Correlation of Anti Mullerian Hormone and Antral Follicular Count in Ovarian Reserve Testing

Abstract

Background: Ovarian reserve defines a woman’s reproductive ability and the number and quality of oocytes she possesses. It is a complex clinical state dependent on age, genetics, and environmental issues. It can reflect women’s endocrine function and fertility which may gradually decrease with increasing age. Methods: This study was a cross-sectional study conducted at the out-patient department of Obstetrics and Gynae, in Enam Medical College Hospital, Savar and a local private hospital at Savar. The study was conducted during the period of July 2019-December 2019. The sample size for this study was 120. Result: The most respondent 44 (36.7%) were in between 35-40 years. The mean ± SD of BMI was 26.61 ± 1.96 and followed by duration of infertility (years) was 3.75 ± 1.64, total ovarian volume (ml) was 7.66 ± 1.32. Tubal factor was found in 27 (21.7%) cases and followed by male factor was in 24 (20%), PCOS was in 20 (16.7%), endometriosis was in 6 (5%), unexplained infertility was in 22 (18.3%). In low group AFC (mean ± SD) was 07.15 ± 4.82 where AMH (mean ± SD) was 6.66 ± 5.34 and followed by normal was 09.38 ± 3.59 and 9.48 ± 3.91and high was 15.45 ± 5.46 and 16.08 ± 5.23. There was no significance correlation found in these two predictors. Conclusion: AMH is considered as most reliable investigation for ovarian reserve testing. Serum AMH level has strong correlation with comparatively low cost Antral follicular count. Antral follicular count can be done in poor patients for ovarian reserve test.