ECTRIMS eLearning

Levels of serum anti-Müllerian hormone in women with early stage of relapsing-remitting multiple sclerosis
Author(s): ,
M Svobodova
Affiliations:
Department of Neurology, University Hospital Brno
,
I Crha
Affiliations:
Department of Obstetrics and Gynecology, University Hospital Brno
,
E Nekvapilova
Affiliations:
Department of Neurology, University Hospital Brno
,
M Podborska
Affiliations:
Department of Clinical Biochemistry and Hematology, University Hospital Brno
,
I Šrotová
Affiliations:
Department of Neurology, University Hospital Brno;CEITEC - Central European Institute of Technology, Masaryk University, Brno, Czech Republic
,
E Vlckova
Affiliations:
Department of Neurology, University Hospital Brno;CEITEC - Central European Institute of Technology, Masaryk University, Brno, Czech Republic
,
P Stourac
Affiliations:
Department of Neurology, University Hospital Brno;CEITEC - Central European Institute of Technology, Masaryk University, Brno, Czech Republic
J Bednarik
Affiliations:
Department of Neurology, University Hospital Brno;CEITEC - Central European Institute of Technology, Masaryk University, Brno, Czech Republic
ECTRIMS Learn. Svobodova M. 09/16/16; 146705; P865
Monika Svobodova
Monika Svobodova
Contributions
Abstract

Abstract: P865

Type: Poster

Abstract Category: Clinical aspects of MS - MS and gender

Background: Multiple sclerosis (MS) is a neurological disease mostly affecting women of childbearing age.

Recent studies suggest that MS may have a negative impact on fertility. In general, decreased ovarian reserve is supposed to be one of the most important factors for fertility impairment.

Anti-Mullerian hormone (AMH) is a peptide hormone that represents a simple widely available measure of ovarian reserve unrelated to the menstrual cycle.

Objective: The purpose of this study was to determine AMH levels in females with relapsing-remitting MS (RRMS) in comparison with healthy volunteers.

Methods: A total of 25 reproductive-age females (among 25-36 years) with RRMS and 24 age matched healthy controls were included in this case control study. In females with MS the median EDSS score was 2.5 points, patients received first-line treatment (glatiramer acetat or interferon beta 1a,1b). The median disease duration was 3.1 years.

An enzymatically amplified two-site immunoassay was used to measure serum AMH level.

Results: Mean AMH level was significantly decreased in females with RRMS (1.1 ng/ml) in comparison with healthy controls (2.3ng/ml) (p< 0.01). In MS group 13 patients (59%) showed very low AMH values (< 0.4 ng/ml) compared to group of healthy controls. In a group of healthy controls very low AMH was diagnosed in 2 patients (9%) only (p< 0.01).

Conclusions: Our data show that decreased ovarian reserve is frequently found in MS patients even in early stages of the disease and may represent one of the underlying mechanisms of fertility impairment in MS.



This study was supported of the Specific University Research Grant, MUNI/A/1072/2015.



Disclosure: Svobodova M: nothing to disclose

Crha I:nothing to disclose

Nekvapilova E:nothing to disclose

Podborska M: nothing to disclose

Vlckova E: nothing to disclose

Srotova I:nothing to disclose

Stourac P: nothing to disclose

Bednarik J:nothing to disclose

Abstract: P865

Type: Poster

Abstract Category: Clinical aspects of MS - MS and gender

Background: Multiple sclerosis (MS) is a neurological disease mostly affecting women of childbearing age.

Recent studies suggest that MS may have a negative impact on fertility. In general, decreased ovarian reserve is supposed to be one of the most important factors for fertility impairment.

Anti-Mullerian hormone (AMH) is a peptide hormone that represents a simple widely available measure of ovarian reserve unrelated to the menstrual cycle.

Objective: The purpose of this study was to determine AMH levels in females with relapsing-remitting MS (RRMS) in comparison with healthy volunteers.

Methods: A total of 25 reproductive-age females (among 25-36 years) with RRMS and 24 age matched healthy controls were included in this case control study. In females with MS the median EDSS score was 2.5 points, patients received first-line treatment (glatiramer acetat or interferon beta 1a,1b). The median disease duration was 3.1 years.

An enzymatically amplified two-site immunoassay was used to measure serum AMH level.

Results: Mean AMH level was significantly decreased in females with RRMS (1.1 ng/ml) in comparison with healthy controls (2.3ng/ml) (p< 0.01). In MS group 13 patients (59%) showed very low AMH values (< 0.4 ng/ml) compared to group of healthy controls. In a group of healthy controls very low AMH was diagnosed in 2 patients (9%) only (p< 0.01).

Conclusions: Our data show that decreased ovarian reserve is frequently found in MS patients even in early stages of the disease and may represent one of the underlying mechanisms of fertility impairment in MS.



This study was supported of the Specific University Research Grant, MUNI/A/1072/2015.



Disclosure: Svobodova M: nothing to disclose

Crha I:nothing to disclose

Nekvapilova E:nothing to disclose

Podborska M: nothing to disclose

Vlckova E: nothing to disclose

Srotova I:nothing to disclose

Stourac P: nothing to disclose

Bednarik J:nothing to disclose

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