Читать книгу Assisted Reproduction Techniques - Группа авторов - Страница 181

It is good practice to assess gonadal status and ovarian reserve irrespective of menstrual function about a year after completion of chemotherapy. A significantly reduced ovarian reserve may be identified even in young women in the presence of regular menstrual cycles. Ovarian reserve can be assessed by measuring serum anti‐Müllerian hormone (AMH) levels and the antral follicle count (AFC) on ultrasound.

Follicle stimulating hormone (FSH), luteinizing hormone (LH), inhibin B, and estradiol should be assessed in the early part of the menstrual cycle, but are of dubious value in oligomenorrhea and are generally less accurate predictors of ovarian reserve than AMH and AFC.