Analysis of ovarian reserve markers (AMH, FSH, AFC) in different age strata in IVF/ICSI patients

Background: The predictive roles of follicle stimulating hormone (FSH), anti-mullerian hormone (AMH) and antral follicle count (AFC) as ovarian reserve markers in women with different age groups are not established well. Objective: This study compares the value of FSH, AMH and AFC at the time of in...

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Main Authors: Ensieh Shahrokh Tehraninezhad, Fatemeh Mehrabi, Raheleh Taati, Vahid Kalantar, Elham Aziminekoo, Azam Tarafdari
Format: Article
Language:English
Published: Shahid Sadoughi University of Medical Science, Yazd, Iran 2016-08-01
Series:Iranian Journal of Reproductive Medicine
Online Access:http://www.ssu.ac.ir/ijrm/index.php/ijrm/article/view/2037/1009
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author Ensieh Shahrokh Tehraninezhad
Fatemeh Mehrabi
Raheleh Taati
Vahid Kalantar
Elham Aziminekoo
Azam Tarafdari
author_facet Ensieh Shahrokh Tehraninezhad
Fatemeh Mehrabi
Raheleh Taati
Vahid Kalantar
Elham Aziminekoo
Azam Tarafdari
author_sort Ensieh Shahrokh Tehraninezhad
collection DOAJ
description Background: The predictive roles of follicle stimulating hormone (FSH), anti-mullerian hormone (AMH) and antral follicle count (AFC) as ovarian reserve markers in women with different age groups are not established well. Objective: This study compares the value of FSH, AMH and AFC at the time of in vitro fertilization (IVF) treatment in different age groups. Materials and Methods: In this cross-sectional study, 103 women aged 20-43 years candidates for IVF/ICSI cycle were recruited. FSH, AMH and AFC on day 3 of menstrual cycle were measured. The relationship of these measured markers with outcome variables (oocytes number, number of frozen/fresh embryo and chemical and clinical pregnancy) was assessed in different age groups (i.e. 20-32, 33-37 and 38-43 years). Results: our results show that age was correlated with clinical pregnancy, oocyte count and fresh and frozen embryo (p<0.001). AMH, AFC and FSH were not correlated with clinical or chemical pregnancy at total population or age subgroups except the significant correlation of AFC with clinical pregnancy at 33-37 years old group. AFC was correlated with oocyte count and the number of fresh and frozen embryos in the ages group 20-32 years. In this age group, AMH was correlated with fresh and frozen embryos. AMH, AFC and FSH were correlated with oocyte count and the number of fresh embryos in age group 33-37 years. AMH was correlated with oocyte count and the number of fresh embryos in 38-43 years old group. Conclusion: We concluded that the age is the superior predictor of IVF outcome and AMH and AFC are variable predicting markers of ovarian reserve in different age groups.
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spelling doaj.art-a392dc4e08f54b8aa72d7fbaf8ca0abf2022-12-22T00:27:40ZengShahid Sadoughi University of Medical Science, Yazd, IranIranian Journal of Reproductive Medicine1680-64332008-21772016-08-01148501506Analysis of ovarian reserve markers (AMH, FSH, AFC) in different age strata in IVF/ICSI patientsEnsieh Shahrokh Tehraninezhad0Fatemeh Mehrabi1Raheleh Taati2Vahid Kalantar3Elham Aziminekoo4Azam Tarafdari5Vali-e-Asr Reproductive Health Research Center, Department of Obstetrics and Gynecology, Imam Khomeini Complex Hospital, Tehran University of Medical Sciences, Tehran, Iran.Vali-e-Asr Reproductive Health Research Center, Department of Obstetrics and Gynecology, Imam Khomeini Complex Hospital, Tehran University of Medical Sciences, Tehran, Iran.Vali-e-Asr Reproductive Health Research Center, Department of Obstetrics and Gynecology, Imam Khomeini Complex Hospital, Tehran University of Medical Sciences, Tehran, Iran.Vali-e-Asr Reproductive Health Research Center, Department of Obstetrics and Gynecology, Imam Khomeini Complex Hospital, Tehran University of Medical Sciences, Tehran, Iran.Vali-e-Asr Reproductive Health Research Center, Department of Obstetrics and Gynecology, Imam Khomeini Complex Hospital, Tehran University of Medical Sciences, Tehran, Iran.Vali-e-Asr Reproductive Health Research Center, Department of Obstetrics and Gynecology, Imam Khomeini Complex Hospital, Tehran University of Medical Sciences, Tehran, Iran.Background: The predictive roles of follicle stimulating hormone (FSH), anti-mullerian hormone (AMH) and antral follicle count (AFC) as ovarian reserve markers in women with different age groups are not established well. Objective: This study compares the value of FSH, AMH and AFC at the time of in vitro fertilization (IVF) treatment in different age groups. Materials and Methods: In this cross-sectional study, 103 women aged 20-43 years candidates for IVF/ICSI cycle were recruited. FSH, AMH and AFC on day 3 of menstrual cycle were measured. The relationship of these measured markers with outcome variables (oocytes number, number of frozen/fresh embryo and chemical and clinical pregnancy) was assessed in different age groups (i.e. 20-32, 33-37 and 38-43 years). Results: our results show that age was correlated with clinical pregnancy, oocyte count and fresh and frozen embryo (p<0.001). AMH, AFC and FSH were not correlated with clinical or chemical pregnancy at total population or age subgroups except the significant correlation of AFC with clinical pregnancy at 33-37 years old group. AFC was correlated with oocyte count and the number of fresh and frozen embryos in the ages group 20-32 years. In this age group, AMH was correlated with fresh and frozen embryos. AMH, AFC and FSH were correlated with oocyte count and the number of fresh embryos in age group 33-37 years. AMH was correlated with oocyte count and the number of fresh embryos in 38-43 years old group. Conclusion: We concluded that the age is the superior predictor of IVF outcome and AMH and AFC are variable predicting markers of ovarian reserve in different age groups.http://www.ssu.ac.ir/ijrm/index.php/ijrm/article/view/2037/1009
spellingShingle Ensieh Shahrokh Tehraninezhad
Fatemeh Mehrabi
Raheleh Taati
Vahid Kalantar
Elham Aziminekoo
Azam Tarafdari
Analysis of ovarian reserve markers (AMH, FSH, AFC) in different age strata in IVF/ICSI patients
Iranian Journal of Reproductive Medicine
title Analysis of ovarian reserve markers (AMH, FSH, AFC) in different age strata in IVF/ICSI patients
title_full Analysis of ovarian reserve markers (AMH, FSH, AFC) in different age strata in IVF/ICSI patients
title_fullStr Analysis of ovarian reserve markers (AMH, FSH, AFC) in different age strata in IVF/ICSI patients
title_full_unstemmed Analysis of ovarian reserve markers (AMH, FSH, AFC) in different age strata in IVF/ICSI patients
title_short Analysis of ovarian reserve markers (AMH, FSH, AFC) in different age strata in IVF/ICSI patients
title_sort analysis of ovarian reserve markers amh fsh afc in different age strata in ivf icsi patients
url http://www.ssu.ac.ir/ijrm/index.php/ijrm/article/view/2037/1009
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