Anti-Müllerian hormone concentrations in women with chronic kidney disease

Kate Wiles, Ellen Anckaert, Francesca Holden, Jan Grace, Catherine Nelson-Piercy, Liz Lightstone, Lucy C Chappell, Kate Bramham

Onderzoeksoutput: Articlepeer review

7 Citaten (Scopus)

Samenvatting

Background: Serum anti-Müllerian hormone (AMH) is a biomarker of ovarian reserve. There are limited data to guide the clinical interpretation of AMH in women with chronic kidney disease (CKD). The purpose of this study was to examine AMH concentrations in women with CKD compared with women without CKD.

Methods: We conducted a prospective cohort study of serum AMH concentrations in 163 non-pregnant women with CKD. Serum AMH concentrations were compared with age-specific AMH centiles from 887 healthy female controls.

Results: Participants included 30 women with Stage 1 CKD, 37 women with Stage 2 CKD, 26 women with Stage 3a CKD, 31 women with Stage 3b CKD and 39 women with Stages 4 and 5 CKD. The median estimated glomerular filtration rate (eGFR) was 51 (interquartile range 31-80) mL/min/1.73 m2. Serum AMH concentrations were lower in all CKD stages compared with women without CKD. Women ages 20-24 years with CKD had comparable serum AMH concentrations (median 1.959 ng/mL) to women ages 35-39 years without CKD (median 1.995 ng/mL). There was no evidence that eGFR was an independent modifier of serum AMH concentrations. More than half of women with CKD (58%) were predicted to have a low response to gonadotrophin stimulation.

Conclusions: Women with CKD have a lower ovarian reserve and are predicted to have a lower ovarian response to gonadotrophin stimulation compared with women without CKD of a similar age. Women with CKD who fail to conceive within 6 months of regular unprotected intercourse should be considered for fertility assessment and intervention.

Originele taal-2English
Pagina's (van-tot)537-542
Aantal pagina's6
TijdschriftClinical Kidney Journal
Volume14
Nummer van het tijdschrift2
DOI's
StatusPublished - feb 2021

Bibliografische nota

© The Author(s) 2019. Published by Oxford University Press on behalf of ERA-EDTA.

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