血清硫酸脱氢表雄酮(DHEA-S)和血清抗苗勒管激素(AMH)水平在不育女性中的临床应用。

Rimsha Sehar, Muhammad Younas, Zujaja Hina Haroon, Muhammad Anwar, Muhammad Usman Munir
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引用次数: 0

摘要

目的:探讨血清硫酸脱氢表雄酮和抗苗勒管激素水平与女性不孕症的关系。研究设计:横断面研究。研究地点和时间:2022年7月至2023年8月,巴基斯坦拉瓦尔品第武装部队病理研究所化学病理学系。方法:约110名不孕女性纳入本研究。月经第3天测定血清促甲状腺激素、促黄体生成素、睾酮、促卵泡激素(FSH)、雌二醇、血清抗苗勒管激素(AMH)、硫酸脱氢表雄酮(DHEA-S)。排除原发性卵巢功能不全、使用雄激素补充和激素治疗的女性。结果:原发性不孕症患者占63.6%,继发性不孕症患者占36.4%。原发性和继发性不孕症与血清AMH和DHEA-S水平呈正相关(r = 0.685;结论:不孕症女性血清AMH与DHEA-S水平呈正相关。关键词:不孕妇女,卵巢储备,抗苗勒管激素,硫酸脱氢表雄酮
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical Utility of Serum Dehydroepiandrosterone Sulfate (DHEA-S) and Serum Anti-Mullerian Hormone (AMH) Levels in Infertile Females.

Objective: To determine the correlation of serum dehydroepiandrosterone sulphate and anti-mullerian hormone levels with infertility in females.

Study design: Cross-sectional study. Place and Duration of the Study: Department of Chemical Pathology, the Armed Forces Institute of Pathology, Rawalpindi, Pakistan, from July 2022 to August 2023.

Methodology: About 110 infertile females with infertility were enrolled in this study. Serum thyroid-stimulating hormone, luteinising hormone, testosterone, follicle-stimulating hormone (FSH), estradiol, serum Anti-Mullerian Hormone (AMH), and Dehydroepiandrosterone Sulphate (DHEA-S) were measured at 3rd menstruation day. Females with primary ovarian insufficiency, using androgen supplementation, and on hormonal therapy were excluded.

Results: Among the participants, 63.6% had primary infertility and 36.4% had secondary infertility. Both primary and secondary infertility had a positive correlation with serum AMH and DHEA-S levels (r = 0.685; p <0.001) and (r = 0.807; p <0.001), respectively. After ultrasound, 54 (49.1%) females were normal, 12 (10.9%) had PCOS, 12 (10.9%) had fibroids, 8 (7.3%) had fallopian tube defects, 10 (9.1%) had endometriosis, and 14 (12.7%) had low antral follicular count. The correlation between serum AMH and DHEA-S with different subgroups is as follows: Normal females (r = 0.731; p <0.001), PCOs (r = -0.232; p = 0.468), fibroids (r = 0.941, p <0.001), fallopian tube defects (r =-0.800; p = 0.017), endometriosis (r = -0.684, p = 0.013), and low antral follicular count (r = 0.643, p = 0.0130).

Conclusion: This study demonstrated a positive correlation between serum AMH and DHEA-S levels in infertile females.

Key words: Infertile women, Ovarian reserve, Anti-Mullerian Hormone, Dehydroepiandrosterone sulphate.

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