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Cited by 339

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Anti-Mullerian hormone-based approach to controlled ovarian stimulation for assisted conception

Nelson, S. M., Yates, R. W., Lyall, H., Jamieson, M., Traynor, I., Gaudoin, M., Mitchell, P., Ambrose, P., Fleming, R.·2008·Human Reproduction

Abstract

BACKGROUND: Individualization of controlled ovarian stimulation (COS) for assisted conception is complicated by variable ovarian response to follicle stimulating hormone. We hypothesized that anti-Müllerian hormone (AMH), a predictor of oocyte yield, may facilitate treatment strategies for women undergoing COS, to optimize safety and clinical pregnancy rates. METHODS: Prospective cohort study of 538 patients in two centres with differential COS strategies based on a centralized AMH measurement. RESULTS: AMH was associated with oocyte yield after ovarian stimulation in both centres, and a 'reduced' AMH (1 to <5 pmol/l) was associated with a reduced clinical pregnancy rate. Women with a 'normal' AMH (5 to <15 pmol/l) treated with a long GnRH-agonist protocol (both centres) showed a low incidence of excess response (0%) and poor response (0%). In women with 'high' AMH (>15 pmol/l), the antagonist protocol eliminated the need for complete cryopreservation of embryos due to excess response (P < 0.001) and showed a higher fresh cycle clinical pregnancy rate than agonist cycles [OR 4.40 (95% CI 1.95-9.93), P < 0.001]. CONCLUSIONS: The use of circulating AMH to individualize treatment strategies for COS may result in reduced clinical risk, optimized treatment burden and maintained pregnancy rates, and is worthy of prospective randomized examination.

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Metadata

Authors
Nelson, S. M., Yates, R. W., Lyall, H., Jamieson, M., Traynor, I., Gaudoin, M., Mitchell, P., Ambrose, P., & Fleming, R.
Venue
Human Reproduction
Published
2008-12-26
Volume
24
Issue
4
Pages
867-875
ISSN
  • 0268-1161 (ISSN-L)
  • 1460-2350
OpenAlex
W2161729104
Cited by
339
References
24
FWCI
23.09
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Anti-Mullerian hormone-based approach to controlled ovarian stimulation for assisted conception. https://app.cochat.ai/papers/10.1093/humrep/den480
The paper
Nelson, S. M., Yates, R. W., Lyall, H., Jamieson, M., Traynor, I., Gaudoin, M., Mitchell, P., Ambrose, P., & Fleming, R. (2008). Anti-Mullerian hormone-based approach to controlled ovarian stimulation for assisted conception. Human Reproduction. https://doi.org/10.1093/humrep/den480

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