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Adv Biomed Res. 2015 Mar 25;4:76. doi: 10.4103/2277-9175.153903. eCollection 2015.

Evaluation of relationship between serum levels of anti-müllerian hormone, androgen, and insulin resistant with retrieval oocytes in overweight patients with polycystic ovary syndrome.

Author information

1
Women's Reproductive Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran ; Research Center for Biochemistry and Nutrition In Metabolic Diseases, Kashan University of Medical Sciences, Kashan, Iran.
2
Department of Biochemistry and Clinical Laboratories, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
3
Women's Reproductive Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
4
Department of Biochemistry and Clinical Laboratories, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran ; Student's Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
5
Research Center for Pharmaceutical Nanotechnology, Research and Development Complex, Tabriz University of Medical Sciences, Tabriz, Iran.
6
Hematology and Oncology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
7
Women's Reproductive Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran ; Department of Biochemistry and Clinical Laboratories, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

Abstract

BACKGROUND:

This study aimed to find a correlation between increased body mass index (BMI), insulin resistance (IR), hyperandrogenism, and anti-mullerian hormone (AMH) serum levels with the number of follicles retrieved in polycystic ovary syndrome (PCOS) patients.

MATERIALS AND METHODS:

The descriptive study was taken on 80 women with average ages of 20-35 years at Alzahra Hospital of Tabriz-Iran who referred for in vitro fertilization. Patients were divided into four groups and serum levels of AMH, testosterone and IR were evaluated at the puncture time.

RESULTS:

The mean number of follicle retrieved was higher in PCOS (P < 0.05) group than non-PCOS patients. There was a negative significant correlation of follicle number with BMI (r = -0.26, P < 0.05). The ratio of follicle numbers in PCOS/overweight group decreased in comparison to PCOS/normal weight group (-30%, P < 0.05) while the follicle numbers in non-PCOS/overweight patients decreased in comparison with non-PCOS/normal weight (-26%, P > 0.05). There was a significant negative association between BMI with AMH (r = -0.59, P < 0.05), BMI with the follicle numbers (r = -0.2, P < 0.05) and a positive association BMI with -IR (r = 0.3, P < 0.05), but there wasn't a significant correlation between BMI with testosterone (r = 0.1, P < 0.5).

CONCLUSION:

Our finding provides that increasing BMI with direct effect on AMH levels and IR can affect the number of follicles, which are retrieved in these patients.

KEYWORDS:

Anti-mullerian hormone; follicles retrieved; insulin resistance; polycystic ovary syndrome; testosterone

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