High Anti-Müllerian Hormone Strongly Correlates with Reproductive Outcomes in Women Undergoing Assisted Reproduction
This study found that high anti-Müllerian hormone levels strongly correlate with improved outcomes in women undergoing assisted reproduction, regardless of age or infertility cause.
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This retrospective cohort study evaluated 881 women aged 20–45 with gynecologic or unexplained infertility who underwent their first fresh autologous ART cycle (2012–2020) without preimplantation genetic diagnosis, examining how serum anti-Müllerian hormone (AMH) relates to reproductive outcomes across infertility causes that included endometriosis. The authors found that higher AMH was strongly associated with better outcomes independent of age and infertility cause, including more oocytes, more mature (MII) oocytes, more good-quality embryos, higher chemical and clinical pregnancy rates, and a higher live birth rate in the reported analyses. The paper’s major caveat is that AMH should not be used as the only predictive marker, and it calls for larger studies to define specific AMH cutoff values for accurate prediction. Relevance to endometriosis: the study included women with endometriosis among infertility causes and reports that the AMH–outcome correlations held independent of the cause of infertility, which encompasses endometriosis.
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