title: The effect of different hormone therapies on anti-müllerian hormone serum levels in anovulatory women of reproductive age.
abstract: OBJECTIVE
  To investigate the effect of oral contraceptives (OC), metformin and ovulation induction with gonadotropins on circulating anti-müllerian hormone (AMH).
  
  
  METHODS
  Prospective clinical study.
  
  
  METHODS
  Thirty patients with PCOS (Group 1), 15 normogonadotropic anovulatory infertile women (WHO 2) (Group 2) and 15 normoovulatory control women (Group 3). Patients in Group 1 received OC (n = 12), metformin (n = 11) or no-treatment (n = 7) for 6 months. Ovulation induction with FSH or hMG was used in Group 2.
  
  
  METHODS
  Total follicle number (TFN) and hormonal (fasting insulin and glucose, testosterone, SHBG, LH, androstenedione and AMH) measurements at baseline and during therapy.
  
  
  RESULTS
  Basal AMH and TFN were higher in Groups 1 and 2 than in controls. Only TFN was significantly related to AMH level in Groups 1 and 2. AMH level was significantly reduced during OC treatment, and there was a trend for AMH decrease during metformin therapy. No significant changes in AMH level were observed during ovulation induction. TFN was the only parameter showing a significant positive correlation with circulating AMH over the 6-month treatment period in patients in Group 2.
  
  
  CONCLUSIONS
  AMH is an accurate marker of the antral follicle pool in WHO-2/PCOS women but the measurement of AMH is not likely to be helpful in the management of those patients.
authors.affiliation: Institut Clínic of Gynecology, Obstetrics and Neonatology, Faculty of Medicine, University of Barcelona, Spain.
authors.forename: Francisco
authors.initials: F
authors.lastname: Fábregues
authors.forename: Camil
authors.initials: C
authors.lastname: Castelo-Branco
authors.forename: Francisco
authors.initials: F
authors.lastname: Carmona
authors.forename: Marta
authors.initials: M
authors.lastname: Guimerá
authors.forename: Roser
authors.initials: R
authors.lastname: Casamitjana
authors.forename: Juan
authors.initials: J
authors.lastname: Balasch
mesh_terms: D000328:Adult; D000858:Anovulation / Q000097:blood* / Q000188:drug therapy; D054304:Anti-Mullerian Hormone / Q000097:blood*; D015415:Biomarkers / Q000097:blood; D003276:Contraceptives, Oral / Q000627:therapeutic use; D005260:Female; D006062:Gonadotropins / Q000627:therapeutic use; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D008687:Metformin / Q000627:therapeutic use; D010062:Ovulation Induction / Q000379:methods; D011085:Polycystic Ovary Syndrome / Q000097:blood* / Q000188:drug therapy; D011446:Prospective Studies
chemical_list: D015415:Biomarkers; D003276:Contraceptives, Oral; D006062:Gonadotropins; D007004:Hypoglycemic Agents; D054304:Anti-Mullerian Hormone; D008687:Metformin