Limited Value of Ovarian Function Markers following Orthotopic Transplantation of Ovarian Tissue after Gonadotoxic Treatment
| Autor: | Ellen Anckaert, Marie-Madeleine Dolmans, Bart C.J.M. Fauser, Jacques Donnez, Femi Janse, Frank H. de Jong |
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| Přispěvatelé: | Internal Medicine, Obstetrics & Gynecology |
| Rok vydání: | 2011 |
| Předmět: |
Adult
Anti-Mullerian Hormone Infertility medicine.medical_specialty endocrine system Transplantation Heterotopic endocrine system diseases Endocrinology Diabetes and Metabolism Clinical Biochemistry Antineoplastic Agents Primary Ovarian Insufficiency Biology Biochemistry Young Adult Endocrinology SDG 3 - Good Health and Well-being Predictive Value of Tests Pregnancy Internal medicine medicine Humans Inhibins Ovarian tissue cryopreservation Fertility preservation Young adult Ovarian reserve Cryopreservation Estradiol Ovary Biochemistry (medical) Cancer medicine.disease female genital diseases and pregnancy complications Transplantation Female Follicle Stimulating Hormone Infertility Female Biomarkers Follow-Up Studies |
| Zdroj: | Journal of Clinical Endocrinology and Metabolism, 96(4), 1136-1144. Endocrine Society |
| ISSN: | 0021-972X |
| DOI: | 10.1210/jc.2010-2188 |
| Popis: | Context: In young women, some treatments for cancer or other conditions (such as sickle cell anemia) may give rise to primary ovarian insufficiency. Ovarian transplantation is one of the available options for fertility preservation, with highly variable pregnancy rates. Objective: The objective of the study was to investigate markers of ovarian reserve and ovarian function in women up to 7 yr after orthotopic ovarian transplantation. Secondary objectives were to assess the relationship between markers of ovarian reserve and pregnancy rate along with the duration of ovarian function. Design: This was a prospective cohort study in 10 women, with a mean follow-up of 2.5 yr. Setting: The study was conducted at a university hospital in Brussels, Belgium. Patients: Patients included 10 women who were about to receive or had previously received gonadotoxic treatment. In seven women cryopreservation of ovarian tissue was performed before starting treatment. Subsequently autografts were orthotopically transplanted in these women. Three women, who had already developed primary ovarian insufficiency due to treatment, underwent orthotopic transplantation of ovarian allograft tissue originating from their human leukocyte antigen-compatible sisters. Main Outcome Measures: Serum concentrations of FSH, LH, estradiol, inhibin B, and anti-Müllerian hormone (AMH) were measured. Results: On average, first menses took place after 4.7 months. Duration of graft functioning varied from 2 to more than 60 months. FSH concentrations remained elevated, whereas estradiol levels normalized and AMH was low to undetectable. Inhibin B varied among women and was not associated with the duration of ovarian function (hazard ratio 0.966, 95% confidence interval 0.881–1.059). Two spontaneous pregnancies occurred. Endocrine characteristics were not significantly different in these women. Conclusions: Low AMH and inhibin B concentrations may suggest decreased ovarian reserve in women after ovarian transplantation. AMH and inhibin B levels may not be associated with the duration of ovarian graft function or probability to achieve a pregnancy. |
| Databáze: | OpenAIRE |
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