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Related Concept Videos

Oogenesis02:07

Oogenesis

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In human women, oogenesis produces one mature egg cell or ovum for every precursor cell that enters meiosis. This process differs in two unique ways from the equivalent procedure of spermatogenesis in males. First, meiotic divisions during oogenesis are asymmetric, meaning that a large oocyte (containing most of the cytoplasm) and minor polar body are produced as a result of meiosis I, and again following meiosis II. Since only oocytes will go on to form embryos if fertilized, this unequal...
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Decrease in serum anti-Müllerian hormone level per puncture with laparoscopic ovarian drilling using ultrasonically

Shuichi Ogawa1, Yusuke Atsuki1, Kazuhiko Shimada1

  • 1Institution of Central Clinic Shimotsuke-shi Japan.

Reproductive Medicine and Biology
|October 14, 2021
PubMed
Summary

Laparoscopic ovarian drilling (LOD) decreases anti-Müllerian hormone (AMH) levels in women with PCOS. The reduction in AMH is influenced by initial AMH levels and body mass index (BMI).

Keywords:
anti‐Müllerian hormone (AMH)body mass index (BMI)laparoscopic ovarian drilling (LOD)polycystic ovary syndrome (PCOS)ultrasonically activated device

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Area of Science:

  • Reproductive Endocrinology
  • Minimally Invasive Surgery
  • Infertility Treatment

Background:

  • Polycystic Ovary Syndrome (PCOS) is a common cause of infertility.
  • Laparoscopic ovarian drilling (LOD) is a surgical treatment for PCOS-induced infertility.
  • Serum anti-Müllerian hormone (AMH) levels are often elevated in PCOS and decrease after LOD.

Purpose of the Study:

  • To investigate factors influencing the decrease in serum AMH levels after LOD in PCOS patients.
  • To determine the relationship between preoperative AMH levels, BMI, and AMH reduction post-LOD.

Main Methods:

  • Retrospective analysis of 60 PCOS patients undergoing LOD between 2014 and 2018.
  • Evaluation of serum AMH levels before and after LOD.
  • Correlation analysis with preoperative AMH and Body Mass Index (BMI).

Main Results:

  • A mean decrease of 0.07 ng/ml in serum AMH per puncture was observed.
  • Higher preoperative AMH levels (≥10 ng/ml) showed a greater AMH decrease per puncture (0.08 ng/ml) compared to lower levels (<10 ng/ml; 0.05 ng/ml).
  • Patients with lower BMI (<18.5 kg/m²) experienced a more significant AMH reduction per puncture (0.10 ng/ml) than those with normal (18.5-25 kg/m²) or higher BMI (>25 kg/m²).

Conclusions:

  • The extent of AMH decrease following LOD is dependent on the patient's baseline serum AMH level.
  • Patient BMI is a significant factor influencing AMH reduction after LOD.
  • These findings aid in predicting and managing AMH level changes in PCOS infertility treatment.