Comparison between the levels of anti mullerian hormone after treatment with clomid versus letrozole in polycystic women: an experimental study.

IF 0.8 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL Journal of the Pakistan Medical Association Pub Date : 2024-10-01 DOI:10.47391/JPMA-BAGH-16-21
Manal Madany Abdel Qader, Shatha Sami Hussein, Huda Fadhil Jadi
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Abstract

Objective: To compare the effect of two ovulation induction drugs on anti-Mullerian hormone level in polycystic women.

Methods: The experimental cohort study was done at the infertility outpatient clinics of Al-Yarmouk Teaching Hospital, Baghdad, Iraq, from May 2020 to April 2021, and comprised infertile women aged 18-35 years with confirmed diagnosis of polycystic ovarian syndrome. Baseline blood level of anti-Mullerian hormone was tested in all patients. The patients were divided into two groups. Group A patients received clomid 50mg twice daily to a maximum of 200mg for 5 days starting from the third day of the menstrual cycle. Group B patients received letrozole 2.5mg twice daily for 5 days starting from the third day of the menstrual cycle. After ovulation induction on day 12- 14, a second sample of serum anti-Mullerian hormone was tested, and intergroup comparisons were done. Data were analysed by using the available statistical package of SPSS-28 (Statistical Packages for Social Sciences- version 28). Students-t-test , Paired-t-test , Pearson correlation , t-test or ANOVA test Statistical significance was considered for P value equal or less than 0.05.

Results: Of the 83 women, 41(49.4%) were in Group A with mean age 26.0±4.9 years, while Group B had 42(50.6%) subjects with mean age 27.0±5.1 years. Post-intervention, the level of anti-Mullerian hormone decreased significantly in both groups (p<0.05). The decrease in Group B was more than Group A, but the difference was not significant (p>0.05).

Conclusions: Ovulation induction drugs clomid and leterzole decreased the level of anti-Mullerian hormone significantly.

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多囊妇女使用克罗米蒂与来曲唑治疗后抗苗勒氏管激素水平的比较:一项实验研究。
目的:比较两种促排卵药物对多囊妇女抗穆勒氏管激素水平的影响:比较两种促排卵药物对多囊妇女抗穆勒氏管激素水平的影响:实验队列研究于 2020 年 5 月至 2021 年 4 月在伊拉克巴格达 Al-Yarmouk 教学医院不孕不育门诊进行,研究对象为年龄在 18-35 岁之间、确诊为多囊卵巢综合征的不孕女性。所有患者均接受了抗穆勒氏管激素血液基线水平检测。患者被分为两组。A 组患者在月经周期的第三天开始服用克罗米诺,每次 50 毫克,每天两次,最多 200 毫克,连续服用 5 天;B 组患者在月经周期的第四天开始服用来曲唑,每次 50 毫克,每天两次,最多 200 毫克,连续服用 5 天。B 组患者从月经周期的第三天开始服用来曲唑 2.5 毫克,每天两次,连续服用 5 天。在第 12-14 天诱导排卵后,检测第二次血清抗穆勒氏管激素样本,并进行组间比较。数据分析采用现有的 SPSS-28 统计软件包(社会科学统计软件包 28 版)。统计意义以 P 值等于或小于 0.05 为准:在83名妇女中,A组41人(49.4%),平均年龄(26.0±4.9)岁;B组42人(50.6%),平均年龄(27.0±5.1)岁。干预后,两组的抗穆勒氏管激素水平均明显下降(P0.05):结论:促排卵药物克罗米德和来曲唑能明显降低抗穆勒氏管激素水平。
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来源期刊
CiteScore
1.10
自引率
11.10%
发文量
983
审稿时长
3-6 weeks
期刊介绍: Primarily being a medical journal, JPMA publishes scholarly research focusing on the various fields in the areas of health and medical education. It publishes original research describing recent advances in health particularly clinical studies, clinical trials, assessments of pathogens of diagnostic importance, medical genetics and epidemiological studies. Review articles highlighting importance of various issues in the domain of public health, drug research and medical education are also accepted. As a leading journal of South Asia, JPMA remains cognizant of the recent advances in the rapidly growing fields of biomedical sciences, it invites and encourages scholars to write short reviews and invited editorials on the emerging issues. We particularly aim to promote health standards of developing countries by encouraging manuscript submissions on issues affecting the public health and health delivery services.
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