title: Evaluation of Ovarian Reserve with Anti-Müllerian Hormone in Familial Mediterranean Fever.
abstract: Objective. To investigate ovarian reserves in attack-free familial Mediterranean fever (AF-FMF) patients at the reproductive age by anti-Müllerian hormone (AMH), antral follicle count (AFC), ovarian volume, and hormonal parameters. Methods. Thirty-three AF-FMF patients aging 18-45 years and 34 healthy women were enrolled and FSH, LH, E2, PRL, and AMH levels were measured in the morning blood samples at 2nd-4th days of menstruation by ELISA. Concomitant pelvic ultrasonography was performed to calculate AFC and ovarian volumes. Results. In FMF patient group, median AMH levels were statistically significantly lower in the M69V mutation positive group than in the negative ones (P = 0.018). There was no statistically significant difference in median AMH levels between E148Q mutation positive patients and the negative ones (P = 0.920). There was also no statistically significant difference in median AMH levels between M680I mutation positive patients and the negative ones (P = 0.868). No statistically significant difference was observed in median AMH levels between patients who had at least one mutation and those with no mutations (P = 0.868). We realized that there was no difference in comparisons between ovarian volumes, number of follicles, and AMH levels ovarian reserves when compared with FMF patients and healthy individuals. Conclusions. Ovarian reserves of FMF pateints were similar to those of healthy subjects according to AMH. However, AMH levels were lower in FMF patients with M694V mutation.
authors.affiliation: Department of Internal Medicine, Rheumatology, Cumhuriyet University Faculty of Medicine, 58140 Sivas, Turkey.
authors.forename: Ali
authors.initials: A
authors.lastname: Şahin
authors.affiliation: Department of Obstetrics and Gynecology, Cumhuriyet University Faculty of Medicine, Sivas, Turkey.
authors.forename: Savaş
authors.initials: S
authors.lastname: Karakuş
authors.affiliation: Department of Physical Medicine and Rehabilitation, Rheumatology, Cumhuriyet University Faculty of Medicine, Sivas, Turkey.
authors.forename: Yunus
authors.initials: Y
authors.lastname: Durmaz
authors.affiliation: Department of Obstetrics and Gynecology, Cumhuriyet University Faculty of Medicine, Sivas, Turkey.
authors.forename: Çağlar
authors.initials: Ç
authors.lastname: Yıldız
authors.affiliation: Department of Biochemistry, Cumhuriyet University Faculty of Medicine, Sivas, Turkey.
authors.forename: Hüseyin
authors.initials: H
authors.lastname: Aydın
authors.affiliation: Department of Physical Medicine and Rehabilitation, Rheumatology, Cumhuriyet University Faculty of Medicine, Sivas, Turkey.
authors.forename: Ahmet Kıvanç
authors.initials: AK
authors.lastname: Cengiz
authors.affiliation: Department of Biochemistry, Cumhuriyet University Faculty of Medicine, Sivas, Turkey.
authors.forename: Duygu
authors.initials: D
authors.lastname: Güler