APPLICATION OF ANTI-MULLERIAN HORMONE AND ESTRADIOL IN PREDICTION OF OVARIAN HYPERSTIMULATION SYNDROME. A NEW APPROACH.


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Volume :

4

Issue :

3

Abstract :

Background and Objective: Ovarian Hyperstimulation Syndrome (OHSS) is the most common iatrogenic and potentially lethal adverse effect of ovarian induction in Assisted Reproductive Technologies (ART). Recently, anti-mullerian hormone (AMH) is considered as risk factor for ovarian hyper-response in addition to estradiol in patients undergoing in vitro fertilization (IVF). The present study was aimed to assess the accuracy of anti-mullerian hormone (AMH) and Estradiol in the incidence of OHSS. Materials and Methods: This is a retrospective diagnostic test study and all infertile women who undergone IVF and ICSI procedures between 2012-2013, who were 4.2, the PPV of estradiol rose to 49.5%. Conclusion: Estradiol showed better sensitivity and specificity than other markers for prediction of OHSS. Classification of patients on the basis of AMH can lead to a higher sensitivity and specificity for estradiol with a higher cut-off value in OHSS prediction in patients with AMH≤ 4.2

Keyword :

Ovarian Hyperstimulation Syndrome, Anti-Mullerian Hormone, Estradiol.
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