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| Effect of transvaginal ultrasonography combined with anti-Mullerian hormone on ovarian reserve function |
| HE Jieling1 WANG Weiqun2 LIU Huanling1▲ |
1.Department of Ultrasonography, Guangzhou Panyu Central Hospital, Guangdong Province, Guangzhou 511400, China;
2.Department of Ultrasonography, the Third Affiliated Hospital of Guangzhou Medical University, Guangdong Province, Guangzhou 510150, China |
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Abstract Objective To investigate the effect of transvaginal ultrasonography combined serum anti-Miillerian hormone (AMH) on ovarian reserve function. Methods From January 2018 to June 2019, 129 infertile women who received in vitro fertilization embryo transfer treatment in the Reproductive Center of the Third Affiliated Hospital of Guangzhou Medical University were selected as study objects. According to age, they were divided into younger age group (<35 years old, 68 cases) and older age group (≥35 years old, 61 cases); and according to the number of eggs (N), they were divided into normal ovarian response group (89 cases) and low ovarian response group (40 cases). The ultrasound indexes, AMH level and N of patients in different age groups, and age, ultrasound indexes and AMH level of different ovarian response groups were observed. The correlation of age, ultrasound indexes, N and AMH among different ovarian reactive groups were observed. Results The sum of three uterine diameter lines (D) in younger age group was greater than that in older age group, AMH level was higher than that in older age group, and the number of antralfolliclecount (AFC) and N were better than those in older age group, with statistically significant differences (all P < 0.05). D and endometrial thickness (EN) in normal ovarian response group were greater than those in low ovarian response group, AMH level was higher than that in low ovarian response group, and AFC level was better than that in low ovarian response group, with statistically significant differences (all P < 0.05). Age was negatively correlated with AMH level (r = -0.265, P < 0.05). EN, AFC and N were positively correlated with AMH level (r = 0.256, 0.313, 0.799, P < 0.05). Conclusion Transvaginal ultrasonography combined with AMH have a better predictive value for ovarian reserve function, while EN and AFC combined with AMH are effective indexes.
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