Anti-Mullerian Hormone as a Predictive Marker of Controlled Ovarian Stimulation in Women with Low Ovarian Reserve
Objective: to carry out a comparative assessment of ovarian reserve in patients with first effective and first ineffective cycle of in virto fertilization. Materials and methods: 50 couples has been examined. 24 patients with first effective cycle of assisted reproductive technology (ART) made up I group, 26 patients with first ineffective cycle of ART were in II group. Results: in patients with ineffective ART cycle, immunologic factor of infertility was significantly more likely, as well as endometrial disease, surgery on the pelvic organs, decrease in ovarіan reserve. Reduced ovarian reserve was observed in 16.67 % of patients with effective cycle (anti-mullerian hormone 0.46–0.81 ng ml) and in 46.15 % of women without pregnancy (anti-mullerian hormone 0.1–0.9 ng/ml). Conclusions: the determination of anti-mullerian hormone level plays an important role in the controlled ovarian stimulation in ART program in women with low ovarian reserve.