Reproductive endocrinology

Age-related Curves of Anti-müllerian Hormone (AMH) Using the Gen II, the picoAMH, and the Elecsys Assays in Women With Polycystic Ovary Syndrome

J Clin Endocrinol MetabPublished Cross-sectional study

Authors' conclusion

To our knowledge, this is the first study reporting age-specific percentile nomograms of serum AMH levels measured by the Gen II, the picoAMH, and the Elecsys assays in a large population of women with PCOS. These findings may help to interpret AMH levels in patients with PCOS and facilitate the use of AMH as a diagnostic tool across age ranges.

Study context

Population
Women aged 20 to 40 years with PCOS
Participants
2,725 women
Exposure
AMH measured by Gen II vs picoAMH vs Elecsys assays
Outcome
Age-specific percentile curves of AMH for all assays and correlations between AMH, clinical, hormonal and US characteristics
Methodological detailsretrospective
  • Retrospective

Main finding

As reported in the abstract

Age-specific percentile nomograms of AMH
  • Age-related nomograms for the 5th, 10th, 25th, 50th, 75th, 90th and 95th AMH percentiles calculated with the Lambda-Mu-Sigma method for all assays
  • AMH levels significantly different between PCOS phenotypes
  • AMH positively correlated with LH, LH/FSH ratio, testosterone, androstenedione, free androgen index, mean follicular number and mean ovarian volume

Observational data: associations, not effects.

Original publication

Age-related Curves of AMH Using the Gen II, the picoAMH, and the Elecsys Assays in Women With Polycystic Ovary Syndrome. J Clin Endocrinol Metab. Published 15 March 2024. doi:10.1210/clinem/dgae153

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