Value of Sex Hormones,Anti-mullerian Hormone Combined with Ultrasound in the Evaluation of Ovarian Reserve Function in Infertile Women
Objective:To explore the value of sex hormones,anti-mullerian hormone(AMH)combined with ultrasound in the evaluation of ovarian reserve function in infertile women.Methods:A retrospective analysis was made on 91 infertile women in the hospital from May 2020 to June 2022.According to the number of oocytes retrieved,they were divided into 54 patients with normal ovarian response(＞5 oocytes retrieved)and 37 patients with low ovarian response(≤5 oocytes retrieved).At the same time,65 healthy women who underwent physical examination in the hospital were selected as the healthy control group.The basic sex hormones,mean ovarian volume(OV),mean sinus follicle count(AFC)and anti AMH were compared among the three groups.Different methods(basic sex hormone,AMH,ultrasound and their combination)were compared to assess the decline of ovarian reserve function.Results:The levels of bFSH,bFSH/LH and E2 in normal ovarian response group and low ovarian response group were higher than those in healthy control group(F=195.426,186.438,228.218;P＜0.05).OV,AFC and AMH in normal ovarian response group and low ovarian response group were lower than those in control group,and those in low ovarian response group were lower than those in normal ovarian response group.The difference was statistically significant(F=279.649,732.767,99.424;P＜0.05).The sensitivity(94.58％),specificity(92.59％)and accuracy(93.41％)of the combination of the three methods were higher than those of the other three methods,and the difference was statistically significant(x2=8.706,9.103,17.690;P＜0.05).Conclusion:The basic sex hormones of infertile women are higher than those of normal people.OV,AFC and AMH are lower than those of normal people.The levels of sex hormone,AMH and transvaginal three-dimensional ultrasound can effectively evaluate the ovarian reserve function of infertile women.
Sex hormoneAnti Mullerian hormone levelUtrasoundInfertilityOvarian reserve function
万方数据
维普
