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Hum. Reprod. Advance Access published online on August 21, 2006

Human Reproduction, doi:10.1093/humrep/del291
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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 May 17, 2006
Revised June 16, 2006
Accepted June 27, 2006

Article

Serum anti-Mullerian hormone throughout the human menstrual cycle

A. La Marca 1 *, G. Stabile 2, A. Carducci Artenisio 2, and A. Volpe 1

1 Mother-Infant Department, Institute of Obstetrics and Gynecology, University of Modena and Reggio Emilia, Modena, Italy
2 Department of Medicine and Pharmacology, University of Messina, Messina, Italy

* To whom correspondence should be addressed.
A. La Marca, E-mail: antlamarca{at}libero.it


   Abstract

BACKGROUND: The anti-Mullerian hormone (AMH) is a member of the transforming growth factor (TGF) superfamily. In women, AMH serum levels can be almost undetectable at birth, with a subtle increase noted after puberty. Data are lacking with regard to menstrual cycle day-to-day fluctuations. This longitudinal study was designed to investigate the pattern of secretion of AMH throughout the menstrual cycle in regularly cycling women. METHODS: Twelve healthy female subjects aged 18-24 years participated in this study. Blood samples were taken every other day throughout one menstrual cycle. Serum FSH, LH, estradiol (E2), progesterone, inhibin B and AMH levels were assayed by double-antibody radioimmunoassay using commercial kits. RESULTS: Serum AMH in the first days of the menstrual cycle (days -14 to -12) was 3.8 ± 1.2 ng/ml (mean ± SD). No significant changes were observed in serum AMH levels throughout the menstrual cycle. The highest value was 3.9 ± 1.3 ng/ml at day -12 and the lowest value was 3.4 ± 1.1 ng/ml at day 14, and the difference was not significant. CONCLUSION: In this study, we demonstrated that serum AMH levels do not change significantly throughout the menstrual cycle. Hence, AMH exhibits a relatively stable expression during the menstrual cycle, making it an attractive determinant of ovarian activity.

Keywords: anti-Mullerian hormone/gonadotrophins/inhibin B/physiological menstrual cycle/sex steroids.
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