Antimueller hormone assay is prescribed for couples who have problems with conception, as well as for artificial insemination. By results of testing it is possible to draw conclusions about the work of the reproductive system. If the test showed an increase or decrease in the level of the hormone, this indicates the presence of abnormalities.
- What is AMG?
- Indications
- Test preparation
- Analysis
- Results
- Normal
- Elevated
- Reduced
What is AMG?
Antimulylerov hormone( AMG) - a substance produced in the human body, which has a great impact on the reproductive system.
Mueller inhibitory substance is actively produced in men before puberty and affects the formation of genital organs.
The Muller inhibitor is actively produced before the onset of menopause. If there are abnormalities in the formation of the antimulylerovogo hormone in the female body, there may be problems with conception and the development of pregnancy.
Indications
In order to take the test for antimulylerov hormone, you must first get a referral from your doctor after a preliminary consultation.
In most cases, the analysis assigns:
- to couples who have problems with conception;
- before in vitro fertilization. The analysis shows the exact number of follicles that is contained in the ovaries. In other words, the "ovarian reserve" of eggs that can be fertilized. On its basis, one can judge the possibility or impossibility of conception;
- for the diagnosis and control of ovarian cancer treatment;
- for the diagnosis of polycystic or ovarian tumor;
- to identify causes of infertility;
- for the definition of early menopause( menopause);
- for fertility assessment;
- for sex determination in hermaphroditism;
- to accurately establish cryptorchidism and monarchism;
- after unsuccessful IVF.
Preparing for the
test Preparation for the assay for antimulylerov hormone takes several days. During this time, you can not engage in sports and heavy physical labor. You need to try not to be nervous, to avoid stress, to refrain from smoking. Immediately one hour before the analysis can not be eaten.
Analysis is not done in the presence of acute infectious diseases( SARS, influenza and others).
to table of contents ^Analysis of
Women give an analysis on the 3rd or 4th-5th day of the cycle. The exact date is set by the doctor based on the patient's condition. Men can be checked in any day.
For investigation, blood from the vein is needed. The patient comes to the laboratory on the appointed day and gives an analysis. The results are usually ready in 2 days.
Results of
The treating physician analyzes the presence or absence of any abnormalities based on the analysis. In some cases, depending on the levels of the hormone may need consultation of the endocrinologist.
Norm
If the indices are within the normal range, then there are no deviations or abnormalities in the reproductive system.
The norm of antimulylerovskogo hormone for conception:
- in women - 1.0 - 2.5 ng / ml;
- in men - 0.49 - 5.98 ng / ml.
Normal index of AMG in men of different ages:
- up to 15 days after birth - 32 ± 8.3 ng / ml;
- up to 1 year - 65.1 ± 13.0 ng / ml;
- up to 4 years - 69.9 ± 9.2 ng / ml;
- up to 7 years - 61.3 ± 8.4 ng / ml;
- up to 9 years - 47.0 ± 6.6 ng / ml;
- at the beginning of the pubertal period - 34.9 ± 3.7 ng / ml;
- at the end of puberty - 6,7 ± 1,9 ng / ml;
- in adulthood - 4.2 ± 0.6 ng / ml.
Normal index of AMH in women of different ages:
- prepubertal period - 3.5 ± 1.8 ng / ml;
- from the beginning of puberty to the end of the reproductive period - 2.1 - 7.3 ng / ml;
- period of decline in the "ovarian reserve" - up to 1.0 ng / ml;
- period of postmenopause - up to 0.16 ng / ml.
Elevated
If the level of antimueller hormone is elevated in women, it is usually associated with such diseases as:
- polycystic;
- tumors in the ovaries;
- approach of menopause;
- infertility due to lack of ovulation or growth of the yellow body.
Men can have:
- cryptorchidism;
- delayed sexual development.
Reduced
If the level of antimueller hormone is lowered in women, this may be a consequence of:
- of the onset of menopause;
- reduction of the menstrual cycle;
- overweight;
- infertility due to hormonal imbalance;
- reduction of the "ovarian reserve";
- disorders of ovarian function.
The lowering of antimulylerovskogo hormone in men can be associated:
- with premature sexual development;
- with maldevelopment of the genitals;
- with infertility;
- with monarchism.