抗苗勒氏激素
医学
卵巢储备
妇科
生殖医学
随机对照试验
多囊卵巢
系统回顾
梅德林
临床试验
不育
肿瘤生育
人口
保持生育能力
内科学
激素
生育率
怀孕
胰岛素
胰岛素抵抗
环境卫生
生物
遗传学
政治学
法学
作者
Akira Iwase,Yoshimasa Asada,Yodo Sugishita,Satoko Osuka,Michio Kitajima,Kazuhiro Kawamura
摘要
To present evidence-based recommendations for anti-Müllerian hormone (AMH) measurement as an ovarian reserve test.A systematic literature search for the clinical utility of AMH was conducted in PubMed from its inception to August 2022 to identify studies, including meta-analyses, reviews, randomized controlled trials, and clinical trials, followed by an additional systematic search using keywords. Based on this evidence, an expert panel developed clinical questions (CQs).A total of 1895 studies were identified and 95 articles were included to establish expert opinions subdivided into general population, infertility treatment, primary ovarian insufficiency, polycystic ovary syndrome, surgery, and oncofertility. We developed 13 CQs and 1 future research question with levels of evidence and recommendations.The findings of the current systematic review covered the clinical utility of AMH including its screening, diagnosis, evaluation, and prediction. Although some clinical implications of AMH remain debatable, these expert opinions may help promote a better understanding of AMH and establish its clinical significance.
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