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Abstract
1) Minor fluctuations in serum AMH levels throughout the cycle were observed, the mean values of early follicular ovulatory and midluteal AMH levels were 1.96 ± 1.16 ng/ml, 1.99 ± 1.1 ng/ml
and 1.9 ± 1.1 ng/ml respectively. Differences were nonsignificant.
2) Multivariate logistic regression analysis with the statistically significant independent predictors for good response showed that AFC and AMH (follicular , ovulatory and midluteal )were only independent predictors of ovarian response
3) Statistically significant differences were found between pregnant and non pregnant women regarding day 3 MOV, AFC and AMH levels.
Multiple regression analysis for prediction of pregnancy showed follicular AMH to be the only independent predictor of clinical pregnancy
(B co efficient (± SE) 0.39 ± 0.2 ; P< 0.01)
So it can be concluded that
1- AMH can be measured at any time during the menstrual cycle.
2- There is a strong association between midluteal, early follicular and ovulatory AMH and number of oocytes retrieved
3- Early follicular AMH may offer a better prognostic value for clinical pregnancy rate than other currently available markers of ART outcome.