Role of Antral Follicle Count as a Marker of Ovarian Reserve and Its Correlation with Antimullerian Hormone and Follicle Stimulating Hormone
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 2
Abstract
Introduction: In recent time there has been a significant increase in subfertile couples in India. Few studies labeled Antral Follicle Count (AFC) as more accurate biomarker in comparison to Anti-Mullerian Hormone (AMH) for assessing female subfertility. However limited Indian data is available and we continue to follow western literature irrespective of difference in genetic make-up and different socio-economic status. Aims: To study age related trends in markers of ovarian reserve and their correlation with each other. Material and Methods: This was a prospective study where 50 patients with complaints of infertility were included. Subjects underwent transvaginal sonography on day 3 of menstrual cycle for estimation of AFC and Total ovarian volume (TOV). Blood sample was taken on the same day to measure hormonal profile related to infertility work-up. The data was subjected to statistical analysis and correlation coefficients were determined. p-value <0.05 was considered statistically significant for all analysis. Results: There was statistically significant negative correlation between age as compared to mean AFC (p < .05) and mean AMH (p <.05). However, Follicle stimulating hormone (FSH) showed positive correlation with age. AFC was found to be more statistically sensitive marker as compared to AMH and FSH. Conclusion: AFC is a reliable marker of ovarian reserve assessment and more sensitive to age related decline in ovarian reserve.
Authors and Affiliations
Shourya Sharma, Arvind Shukla, Arjit Agarwal, Rehana Nazam, Yuktika Gupta
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