Journal of Assisted Reproduction and Genetics

, Volume 27, Issue 8, pp 449–456 | Cite as

Anti-mullerian hormone and cumulative pregnancy outcome in in-vitro fertilization

  • Suresh Kini
  • H. W. Raymond Li
  • Dave Morrell
  • Sue Pickering
  • K. Joo Thong
Assisted Reproduction



To evaluate the role of Anti-mullerian hormone (AMH) in predicting cumulative pregnancy outcome during in-vitro fertilization (IVF) treatment.


Serum AMH levels on day 6 of ovarian stimulation were taken from 180 women undergoing IVF with or without intracytoplasmic sperm injection (ICSI). The main outcome measures were ongoing pregnancy in the fresh cycle, cumulative ongoing pregnancy and ovarian response.


There was a trend of higher median AMH levels in subjects achieving ongoing pregnancy in the fresh IVF cycle. The median AMH levels were significantly higher in subjects attaining ongoing pregnancy cumulatively and in subjects showing ovarian hyper-response in the stimulated cycle. Areas under the ROC curves were 0.606 and 0.792 for the prediction of cumulative ongoing pregnancy and ovarian hyper-response respectively.


Serum AMH concentration on day 6 of stimulation was significantly higher in subjects who achieved cumulative ongoing pregnancy in IVF compared to those who did not. Serum AMH is a reasonably good predictor of ovarian hyper-response.


Anti-mullerian hormone Assisted conception Cumulative ongoing pregnancy Ovarian response 



We thank the staff at Edinburgh Fertility and Reproductive Endocrine centre, Royal Infirmary of Edinburgh, UK for their support and management of patients.


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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Suresh Kini
    • 1
    • 2
  • H. W. Raymond Li
    • 1
    • 3
  • Dave Morrell
    • 1
    • 4
  • Sue Pickering
    • 1
    • 5
  • K. Joo Thong
    • 1
    • 5
  1. 1.Assisted Conception ProgrammeRoyal Infirmary of EdinburghEdinburghUK
  2. 2.Ward 35, Assisted Conception Unit, NHS TaysideNinewells HospitalDundeeUK
  3. 3.Department of Obstetrics and GynaecologyThe University of Hong Kong, Queen Mary HospitalPokfulamHong Kong
  4. 4.Reproductive Medicine LaboratoryRoyal Infirmary of EdinburghEdinburghUK
  5. 5.Division of Reproductive and Developmental SciencesUniversity of EdinburghEdinburghUK

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