Circulating antimüllerian hormone and steroid hormone levels remain high in pregnant women with polycystic ovary syndrome at term  Terhi T. Piltonen,

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Circulating antimüllerian hormone and steroid hormone levels remain high in pregnant women with polycystic ovary syndrome at term  Terhi T. Piltonen, M.D., Ph.D., Paolo Giacobini, Ph.D., Åsa Edvinsson, M.Sc., Steinar Hustad, Ph.D., Susanne Lager, Ph.D., Laure Morin-Papunen, M.D., Ph.D., Juha S. Tapanainen, M.D., Ph.D., Inger Sundström-Poromaa, M.D., Ph.D., Riikka K. Arffman, Ph.D.  Fertility and Sterility  Volume 111, Issue 3, Pages 588-596.e1 (March 2019) DOI: 10.1016/j.fertnstert.2018.11.028 Copyright © 2018 The Authors Terms and Conditions

Figure 1 (A) Levels of AMH were significantly higher in women with PCOS (n = 25) than in control women (n = 49) at term. (B) AMH levels of women carrying a female fetus (n = 34) were higher than those of women carrying a male fetus (n = 41). The horizontal line in each plot corresponds to the median value. The vertical line represents the 25th–75th percentile range. Comparisons between groups were performed using unpaired nonparametric two-tailed Mann–Whitney U tests. *P<.05; ***P<.001. Fertility and Sterility 2019 111, 588-596.e1DOI: (10.1016/j.fertnstert.2018.11.028) Copyright © 2018 The Authors Terms and Conditions

Figure 2 Differences in levels of AMH, A, T, and E2 between women with PCOS and controls, according to gender of the offspring. The data showed significant differences in AMH and steroid hormone levels, especially in pregnancies with a female fetus. Numbers of subjects in groups for AMH analysis (A): all (PCOS = 25, control = 49), women with a female fetus (PCOS = 8, control = 25), women with a male fetus (PCOS = 17, control = 24). Numbers of subjects in groups for steroid analysis (B–D): all (PCOS = 23, control = 45), women with a female fetus (PCOS = 8, control = 24), women with a male fetus (PCOS = 16, control = 19). The box represents the 25th–75th percentile range and the horizontal line the median. The whiskers represent minimum and maximum values. Differences between groups were determined by using nonparametric Mann–Whitney U tests. *P<.05; **P<.01. Fertility and Sterility 2019 111, 588-596.e1DOI: (10.1016/j.fertnstert.2018.11.028) Copyright © 2018 The Authors Terms and Conditions

Supplemental Figure 1 Maternal age correlated with square-root-transformed AMH levels only in the control group and not in women with PCOS. There was a significant difference between the slopes (studied by analysis of covariance). The correlations between AMH and gestational length were nonsignificant and equal in both groups. PCOS, black circles (●), continuous line; controls, white circles (○), dotted line. Fertility and Sterility 2019 111, 588-596.e1DOI: (10.1016/j.fertnstert.2018.11.028) Copyright © 2018 The Authors Terms and Conditions