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Abstract

BACKGROUND:Anti-mullerian hormone level reflects the ovarian follicular reserve and considered as sensitive marker of ovarian aging. Although the ultimate pathogenesis of polycystic ovary syndrom remains obscure,             the distinictive feature is a failure of follicular maturation resulting in anovulation and accumulation of pre-antral and small antral follicles which contribute significantly to the production of anti-mullerian hormone.OBJECTIVE:To evaluate the anti-mullerian hormone levels in polycystic ovary syndrome women and to explore its relation with body mass index.STUDY DESIGN:  Cross section study.Setting: Department of Gynecology and Obstetrics at Al-Elwiya Maternity Teaching Hospital.MATERIALS AND METHODS:  One hunderd women suffering from polycystic ovary syndrom  (18-37 years old) were included in                   the study and arranged in three groups according to their body mass index: first group, 30 of them, were having normal body weight (body mass index 18.5 to 24.9kg/m2) and second group, 59 participants with body mass index 25 to 29.9kg/m2 and third group, 11 women, their body mass index ≥ 30kg/m2.                  Blood sample was collected from them after taking a detailed history and assessment according to                the questioner form and the results were compared among the groups.RESULTS: Increase in body mass index is found to be accompanied with  decrease in anti-mullerian hormone levels (P <0.05), with mean anti-mullerian hormone level significantly decreases as body mass shifts up from normal to overweight to obesity (8.5, 6.4 & 4.4 ng/mL respectively) (P <0.05). Anti-mullerian hormone level did not significantly correlate with  age of those women (P >0.05).CONCLUSION:An inverse correlation had been found between anti-mullerian hormone levels and body mass index in women with polycystic ovary syndrome. 

DOI

10.52573/ipmj.2023.182305

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