Evidence map›Paper›PMID 29264688›Full record

ArticleJournal of assisted reproduction and genetics2018

Differential response of AMH to GnRH agonist among individuals: the effect on ovarian stimulation outcomes.

Jiali Cai, Lanlan Liu, Juan Zheng, Ling Zhang, Xiaoming Jiang, Ping Li, Aiguo Sha, Jianzhi Ren

Abstract read
In one paragraph

Article in Journal of assisted reproduction and genetics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Cumulative live birth rates in low-prognosis women.Human reproduction (Oxford, England) · 2019
    Observational
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jiali CaiReproductive Medicine Centre, The Affiliated Chenggong Hospital of Xiamen University, Xiamen, Fujian, 361002, China.
Lanlan LiuReproductive Medicine Centre, The Affiliated Chenggong Hospital of Xiamen University, Xiamen, Fujian, 361002, China.
Juan ZhengReproductive Medicine Centre, The Affiliated Chenggong Hospital of Xiamen University, Xiamen, Fujian, 361002, China.
Ling ZhangClinical Laboratory, The Affiliated Chenggong Hospital of Xiamen University, Xiamen, Fujian, 361002, China.
Xiaoming JiangReproductive Medicine Centre, The Affiliated Chenggong Hospital of Xiamen University, Xiamen, Fujian, 361002, China.
Ping LiReproductive Medicine Centre, The Affiliated Chenggong Hospital of Xiamen University, Xiamen, Fujian, 361002, China.
Aiguo ShaReproductive Medicine Centre, The Affiliated Chenggong Hospital of Xiamen University, Xiamen, Fujian, 361002, China.
Jianzhi RenReproductive Medicine Centre, The Affiliated Chenggong Hospital of Xiamen University, Xiamen, Fujian, 361002, China. rjz174@126.com.

Funding

National Natural Science Foundation of China 81302454Natural Science Foundation of Fujian Province 2015D016Natural Science Foundation of Fujian Province 2016D025Science and Technology Project funding in Xiamen City 3502Z20144039
6 · The paper itself

Abstract

purposeThe purpose of this study is to investigate whether individual response of anti-Mullerian hormone (AMH) to gonadotropin-releasing hormone (GnRH) treatment is associated with difference in ovarian stimulation outcomes.

methodsThe retrospective study included 1058 non-polycystic ovary syndrome (PCOS) women undergoing long agonist protocol in a single in vitro fertilization unit from January 1, 2016, through December 31, 2016. Patients were grouped according to AMH changes from day 3 to the day of stimulation (group 1, change < 1 ng/ml, n = 714; group 2, decrease ≥ 1 ng/ml, n = 143; group 3, increase ≥ 1 ng/ml, n = 201). A generalized linear model including Poisson distribution and log link function was used to evaluate the association between AMH response and the number of oocytes retrieved.

resultsGroup 2 was characterized by higher basal AMH level and increased AMH to AFC ratio in comparison with two other groups. However, the number of oocytes and ovarian sensitivity index in group 2 was significantly lower than group 3. Adjusted for age, BMI, ovarian reserve markers, and stimulation parameters, the population marginal means (95% confidence interval) of oocyte number in groups 1 through 3 were 9.51 (9.17, 9.86), 8.04 (7.54, 8.58), and 10.65 (10.15, 11.18), respectively. For patients from group 2 and group 3, basal AMH is no longer significantly associated with oocyte yield.

conclusionsAMH change in response to GnRH agonist varies among individuals; for those undergoing significant changes in AMH following GnRH agonist treatment, basal AMH may not be a reliable marker for ovarian response in long agonist protocol.

Indexed as

AdultAnti-Mullerian HormoneEmbryo TransferFemaleFertilization in VitroFollicle Stimulating HormoneGonadotropin-Releasing HormoneHumansLuteinizing HormoneOocyte RetrievalOvarian FollicleOvulation InductionPregnancyPregnancy RateRetrospective StudiesTestosteroneAnti-Mullerian HormoneFollicle Stimulating HormoneGonadotropin-Releasing HormoneLuteinizing HormoneTestosteroneAnti-Mullerian hormoneControlled ovarian hyperstimulationGnRH agonistLong agonist protocolPituitary downregulation

Identifiers

PMID29264688
PMCPMC5904065

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.