Serum anti-Mullerian hormone levels and ovarian reserve in controlled ovarian hyperstimulation of.docVIP

 PAGE \* MERGEFORMAT 21 Serum anti-Mullerian hormone levels and ovarian reserve in controlled ovarian hyperstimulation of Of: Ye Ran Ou Jianping Lin Xiufeng Liaoyue Chan Ng Yan Du Jing Du [Abstract] [Objective] To investigate the serum anti-Mullerian hormone (AMH) levels and ovarian reserve in the controlled ovarian hyperstimulation (COH) in the prediction of ovarian response and clinical value. [Methods] Retrospective analysis of 2009 June to December in the center for IVF / ICSI-ET treatment for 416 cycles. According to ovarian response to COH patients were divided into 3 groups: 67 patients with ovarian low response group, the normal response group of 319 cases of ovarian, ovarian high response (OHSS ) group of 30 patients. according to whether severe OHSS occurred in 12 cases of OHSS were divided into non-OHSS group of 404 cases. Determination of fasting blood AMH (no menstrual cycle limit) and FSH, LH, E2 levels (2 to 5 days of menstruation blood), and transvaginal B-ultrasound determination of the number of antral follicles (AFC). to the number of oocytes standard diagnostic tests for the evaluation of the diagnostic value of the evaluation. [results] and the correlation between the number of oocytes from strong to weak is the level of AMH , AFC, FSH / LH ratio, based on FSH levels, based on LH levels, after controlling for age partial correlation coefficients were 0.494,0.414, -0.310, -0.261,0.233 (P lt;0.01). predict ovarian response ROC curve area of #8203;#8203;the former than age 3 for the AMH level 0.901, AFC 0.889, FSH / LH ratio of 0.734; AMH level of community values #8203;#8203; 1.795 g / L, the Youden index was 0.629, higher than the other indicators. ovarian high response ROC curve area of #8203;#8203;the former three as AFC 0.882, AMH levels of 0.828, FSH / LH ratio of 0.759; AMH level of community valuesgt; = 3.725 g / L, the Youden index of 0.558, second only to the AFC’s 0.661. predict OHSS ROC area under the curve during the first 3