Predicting age at menopause from serum antimüllerian hormone concentration

Menopause. 2011 Jul;18(7):766-70. doi: 10.1097/gme.0b013e318205e2ac.

Abstract

Objective: We aimed to estimate age at menopause using serum antimüllerian hormone (AMH) concentration.

Methods: We randomly selected 266 study participants from a pool of 1,265 eligible women in the Tehran Lipid and Glucose Study cohort. We measured AMH levels three times at about 3-year intervals. There were 63 occurrences of menopause in our participants over an average of 6-year follow-up. We built an accelerated failure time model using serum AMH level at the start of follow-up to estimate age at menopause. The goodness of fit for the model was tested using Cox-Snell residuals and the Bland-Altman plot.

Results: We estimated ages at menopause for different levels of serum AMH concentration among women aged 20 to 49 years. For those who reached menopause, serum AMH concentrations about 6 years before the event provided fairly accurate estimates of the age at menopause. The Bland-Altman plot showed an acceptable agreement between predicted and observed values.

Conclusions: Serum AMH concentrations can reasonably forecast the age at menopause for individual women.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Distribution
  • Anti-Mullerian Hormone* / analysis
  • Anti-Mullerian Hormone* / metabolism
  • Biomarkers / blood
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Humans
  • Menopause / blood*
  • Middle Aged
  • Predictive Value of Tests
  • Time Factors

Substances

  • Biomarkers
  • Anti-Mullerian Hormone