Role of Anti-Mullerian Hormone as a predictor of ovarian function in Assisted Reproductive Techniques

Abstract

Predicting the ovarian reserve and success in ART cycles is necessary in planning the treatment schedules, preventing OHSS and advising the couple. The present study aims to validate the reliability of AMH estimation as predictor of fertility potential of the woman. This is a retrospective analysis of the success of the multiple IVF/ICSI cycles on one hundred women at an Infertility centre, all the protocols, procedures done by the same team. 20 women had high, 23 had low and 57 had normal AMH. All women with normal AMH had good ovarian response; in women with high AMH all woman except one had good ovarian response; all women with low AMH had poor ovarian response. 128 cycles of IVF/ICSI were performed on hundred women, 184 embryo transfers were done with fresh and cryopreserved embryos, with clinical pregnancy in 49 women. In 57women with normal AMH in 76 ART cycles, 123 embryo transfers, 39 clinical pregnancies occurred; in 20 women with high AMH in 28 ART cycles, 44 embryo transfers, 9 had clinical pregnancy; in 23 women with low AMH in 24 ART cycles, 17 embryo transfers, only one became pregnant.