Valores de hormona antimülleriana (HAM) y recuento de folículos antrales (RFA) en casos con fallo reproductivo previo

Low AMH values (<9.28 pmol/L) predicted poor outcomes with a sensitivity and specificity of 72.7% and 64.5%. The best predictive approach was the combination of AMH plus AFC, resulting in an area under the curve of 82.2%. AMH and AFC above 27.21 pmol/L and 15 follicles indicated a high risk of hyperstimulation. The reproductive outcome showed a very high cancelation rate (22% of initiated cycles), very low pregnancy rates (16.7%) and only 6.2% of ongoing pregnancies. Determination of AMH and AFC levels should not be used to reject candidates for IVF treatment but to inform patients with low levels of the very poor probability of success and the use of other alternatives.