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Reproductive Sciences

, Volume 19, Issue 4, pp 383–390 | Cite as

Relationship Between Anti-Müllerian Hormone (AMH) and Insulin Levels During Different Tanner Stages in Daughters of Women With Polycystic Ovary Syndrome

  • Teresa Sir-PetermannEmail author
  • Amanda Ladrón de Guevara
  • Ethel Codner
  • Jessica Preisler
  • Nicolás Crisosto
  • Bárbara Echiburú
  • Manuel Maliqueo
  • Fernando Sánchez
  • Francisco Perez-Bravo
  • Fernando Cassorla
Article

Abstract

Context

We have previously described increased serum levels of anti-Müllerian hormone (AMH) and stimulated insulin in daughters of women with polycystic ovary syndrome(PCOS), suggesting that these girls may have an altered ovarian follicular development which may be modulated by insulin. However, the specific relationship between serum AMH and insulin levels during each Tanner stage of puberty in this cohort has not been established.

Objective

The aim of our study was to establish the relationship between AMH and poststimulated insulin serum concentrations during each stage of puberty in daughters of women with PCOS (PCOSd), compared to daughters of control women (Cd).

Design

We studied 135 PCOSd and 93 Cd classified according to their Tanner stage. Gonadotrophins, sex steroids, sex hormone-binding globulin (SHBG), and AMH were determined in a fasting sample. Ovarian volume was measured by pelvic ultrasound. In addition, in both groups we performed an oral glucose tolerance test with measurements of glucose and insulin.

Results

Anti-Müllerian hormone levels were significantly higher in PCOSd compared to Cd at all Tanner stages. Daughters of women with PCOS having AMH concentrations greater than 2 standard deviation (SD) above the mean AMH value for the Cd group showed decreased serum follicle-stimulating hormone (FSH) concentrations and increased stimulated levels of insulin during Tanner stages I, II, and III.

Conclusions

Anti-Müllerian hormone levels are increased in PCOSd during all stages of puberty. We suggest that those PCOSd with the highest AMH levels probably represent a group of girls with more severe ovarian dysfunction and metabolic derangements.

Keywords

hyperandrogenism puberty anti-Müllerian hormone 

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Copyright information

© Society for Reproductive Investigation 2012

Authors and Affiliations

  • Teresa Sir-Petermann
    • 1
    Email author
  • Amanda Ladrón de Guevara
    • 1
  • Ethel Codner
    • 2
  • Jessica Preisler
    • 1
  • Nicolás Crisosto
    • 1
  • Bárbara Echiburú
    • 1
  • Manuel Maliqueo
    • 1
  • Fernando Sánchez
    • 1
  • Francisco Perez-Bravo
    • 3
  • Fernando Cassorla
    • 2
  1. 1.Endocrinology and Metabolism Laboratory, West Division, School of MedicineUniversity of ChileSantiagoChile
  2. 2.Institute of Maternal and Child Research (IDIMI)School of Medicine University of ChileSantiagoChile
  3. 3.Laboratory of Nutritional Genomics, Department of Nutrition, Faculty of MedicineUniversity of ChileSantiagoChile

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