Serum anti-Mullerian hormone level threshold among infertile Filipino women with polycystic ovarian syndrome
- Author:
Mary Liezl N. Yu
1
,
2
;
Virgilio M. Novero
1
,
3
Author Information
- Publication Type:Journal Article
- Keywords: Threshold
- MeSH: Human; Female; Anti-mullerian Hormone; Infertility; Polycystic Ovarian Syndrome; Polycystic Ovary Syndrome
- From: Philippine Journal of Reproductive Endocrinology and Infertility 2024;21(2):39-46
- CountryPhilippines
- Language:English
-
Abstract:
OBJECTIVE
To determine the threshold value for anti-Müllerian hormone (AMH) in the diagnosis of polycystic ovarian syndrome (PCOS) in infertile Filipino women and to ascertain the correlation of AMH with age and body mass index of PCOS women.
METHODSA retrospective cross-sectional study was carried out on infertile Filipino women at the Center for Advanced Reproductive Medicine and Infertility from August 2015 to March 2020. The women were separated into the PCOS group and male factor infertility group. Serum AMH was analyzed with Access AMH chemiluminescent immunoassay by Beckman Coulter. The AMH threshold for the diagnosis of PCOS was computed using Youden’s index.
RESULTSThere were 585 women included in the study, 311 (53.16%) were diagnosed with PCOS by the Rotterdam criteria, while 274 (46.84%) were non PCOS women. Mean serum AMH for PCOS was 5.88 ± 3.37 (p < 0.01). A threshold value of serum AMH above 3.86 ng/ml was predictive of PCOS by Youden’s index with a sensitivity of 67.2%, specificity of 77.7%, and correct classification rate of 72.1%. There was a negative correlation of AMH level with increasing age in both PCOS and non – PCOS group but the PCOS group had a higher AMH level. There was no correlation noted with AMH and body mass index in both groups.
CONCLUSIONAMH levels were higher in the PCOS women compared to those without the diagnosis. AMH threshold level could support the diagnosis of PCOS in infertile Filipino women.
- Full text:2025010611490534658PJREI1.pdf