Correlation of serum anti‑Mullerian hormone with hormonal and environmental parameters in Brazilian climacteric women.

Abstract

This study aimed to identify the correlation among anti-Mullerian Hormone serum levels and 25-OHD, obesity, metabolic syndrome (MetS), and sexual hormones in climacteric women classifed according to stages of reproductive aging (SRA). A cross-sectional study was conducted with a total of 177 Brazilian climacteric women between 40 and 64 years old. Concentrations of AMH were measured using the Access 2 Immunoassay System. A multiple linear regression analysis was used to identify the relationship among AMH, 25-OH-D, obesity, MetS, sexual hormones, sociodemographic and lifestyle factors. AMH levels decreased with increased age (B= − 0.059; p< 0.001), and reproductive aging (B= − 0.483; p< 0.001). Obesity indicators, lifestyle characters, 25-OH-D levels and MetS were not signifcantly associated with AMH serum concentration. Negative correlation was found for FSH (B= − 0.009; p< 0.001) and LH (B= − 0.006; p= 0.004); positive correlation for E2 (B= 0.001; p= 0.011), DHEAS (B= 0.003; p< 0.001) and SHBG (B= 0.003; p= 0.005). In the model adjusted for SRA, FSH levels (p< 0.001) and DHEAS (p= 0.014) were associated with AMH. Although, with the adjustment for age, only FSH remained with a signifcant association (p= 0.001). Of the other analytes, none was associated with AMH, regardless of the model ft. Our fndings confrm that serum AMH level decreased with age and FSH levels, but there is no correlation between AMH with obesity, 25-OH-D, MetS or other sexual hormones in Brazilian climacteric women.