title: Anti-mullerian hormone deficiency in girls with congenital multiple pituitary hormone deficiency.
abstract: BACKGROUND
  Anti-Mullerian hormone (AMH) is believed to validly reflect the ovarian reserve. We wanted to test whether congenital absence of gonadotropin stimulation of the ovaries affects AMH production.
  
  
  OBJECTIVE
  The objective of the study was to test the validity of AMH as a marker for the ovarian reserve in females with congenital multiple pituitary hormone deficiency (MPHD; deficiency of three or more axes).
  
  
  METHODS
  This was a retrospective laboratory study.
  
  
  METHODS
  The study was conducted in the Department of Pediatric Endocrinology in a tertiary center.
  
  
  METHODS
  The AMH serum levels were assessed in females with congenital (n = 16; median age 12.5 y, range 0.7-31 y) or acquired (n = 20; 18.5 y, range 2-33 y) MPHD and in controls with short stature (n = 100; 9.7 y, range 2-17 y).
  
  
  METHODS
  AMH was measured by AMH Gen II ELISA from Beckmann Coulter.
  
  
  RESULTS
  In the controls, AMH ranged between 1.8 (P3) and 67.8 pmol/L (P97). Three patients with a severe form of congenital MPHD were AMH deficient, whereas the other 33 patients with MPHD had normal AMH levels. There was significantly more AMH deficiency in congenital than in acquired MPHD (P < .05).
  
  
  CONCLUSIONS
  Most girls with MPHD have normal serum AMH levels. However, some females with severe congenital MPHD are AMH deficient. This deficiency might be the result of the total absence of gonadotropins. In these females, AMH is unlikely to be an accurate prognostic parameter of the efficacy of fertility treatment.
authors.affiliation: Department of Pediatric Endocrinology (B.D., K.W., R.S., G.B.), University Children's Hospital Tübingen, and Department of Gynecological Endocrinology and Reproductive Medicine (B.L.), University Women's Hospital, 72076 Tübingen, Germany (now FakihIVF, Abu Dhabi, United Arab Emirates).
authors.forename: Beate
authors.initials: B
authors.lastname: Deubzer
authors.forename: Karin
authors.initials: K
authors.lastname: Weber
authors.forename: Barbara
authors.initials: B
authors.lastname: Lawrenz
authors.forename: Roland
authors.initials: R
authors.lastname: Schweizer
authors.forename: Gerhard
authors.initials: G
authors.lastname: Binder
mesh_terms: D000293:Adolescent; D000328:Adult; D054304:Anti-Mullerian Hormone / Q000097:blood* / Q000172:deficiency*; D016022:Case-Control Studies; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007018:Hypopituitarism / Q000097:blood* / Q000151:congenital*; D007223:Infant; D010053:Ovary / Q000473:pathology; D010907:Pituitary Hormones / Q000097:blood / Q000172:deficiency*; D012189:Retrospective Studies; D055815:Young Adult
chemical_list: D010907:Pituitary Hormones; D054304:Anti-Mullerian Hormone