title: Comparison of Specificity and Sensitivity of AMH and FSH in Diagnosis of Premature Ovarian Failure.
abstract: BACKGROUND
  Anti-Müllerian hormone represents the primitive follicular number and ovarian age. Low level of AMH is in relation to early menopausal state and decreased ovarian reserve. AMH level changes occur prior to FSH level in representing ovarian failure. The aim of this study is to compare sensitivity and specificity of AMH with FSH in diagnosis of POF.
  
  
  METHODS
  This descriptive study is done on 96 patients referred to Dr. Rasekh Clinic. Serum level of AMH and FSH was measured at Day 3 (3rd day of menstrual cycle) and data were analyzed through SPSS 21 software.
  
  
  RESULTS
  Results of AMH and FSH serum level indicate that AMH has more sensitivity (80% versus 28.57%) and almost equal specificity (78.89% versus 78.65%) compared with FSH. Also negative predictive value of AMH (98.61%) and FSH (87.5%) is different. But positive predictive value is the same (17.39%). Diagnostic accuracy of AMH is more than FSH and has significant differences.
  
  
  CONCLUSIONS
  According to the results of this study, AMH serum level is more sensitive than FSH serum level. Also AMH has more negative predictive value. Besides, this hormone can be measured at any time of menstrual cycle, against FSH. AMH seems to be more useful in early diagnosis of POF.
authors.affiliation: Student Research Committee of Jahrom University of Medical Sciences, Jahrom, Iran.
authors.forename: Farzaneh
authors.initials: F
authors.lastname: Alipour
authors.affiliation: Jahrom University of Medical Sciences, Jahrom, Iran.
authors.forename: Athar
authors.initials: A
authors.lastname: Rasekhjahromi
authors.affiliation: Student Research Committee of Jahrom University of Medical Sciences, Jahrom, Iran.
authors.forename: Mehrnoosh
authors.initials: M
authors.lastname: Maalhagh
authors.affiliation: Department of Community Health Nurse, Jahrom University of Medical Sciences, Jahrom, Iran.
authors.forename: Saeid
authors.initials: S
authors.lastname: Sobhanian
authors.affiliation: Student Research Committee of Jahrom University of Medical Sciences, Jahrom, Iran.
authors.forename: Masoumeh
authors.initials: M
authors.lastname: Hosseinpoor
mesh_terms: D000328:Adult; D054304:Anti-Mullerian Hormone / Q000097:blood*; D005260:Female; D005640:Follicle Stimulating Hormone / Q000097:blood*; D006801:Humans; D008598:Menstruation; D011237:Predictive Value of Tests; D016649:Primary Ovarian Insufficiency / Q000175:diagnosis*; D012680:Sensitivity and Specificity; D055815:Young Adult
chemical_list: D054304:Anti-Mullerian Hormone; D005640:Follicle Stimulating Hormone