Antimüllerian hormone in gonadotropin releasing-hormone antagonist cycles: prediction of ovarian response and cumulative treatment outcome in good-prognosis.

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Presentation transcript:

Antimüllerian hormone in gonadotropin releasing-hormone antagonist cycles: prediction of ovarian response and cumulative treatment outcome in good-prognosis patients  Joan-Carles Arce, M.D., Ph.D., Antonio La Marca, M.D., Ph.D., Bjarke Mirner Klein, Ph.D., Anders Nyboe Andersen, M.D., Richard Fleming, Ph.D.  Fertility and Sterility  Volume 99, Issue 6, Pages 1644-1653.e1 (May 2013) DOI: 10.1016/j.fertnstert.2012.12.048 Copyright © 2013 American Society for Reproductive Medicine Terms and Conditions

Figure 1 Box and whisker plots for antimüllerian hormone (AMH), follicle-stimulating hormone (FSH), inhibin B, and antral follicle count (AFC) at start of stimulation in patients with various numbers of oocytes retrieved after stimulation with highly purified human menopausal gonadotropin (hphMG) or recombinant FSH in a gonadotropin-releasing hormone (GnRH) antagonist protocol. Values are median (lines), 25th–75th percentile (boxes), and 10th–90th percentile (whiskers). hphMG: ≤3 (n = 47), 4–7 (n = 124), 8–14 (n = 145), 15–19 (n = 38), ≥ 20 (n = 18); recombinant FSH: ≤3 (n = 25), 4–7 (n = 112), 8–14 (n = 147), 15–19 (n = 55), ≥ 20 (n = 30). Fertility and Sterility 2013 99, 1644-1653.e1DOI: (10.1016/j.fertnstert.2012.12.048) Copyright © 2013 American Society for Reproductive Medicine Terms and Conditions

Figure 2 Receiver operating characteristic (ROC) curve analysis showing the predictive values of antimüllerian (AMH), follicle-stimulating hormone (FSH), inhibin B, and antral follicle count (AFC) at start of stimulation for estimation of poor ovarian response (≤3 oocytes retrieved or cycle cancellation due to poor response) and high response (≥15 oocytes retrieved or cycle cancellation due to excessive response), respectively, after controlled ovarian stimulation in patients treated with highly purified human menopausal gonadotropin (hphMG) or recombinant FSH in a gonadotropin-releasing hormone (GnRH) antagonist protocol. The diagonal line is the reference line of no discrimination (area under the curve = 0.5). Fertility and Sterility 2013 99, 1644-1653.e1DOI: (10.1016/j.fertnstert.2012.12.048) Copyright © 2013 American Society for Reproductive Medicine Terms and Conditions