» Articles » PMID: 22966246

Longitudinal Anti-müllerian Hormone in Women with Polycystic Ovary Syndrome: an Acupuncture Randomized Clinical Trial

Overview
Date 2012 Sep 12
PMID 22966246
Citations 6
Authors
Affiliations
Soon will be listed here.
Abstract

Others have studied acupuncture treatment for polycystic ovary syndrome (PCOS). Anti-müllerian hormone (AMH) is positively correlated with the ovarian follicle pool, thus making it a useful ovarian reserve measure. AMH is elevated in women with PCOS and has been suggested as a diagnostic tool. This study examined the impact of electroacupuncture on AMH concentration in women with PCOS. Seventy-one women with PCOS participated in a randomized, double-blind, sham-controlled clinical trial of acupuncture. Three longitudinal AMH samples over the 5-month protocol were compared with objective ovulation parameters primarily using nonparametric statistics. Results indicated that AMH levels in PCOS were higher than published norms in women without PCOS. There was no difference between the true and sham acupuncture arms in the change in AMH longitudinally. Baseline AMH, but not the change in AMH over time, was inversely correlated with ovulation and menstrual cycle frequencies in both arms combined (P < 0.001). In conclusion, AMH correlated with an increased likelihood of monthly ovulation, as expected from the literature on women without PCOS. The lack of difference by intervention in AMH was consistent with the underlying clinical trial. AMH may be clinically useful to predict which PCOS women are more likely to respond to an intervention.

Citing Articles

Underlying mechanisms of acupuncture therapy on polycystic ovary syndrome: Evidences from animal and clinical studies.

Ye Y, Zhou C, Hu H, Fukuzawa I, Zhang H Front Endocrinol (Lausanne). 2022; 13:1035929.

PMID: 36353235 PMC: 9637827. DOI: 10.3389/fendo.2022.1035929.


Efficacy of a Persian Herbal Remedy and Electroacupuncture on Metabolic Profiles and Anthropometric Parameters in Women with Polycystic Ovary Syndrome: A Randomized Controlled Trial.

Rouhani M, Motavasselian M, Taghipoor A, Layegh P, Asili J, Hamedi S Galen Med J. 2021; 8:e1389.

PMID: 34466504 PMC: 8344036. DOI: 10.31661/gmj.v8i0.1389.


The Efficacy of Complementary and Alternative Medicine in the Treatment of Female Infertility.

Feng J, Wang J, Zhang Y, Zhang Y, Jia L, Zhang D Evid Based Complement Alternat Med. 2021; 2021:6634309.

PMID: 33986820 PMC: 8093064. DOI: 10.1155/2021/6634309.


Acupuncture for polycystic ovarian syndrome: A systematic review and meta-analysis.

Jo J, Lee Y, Lee H Medicine (Baltimore). 2017; 96(23):e7066.

PMID: 28591042 PMC: 5466220. DOI: 10.1097/MD.0000000000007066.


Acupuncture for treating polycystic ovary syndrome: guidance for future randomized controlled trials.

Wu Y, Robinson N, Hardiman P, Taw M, Zhou J, Wang F J Zhejiang Univ Sci B. 2016; 17(3):169-80.

PMID: 26984837 PMC: 4794508. DOI: 10.1631/jzus.B1500301.


References
1.
Legro R, Finegood D, Dunaif A . A fasting glucose to insulin ratio is a useful measure of insulin sensitivity in women with polycystic ovary syndrome. J Clin Endocrinol Metab. 1998; 83(8):2694-8. DOI: 10.1210/jcem.83.8.5054. View

2.
van Rooij I, Broekmans F, Scheffer G, Looman C, Habbema J, de Jong F . Serum antimullerian hormone levels best reflect the reproductive decline with age in normal women with proven fertility: a longitudinal study. Fertil Steril. 2005; 83(4):979-87. DOI: 10.1016/j.fertnstert.2004.11.029. View

3.
Stankiewicz M, Smith C, Alvino H, Norman R . The use of complementary medicine and therapies by patients attending a reproductive medicine unit in South Australia: a prospective survey. Aust N Z J Obstet Gynaecol. 2007; 47(2):145-9. DOI: 10.1111/j.1479-828X.2007.00702.x. View

4.
Nardo L, Yates A, Roberts S, Pemberton P, Laing I . The relationships between AMH, androgens, insulin resistance and basal ovarian follicular status in non-obese subfertile women with and without polycystic ovary syndrome. Hum Reprod. 2009; 24(11):2917-23. DOI: 10.1093/humrep/dep225. View

5.
Fallat M, Siow Y, Marra M, Cook C, Carrillo A . Müllerian-inhibiting substance in follicular fluid and serum: a comparison of patients with tubal factor infertility, polycystic ovary syndrome, and endometriosis. Fertil Steril. 1997; 67(5):962-5. DOI: 10.1016/s0015-0282(97)81417-3. View