of human chorionic gonadotropin administration, serum levels of follicle-stimulating hormone （FSH）, luteinizing hormone （LH）, estradiol, and progesterone were determined. The difference of ovarian response and clinical pregnancy rates were measured. Results Basal FSH was the single best predictor of ovarian response in women 〈35 years old before the initiation of treatment, with an area under the receiver operating characteristic curve （A UC） of 0. 752. For women ≥ 35 years old, none of parameters was a single good predictor of lVF pregnancy. For women older than 35 years, adding body mass index （BMI） with AFC and basal FSH improved prediction of ovarian response （A UC=0. 859）. Prediction of clinical pregnancy for women ≥ 35 years was improved either by combining only AFC and basal FSH （AUC=0. 757） or adding BMI to the combined AFC and FSH （AUC=0. 722）. Conclusion Combining AFC, basal FSH, and BMI was the best predictor of ovarian response and clinical pregnancy after IVF in women ≥ 35 years.

关键词： in vitro fertilization （IVF） combining predictors ovarian response pregnancy the logistic model

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Increased Oocyte Production after Acupuncture Treatment during Superovulation Process in Mice

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Journal of Reproduction and Contraception 2009年第1期20卷 35-44页

作者： Chun-lan JIN Kazuo Tohya Koichi Kuribayashi Michio Kimura Yuki-hisa Hirao Instimte of Acupuncture and Moxibustion China Academy of Chinese Medical Sciences Beijing 100700 China Department of Anatomy Kansai University of Health Sciences Kumatori Osaka 5900482 Japan Department of Immunology and Pathology Kansai University of Health Sciences Kumatori Osaka 5900482 Japan

Objective To investigate whether acupuncture treatment during superovulation process improves ovarian response and increases egg production. Methods ICR female mice aged 12 -5 weeks were divided into control group, anaesthesia group and acupuncture group. Female mice were injected intraperitoneally with pregnant mare＇s serum gonadotropin （PMSG）, followed by human chorionic gonadotropin （hCG） injection 56 h later. Anaesthesia group and acupuncture group were anaesthetized three times by injecting 10% nembutal solution according to 7.5-10.0μl/g weight. Acupuncture group was treated three times with puncture Sanyinjiao Points（SP6） under anaesthesia. After 17 h of hCG injection, eggs were recovered and ovaries were isolated. Matured eggs were counted, ovarian histology and expression of follicle stimulating hormone receptor（FSH-R） in ovary were analyzed. Results Acupuncture treatment statistically increased the number of ovulated eggs. Histological section showed that some matured follicles left in the ovaries of control and anaesthesia groups after ovulation. On the contrary, all matured follicles ruptured and converted into corpus lutea in Acupuncture group. Expression of FSH-R in ovary was decreased in acupuncture group compared with those of the two others. Conclusion Acupuncture treatment during superovulation process improves ovarian response so as to increase egg production. The positive effect of acupuncture may be associated with regulated FSH-R expression.

关键词： acupuncture superovulation egg production ovarian response FSH-R expression

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Evaluation of Serum Anti-Müllerian Hormone (AMH) Values for 28,016 Bulgarian Women: Prognostic Statistical Model of Age Specific AMH Declining

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Open Journal of Obstetrics and Gynecology 2024年第5期14卷 651-673页

作者： Martin Vladimirov Evan Gatev Desislava Tacheva Aleksandra Kalacheva Milena Bojilova Serpil Izet Alexander Angelov Nedyalko Kalatchev Iavor K. Vladimirov Sbalagrm-Sofia Sofia Bulgaria Bulgarian Academy of Science Institute of Molecular Biology Sofia Bulgaria Department of Cytology-Histology and Embryology Sofia University &#8220St. Kliment Ohridski&#8221 Sofia Bulgaria Cibalab Boulevard &#8220Akademik Ivan Evstratiev Geshov&#8221 Sofia Bulgaria Synevo Bulgaria Sofia Bulgaria

The present study aims to establish a relationship between serum AMH levels and age in a large group of women living in Bulgaria, as well as to establish reference age-specific AMH levels in women that would serve as an initial estimate of ovarian age. A total of 28,016 women on the territory of the Republic of Bulgaria were tested for serum AMH levels with a median age of 37.0 years (interquartile range 32.0 to 41.0). For women aged 20 - 29 years, the Bulgarian population has relatively high median levels of AMH, similar to women of Asian origin. For women aged 30 - 34 years, our results are comparable to those of women living in Western Europe. For women aged 35 - 39 years, our results are comparable to those of women living in the territory of India and Kenya. For women aged 40 - 44 years, our results were lower than those for women from the Western European and Chinese populations, close to the Indian and higher than Korean and Kenya populations, respectively. Our results for women of Bulgarian origin are also comparable to US Latina women at age 30, 35 and 40 ages. On the base on constructed a statistical model to predicting the decline in AMH levels at different ages, we found non-linear structure of AMH decline for the low AMH 3.5) the dependence of the decline of AMH on age was confirmed as linear. In conclusion, we evaluated the serum level of AMH in Bulgarian women and established age-specific AMH percentile reference values based on a large representative sample. We have developed a prognostic statistical model that can facilitate the application of AMH in clinical practice and the prediction of reproductive capacity and population health.

关键词： Anti-Müllerian Hormone Women Age ovarian response Ethnicity Prognostic Statistical Model

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Pharmacogenetic study of Asn680Ser and -29A>G ingene in Chinese women undergoing controlled ovarian hyperstimulation

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生物组学研究杂志 2018年第3期

The outcome of controlled ovarian hyperstimulation (COH) is various and unpredictable. According to previous studies, 2 single nucleotide polymorphisms, Asn680Ser and -29A/G, have a pharmacogenetic association with ovarian response to COH. However, studies on the Asn680Ser polymorphism have yielded inconsistent conclusions and only a few studies with small sample sizes have been performed on -29A/G. The association of these 2 polymorphisms with ovarian response remains unclear. The present study evaluated the association of Asn680Ser and -29A/G genotypes with COH. A total of 414 Chinese women undergoing in vitro fertilization-embryo transfer were included. Genotypes for these single nucleotide polymorphisms were identified by high-resolution melting-curve analysis. The value of exogenous follicle-stimulating hormone dosage per oocyte divided by the body surface area (Dosage/Oocyte × Surface) was calculated for each patient as an indicator of ovarian response. The results of statistical analyses showed no association between Asn680Ser genotype and ovarian response. As for -29A/G, heterozygote individuals had more oocytes retrieved (P= 0.034). Combinatorial analysis of these 2 single nucleotide polymorphisms showed that genotype A/G-Asn/Asn had lower basal-follicle-stimulating hormone and more oocytes retrieved. Analysis of genotype association with ovarian response also revealed this genotype had a significantly higher risk of developing hyper response (OR = 7.86; 95% CI: 1.31–9.43). To some extent, there were associations between the studied polymorphisms and ovarian response; however, the power of this link is weak and has limited value for clinical prediction.

关键词： controlled ovarian hyperstimulation FSH FSHR ovarian response SNP

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