Follicular-fluid anti-Mullerian hormone concentrations are predictive of assisted reproduction outcome in PCOS patients

Reprod Biomed Online. 2009 Nov;19(5):631-7. doi: 10.1016/j.rbmo.2009.06.010.


Serum anti-Mullerian hormone (AMH) concentrations constitute a sensitive marker for ovarian ageing. In addition, concentrations of AMH in the follicular fluid constitute a useful marker of embryo implantation in assisted reproduction cycles. The present study measured serum and follicular-fluid AMH concentrations on the day of oocyte retrieval. These data showed that clinical pregnancy rates (25.0, 34.1 and 42.1%, respectively, P < 0.001), embryo implantation rates (24.3, 35.0 and 44.4%, respectively, P < 0.001) and fertilization rates (59.2, 70.9 and 79.5%, respectively, P < 0.001) were markedly different among the low, moderate and high follicular-fluid AMH groups but not among the different serum AMH concentration groups. Follicular-fluid AMH concentrations were negatively correlated with follicular-fluid oestradiol concentrations. The results of this study suggest that follicular-fluid AMH concentration on the day of oocyte retrieval would appear to better reflect the reproductive outcome in PCOS patients undergoing assisted reproduction.

MeSH terms

  • Adult
  • Anti-Mullerian Hormone / blood
  • Anti-Mullerian Hormone / metabolism*
  • Biomarkers / blood
  • Biomarkers / metabolism
  • Embryo Implantation
  • Female
  • Fertilization
  • Follicular Fluid / metabolism*
  • Humans
  • Infertility, Female / etiology
  • Oocyte Retrieval
  • Ovulation Induction
  • Polycystic Ovary Syndrome / complications*
  • Pregnancy
  • Pregnancy Outcome*
  • Reproductive Techniques, Assisted*


  • Biomarkers
  • Anti-Mullerian Hormone