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Association between parity and ovarian reserve in reproductive age women

Authors: Moini A, Hedayatshodeh M, Hosseini R, Rastad H
DOI: 10.1016/j.ejogrb.2016.10.024
Abstract

OBJECTIVE:
A number of factors affect ovarian reserve. In this study, we investigate the association between parity and ovarian reserve in reproductive age women.

MATERIALS AND METHODS:
This cross-sectional study was conducted on 186 women aged 20-35 years. The participants were divided into two main groups. Group A (n=93) included women with at least one parity (pregnancy after 28 weeks), while group B (n=93) included women with no history of pregnancy. We evaluated the following factors related to ovarian reserve: follicle-stimulating hormone (FSH), ovarian antral follicles, anti-Müllerian hormone (AMH), and ovarian volume.

RESULTS:
A total of 186 women with a mean age of 27.83±4.49years enrolled in this study. There was a difference in mean AMH between the nulliparous (2.53±1.90ng/ml) and multiparous (3.54±1.42ng/ml) groups (p<0.001). FSH levels were from 5.27±1.8mIU/mL in nulliparous women to 5.01±1.9mIU/mL in multiparous women, which did not significantly differ (p=0.36). Antral follicles and ovarian size in multiparous women increased significantly (p<0.001).

CONCLUSION:
Parity has a significant association with higher levels of ovarian reserve markers.
Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

KEYWORDS:
Anti-Müllerian hormone; Ovarian reserve; Parity

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