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Hum. Reprod. Advance Access published online on May 5, 2006

Human Reproduction, doi:10.1093/humrep/del127
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© The Author 2006. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
Received February 17, 2006
Revised March 21, 2006
Accepted March 28, 2006

Article

Basal level of anti-Müllerian hormone is associated with oocyte quality in stimulated cycles

T. Ebner 1 *, M. Sommergruber 1, M. Moser 1, O. Shebl 1, E. Schreier-Lechner 2, and G. Tews 1

1 IVF-Unit, Landes- Frauen- und Kinderklinik, Linz, Austria
2 Department of Laboratory Medicine, Landes- Frauen- und Kinderklinik, Linz, Austria

* To whom correspondence should be addressed.
T. Ebner, E-mail: thomas.ebner{at}gespag.at


   Abstract

BACKGROUND: Serum anti-Müllerian hormone (AMH) levels provide a powerful means for predicting ovarian response, which is reflected not only by the size of the primordial follicle pool but also by the quality of the oocytes. Considering a mutual interdependence between AMH-expressing somatic cells and gametes, this prospective morphological study was set up to evaluate whether extreme AMH levels represent diminished oocyte quality and developmental incompetence. METHODS: A total of 141 consecutive ICSI patients were subdivided into three groups using the 25th and 75th percentiles of the serum AMH levels (cycle day 3). In these three groups, morphology of all oocytes and fertilization rate, embryo quality and blastocyst formation were evaluated, and FSH, LH and estradiol (E2) levels were also measured. RESULTS: Cycle cancellation rate was correlated with AMH levels (P < 0.05). AMH groups 1 (<1.66 ng/ml) and 3 (>4.52 ng/ml) showed oocytes of lower quality [dark central granulation, aggregation of smooth endoplasmic reticulum (sER)] compared with the median group 2 (1.66-4.52 ng/ml). Basal serum FSH did not allow for adequate prognosis in terms of gamete appearance. Fertilization and further cleavage up to blastocyst stage was not affected by AMH levels. CONCLUSIONS: AMH seems to be superior to FSH in predicting both oocyte number and quality.

Keywords: AMH/central granulation/cycle cancellation/FSH/oocyte quality.
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