Fertility Preservation in Endometriosis Patients: Anti-Müllerian Hormone Is a Reliable Marker of the Ovarian Follicle Density
ObjectiveTo analyze the ovarian reserve via measurement of follicular density and anti-Müllerian hormone (AMH) in endometriosis patients participating to a clinical program of cortical ovarian cryopreservation.DesignRetrospective analysis of serum AMH levels and prospective investigation of ovarian...
Ausführliche Beschreibung
Autor*in: |
Elisabetta Garavaglia [verfasserIn] Cinzia Sala [verfasserIn] Gianluca Taccagni [verfasserIn] Michela Traglia [verfasserIn] Caterina Barbieri [verfasserIn] Stefano Ferrari [verfasserIn] Massimo Candiani [verfasserIn] Paola Panina-Bordignon [verfasserIn] Daniela Toniolo [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2017 |
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Übergeordnetes Werk: |
In: Frontiers in Surgery - Frontiers Media S.A., 2014, 4(2017) |
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Übergeordnetes Werk: |
volume:4 ; year:2017 |
Links: |
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DOI / URN: |
10.3389/fsurg.2017.00040 |
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Katalog-ID: |
DOAJ026525585 |
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520 | |a ObjectiveTo analyze the ovarian reserve via measurement of follicular density and anti-Müllerian hormone (AMH) in endometriosis patients participating to a clinical program of cortical ovarian cryopreservation.DesignRetrospective analysis of serum AMH levels and prospective investigation of ovarian follicle number.SettingUniversity Hospital.Patient(s)Two hundred and two women with endometriosis and 400 controls.Intervention(s)Blood samples and ovarian biopsies.Main outcome measure(s)Correlation of serum AMH levels and the number of non-growing follicles in the biopsied cortical tissues in endometriosis and control subjects, including age, type of AMH kit, and the laboratory performing the analysis as covariates.Result(s)AMH levels were shown to decrease with age in untreated endometriosis patients (P < 1.0 × 10−5) but they were significantly lower in endometriosis compared to controls only in patients over 36 years old (P = 2.7 × 10−4). The AMH decrease was faster in endometriosis compared to controls (beta = 0.27, P = 4.0 × 10−4). Primordial follicle number decreased with the reduction of AMH levels in both cases and controls (beta = 0.3; P = 0.04).ConclusionAMH is a reliable marker of ovarian reserve in endometriosis patients, and it can predict follicular density in women undergoing ovarian tissue cryopreservation. | ||
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10.3389/fsurg.2017.00040 doi (DE-627)DOAJ026525585 (DE-599)DOAJ56fa2ac8446d4f7f8c0177cf2ef3d41a DE-627 ger DE-627 rakwb eng RD1-811 Elisabetta Garavaglia verfasserin aut Fertility Preservation in Endometriosis Patients: Anti-Müllerian Hormone Is a Reliable Marker of the Ovarian Follicle Density 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ObjectiveTo analyze the ovarian reserve via measurement of follicular density and anti-Müllerian hormone (AMH) in endometriosis patients participating to a clinical program of cortical ovarian cryopreservation.DesignRetrospective analysis of serum AMH levels and prospective investigation of ovarian follicle number.SettingUniversity Hospital.Patient(s)Two hundred and two women with endometriosis and 400 controls.Intervention(s)Blood samples and ovarian biopsies.Main outcome measure(s)Correlation of serum AMH levels and the number of non-growing follicles in the biopsied cortical tissues in endometriosis and control subjects, including age, type of AMH kit, and the laboratory performing the analysis as covariates.Result(s)AMH levels were shown to decrease with age in untreated endometriosis patients (P < 1.0 × 10−5) but they were significantly lower in endometriosis compared to controls only in patients over 36 years old (P = 2.7 × 10−4). The AMH decrease was faster in endometriosis compared to controls (beta = 0.27, P = 4.0 × 10−4). Primordial follicle number decreased with the reduction of AMH levels in both cases and controls (beta = 0.3; P = 0.04).ConclusionAMH is a reliable marker of ovarian reserve in endometriosis patients, and it can predict follicular density in women undergoing ovarian tissue cryopreservation. ovarian reserve anti-Müllerian hormone follicle density ovarian tissue cryopreservation fertility preservation Surgery Cinzia Sala verfasserin aut Gianluca Taccagni verfasserin aut Michela Traglia verfasserin aut Caterina Barbieri verfasserin aut Stefano Ferrari verfasserin aut Massimo Candiani verfasserin aut Paola Panina-Bordignon verfasserin aut Daniela Toniolo verfasserin aut In Frontiers in Surgery Frontiers Media S.A., 2014 4(2017) (DE-627)788288954 (DE-600)2773823-1 2296875X nnns volume:4 year:2017 https://doi.org/10.3389/fsurg.2017.00040 kostenfrei https://doaj.org/article/56fa2ac8446d4f7f8c0177cf2ef3d41a kostenfrei http://journal.frontiersin.org/article/10.3389/fsurg.2017.00040/full kostenfrei https://doaj.org/toc/2296-875X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_2446 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2017 |
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10.3389/fsurg.2017.00040 doi (DE-627)DOAJ026525585 (DE-599)DOAJ56fa2ac8446d4f7f8c0177cf2ef3d41a DE-627 ger DE-627 rakwb eng RD1-811 Elisabetta Garavaglia verfasserin aut Fertility Preservation in Endometriosis Patients: Anti-Müllerian Hormone Is a Reliable Marker of the Ovarian Follicle Density 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ObjectiveTo analyze the ovarian reserve via measurement of follicular density and anti-Müllerian hormone (AMH) in endometriosis patients participating to a clinical program of cortical ovarian cryopreservation.DesignRetrospective analysis of serum AMH levels and prospective investigation of ovarian follicle number.SettingUniversity Hospital.Patient(s)Two hundred and two women with endometriosis and 400 controls.Intervention(s)Blood samples and ovarian biopsies.Main outcome measure(s)Correlation of serum AMH levels and the number of non-growing follicles in the biopsied cortical tissues in endometriosis and control subjects, including age, type of AMH kit, and the laboratory performing the analysis as covariates.Result(s)AMH levels were shown to decrease with age in untreated endometriosis patients (P < 1.0 × 10−5) but they were significantly lower in endometriosis compared to controls only in patients over 36 years old (P = 2.7 × 10−4). The AMH decrease was faster in endometriosis compared to controls (beta = 0.27, P = 4.0 × 10−4). Primordial follicle number decreased with the reduction of AMH levels in both cases and controls (beta = 0.3; P = 0.04).ConclusionAMH is a reliable marker of ovarian reserve in endometriosis patients, and it can predict follicular density in women undergoing ovarian tissue cryopreservation. ovarian reserve anti-Müllerian hormone follicle density ovarian tissue cryopreservation fertility preservation Surgery Cinzia Sala verfasserin aut Gianluca Taccagni verfasserin aut Michela Traglia verfasserin aut Caterina Barbieri verfasserin aut Stefano Ferrari verfasserin aut Massimo Candiani verfasserin aut Paola Panina-Bordignon verfasserin aut Daniela Toniolo verfasserin aut In Frontiers in Surgery Frontiers Media S.A., 2014 4(2017) (DE-627)788288954 (DE-600)2773823-1 2296875X nnns volume:4 year:2017 https://doi.org/10.3389/fsurg.2017.00040 kostenfrei https://doaj.org/article/56fa2ac8446d4f7f8c0177cf2ef3d41a kostenfrei http://journal.frontiersin.org/article/10.3389/fsurg.2017.00040/full kostenfrei https://doaj.org/toc/2296-875X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_2446 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2017 |
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10.3389/fsurg.2017.00040 doi (DE-627)DOAJ026525585 (DE-599)DOAJ56fa2ac8446d4f7f8c0177cf2ef3d41a DE-627 ger DE-627 rakwb eng RD1-811 Elisabetta Garavaglia verfasserin aut Fertility Preservation in Endometriosis Patients: Anti-Müllerian Hormone Is a Reliable Marker of the Ovarian Follicle Density 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ObjectiveTo analyze the ovarian reserve via measurement of follicular density and anti-Müllerian hormone (AMH) in endometriosis patients participating to a clinical program of cortical ovarian cryopreservation.DesignRetrospective analysis of serum AMH levels and prospective investigation of ovarian follicle number.SettingUniversity Hospital.Patient(s)Two hundred and two women with endometriosis and 400 controls.Intervention(s)Blood samples and ovarian biopsies.Main outcome measure(s)Correlation of serum AMH levels and the number of non-growing follicles in the biopsied cortical tissues in endometriosis and control subjects, including age, type of AMH kit, and the laboratory performing the analysis as covariates.Result(s)AMH levels were shown to decrease with age in untreated endometriosis patients (P < 1.0 × 10−5) but they were significantly lower in endometriosis compared to controls only in patients over 36 years old (P = 2.7 × 10−4). The AMH decrease was faster in endometriosis compared to controls (beta = 0.27, P = 4.0 × 10−4). Primordial follicle number decreased with the reduction of AMH levels in both cases and controls (beta = 0.3; P = 0.04).ConclusionAMH is a reliable marker of ovarian reserve in endometriosis patients, and it can predict follicular density in women undergoing ovarian tissue cryopreservation. ovarian reserve anti-Müllerian hormone follicle density ovarian tissue cryopreservation fertility preservation Surgery Cinzia Sala verfasserin aut Gianluca Taccagni verfasserin aut Michela Traglia verfasserin aut Caterina Barbieri verfasserin aut Stefano Ferrari verfasserin aut Massimo Candiani verfasserin aut Paola Panina-Bordignon verfasserin aut Daniela Toniolo verfasserin aut In Frontiers in Surgery Frontiers Media S.A., 2014 4(2017) (DE-627)788288954 (DE-600)2773823-1 2296875X nnns volume:4 year:2017 https://doi.org/10.3389/fsurg.2017.00040 kostenfrei https://doaj.org/article/56fa2ac8446d4f7f8c0177cf2ef3d41a kostenfrei http://journal.frontiersin.org/article/10.3389/fsurg.2017.00040/full kostenfrei https://doaj.org/toc/2296-875X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_2446 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2017 |
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10.3389/fsurg.2017.00040 doi (DE-627)DOAJ026525585 (DE-599)DOAJ56fa2ac8446d4f7f8c0177cf2ef3d41a DE-627 ger DE-627 rakwb eng RD1-811 Elisabetta Garavaglia verfasserin aut Fertility Preservation in Endometriosis Patients: Anti-Müllerian Hormone Is a Reliable Marker of the Ovarian Follicle Density 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ObjectiveTo analyze the ovarian reserve via measurement of follicular density and anti-Müllerian hormone (AMH) in endometriosis patients participating to a clinical program of cortical ovarian cryopreservation.DesignRetrospective analysis of serum AMH levels and prospective investigation of ovarian follicle number.SettingUniversity Hospital.Patient(s)Two hundred and two women with endometriosis and 400 controls.Intervention(s)Blood samples and ovarian biopsies.Main outcome measure(s)Correlation of serum AMH levels and the number of non-growing follicles in the biopsied cortical tissues in endometriosis and control subjects, including age, type of AMH kit, and the laboratory performing the analysis as covariates.Result(s)AMH levels were shown to decrease with age in untreated endometriosis patients (P < 1.0 × 10−5) but they were significantly lower in endometriosis compared to controls only in patients over 36 years old (P = 2.7 × 10−4). The AMH decrease was faster in endometriosis compared to controls (beta = 0.27, P = 4.0 × 10−4). Primordial follicle number decreased with the reduction of AMH levels in both cases and controls (beta = 0.3; P = 0.04).ConclusionAMH is a reliable marker of ovarian reserve in endometriosis patients, and it can predict follicular density in women undergoing ovarian tissue cryopreservation. ovarian reserve anti-Müllerian hormone follicle density ovarian tissue cryopreservation fertility preservation Surgery Cinzia Sala verfasserin aut Gianluca Taccagni verfasserin aut Michela Traglia verfasserin aut Caterina Barbieri verfasserin aut Stefano Ferrari verfasserin aut Massimo Candiani verfasserin aut Paola Panina-Bordignon verfasserin aut Daniela Toniolo verfasserin aut In Frontiers in Surgery Frontiers Media S.A., 2014 4(2017) (DE-627)788288954 (DE-600)2773823-1 2296875X nnns volume:4 year:2017 https://doi.org/10.3389/fsurg.2017.00040 kostenfrei https://doaj.org/article/56fa2ac8446d4f7f8c0177cf2ef3d41a kostenfrei http://journal.frontiersin.org/article/10.3389/fsurg.2017.00040/full kostenfrei https://doaj.org/toc/2296-875X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_2446 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2017 |
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10.3389/fsurg.2017.00040 doi (DE-627)DOAJ026525585 (DE-599)DOAJ56fa2ac8446d4f7f8c0177cf2ef3d41a DE-627 ger DE-627 rakwb eng RD1-811 Elisabetta Garavaglia verfasserin aut Fertility Preservation in Endometriosis Patients: Anti-Müllerian Hormone Is a Reliable Marker of the Ovarian Follicle Density 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ObjectiveTo analyze the ovarian reserve via measurement of follicular density and anti-Müllerian hormone (AMH) in endometriosis patients participating to a clinical program of cortical ovarian cryopreservation.DesignRetrospective analysis of serum AMH levels and prospective investigation of ovarian follicle number.SettingUniversity Hospital.Patient(s)Two hundred and two women with endometriosis and 400 controls.Intervention(s)Blood samples and ovarian biopsies.Main outcome measure(s)Correlation of serum AMH levels and the number of non-growing follicles in the biopsied cortical tissues in endometriosis and control subjects, including age, type of AMH kit, and the laboratory performing the analysis as covariates.Result(s)AMH levels were shown to decrease with age in untreated endometriosis patients (P < 1.0 × 10−5) but they were significantly lower in endometriosis compared to controls only in patients over 36 years old (P = 2.7 × 10−4). The AMH decrease was faster in endometriosis compared to controls (beta = 0.27, P = 4.0 × 10−4). Primordial follicle number decreased with the reduction of AMH levels in both cases and controls (beta = 0.3; P = 0.04).ConclusionAMH is a reliable marker of ovarian reserve in endometriosis patients, and it can predict follicular density in women undergoing ovarian tissue cryopreservation. ovarian reserve anti-Müllerian hormone follicle density ovarian tissue cryopreservation fertility preservation Surgery Cinzia Sala verfasserin aut Gianluca Taccagni verfasserin aut Michela Traglia verfasserin aut Caterina Barbieri verfasserin aut Stefano Ferrari verfasserin aut Massimo Candiani verfasserin aut Paola Panina-Bordignon verfasserin aut Daniela Toniolo verfasserin aut In Frontiers in Surgery Frontiers Media S.A., 2014 4(2017) (DE-627)788288954 (DE-600)2773823-1 2296875X nnns volume:4 year:2017 https://doi.org/10.3389/fsurg.2017.00040 kostenfrei https://doaj.org/article/56fa2ac8446d4f7f8c0177cf2ef3d41a kostenfrei http://journal.frontiersin.org/article/10.3389/fsurg.2017.00040/full kostenfrei https://doaj.org/toc/2296-875X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_2446 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2017 |
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Primordial follicle number decreased with the reduction of AMH levels in both cases and controls (beta = 0.3; P = 0.04).ConclusionAMH is a reliable marker of ovarian reserve in endometriosis patients, and it can predict follicular density in women undergoing ovarian tissue cryopreservation.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">ovarian reserve</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">anti-Müllerian hormone</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">follicle density</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">ovarian tissue cryopreservation</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">fertility preservation</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Surgery</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Cinzia 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Elisabetta Garavaglia misc RD1-811 misc ovarian reserve misc anti-Müllerian hormone misc follicle density misc ovarian tissue cryopreservation misc fertility preservation misc Surgery Fertility Preservation in Endometriosis Patients: Anti-Müllerian Hormone Is a Reliable Marker of the Ovarian Follicle Density |
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RD1-811 Fertility Preservation in Endometriosis Patients: Anti-Müllerian Hormone Is a Reliable Marker of the Ovarian Follicle Density ovarian reserve anti-Müllerian hormone follicle density ovarian tissue cryopreservation fertility preservation |
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fertility preservation in endometriosis patients: anti-müllerian hormone is a reliable marker of the ovarian follicle density |
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Fertility Preservation in Endometriosis Patients: Anti-Müllerian Hormone Is a Reliable Marker of the Ovarian Follicle Density |
abstract |
ObjectiveTo analyze the ovarian reserve via measurement of follicular density and anti-Müllerian hormone (AMH) in endometriosis patients participating to a clinical program of cortical ovarian cryopreservation.DesignRetrospective analysis of serum AMH levels and prospective investigation of ovarian follicle number.SettingUniversity Hospital.Patient(s)Two hundred and two women with endometriosis and 400 controls.Intervention(s)Blood samples and ovarian biopsies.Main outcome measure(s)Correlation of serum AMH levels and the number of non-growing follicles in the biopsied cortical tissues in endometriosis and control subjects, including age, type of AMH kit, and the laboratory performing the analysis as covariates.Result(s)AMH levels were shown to decrease with age in untreated endometriosis patients (P < 1.0 × 10−5) but they were significantly lower in endometriosis compared to controls only in patients over 36 years old (P = 2.7 × 10−4). The AMH decrease was faster in endometriosis compared to controls (beta = 0.27, P = 4.0 × 10−4). Primordial follicle number decreased with the reduction of AMH levels in both cases and controls (beta = 0.3; P = 0.04).ConclusionAMH is a reliable marker of ovarian reserve in endometriosis patients, and it can predict follicular density in women undergoing ovarian tissue cryopreservation. |
abstractGer |
ObjectiveTo analyze the ovarian reserve via measurement of follicular density and anti-Müllerian hormone (AMH) in endometriosis patients participating to a clinical program of cortical ovarian cryopreservation.DesignRetrospective analysis of serum AMH levels and prospective investigation of ovarian follicle number.SettingUniversity Hospital.Patient(s)Two hundred and two women with endometriosis and 400 controls.Intervention(s)Blood samples and ovarian biopsies.Main outcome measure(s)Correlation of serum AMH levels and the number of non-growing follicles in the biopsied cortical tissues in endometriosis and control subjects, including age, type of AMH kit, and the laboratory performing the analysis as covariates.Result(s)AMH levels were shown to decrease with age in untreated endometriosis patients (P < 1.0 × 10−5) but they were significantly lower in endometriosis compared to controls only in patients over 36 years old (P = 2.7 × 10−4). The AMH decrease was faster in endometriosis compared to controls (beta = 0.27, P = 4.0 × 10−4). Primordial follicle number decreased with the reduction of AMH levels in both cases and controls (beta = 0.3; P = 0.04).ConclusionAMH is a reliable marker of ovarian reserve in endometriosis patients, and it can predict follicular density in women undergoing ovarian tissue cryopreservation. |
abstract_unstemmed |
ObjectiveTo analyze the ovarian reserve via measurement of follicular density and anti-Müllerian hormone (AMH) in endometriosis patients participating to a clinical program of cortical ovarian cryopreservation.DesignRetrospective analysis of serum AMH levels and prospective investigation of ovarian follicle number.SettingUniversity Hospital.Patient(s)Two hundred and two women with endometriosis and 400 controls.Intervention(s)Blood samples and ovarian biopsies.Main outcome measure(s)Correlation of serum AMH levels and the number of non-growing follicles in the biopsied cortical tissues in endometriosis and control subjects, including age, type of AMH kit, and the laboratory performing the analysis as covariates.Result(s)AMH levels were shown to decrease with age in untreated endometriosis patients (P < 1.0 × 10−5) but they were significantly lower in endometriosis compared to controls only in patients over 36 years old (P = 2.7 × 10−4). The AMH decrease was faster in endometriosis compared to controls (beta = 0.27, P = 4.0 × 10−4). Primordial follicle number decreased with the reduction of AMH levels in both cases and controls (beta = 0.3; P = 0.04).ConclusionAMH is a reliable marker of ovarian reserve in endometriosis patients, and it can predict follicular density in women undergoing ovarian tissue cryopreservation. |
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title_short |
Fertility Preservation in Endometriosis Patients: Anti-Müllerian Hormone Is a Reliable Marker of the Ovarian Follicle Density |
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