Evaluation of Anti-Mullerian Hormone(AMH) Level and Relationship with Secondary infertility in Dhi-Qar in hospitals

Abstract

       Infertility is a disease of the male or female reproductive system defined by the failure to achieve a pregnancy after 12 months or more of regular unprotected sexual intercourse. Infertility affects millions of people – and has an impact on their families and communities. Estimates suggest that approximately one in every six people of reproductive age worldwide experience infertility in their lifetime . The present study showed that  distribution of AMH level in infertile patients across age groups, higher AMH level was observed in age group 18-29  with (Mean ± SD) of (1.99 ± 2.21.20 – 9.35) while lower AMH level was observed in age group 30-39 with (Mean ± SD) of (0.99  ± 1.60 ≤5.07) and lower AMH in age group (40-45) with (1.02 ± 1.385.31 – 5.66) .while the distribution of AMH level in control across age groups  higher AMH level was observed in age group 18-29  with (Mean ± SD) of ( 2.99 ± 1.23 ) while lower AMH level was observed in age group 30-39 with (Mean ± SD) of (2.05±1.11)  and  lower AMH in age group (40-45) with (1.85 ±1.01). In conclusion, we evaluated serum AMH levels in Iraqi women and established age-specific AMH reference values ​​based on a large representative sample. In this study, there is a relationship between aging, reproductive health, and the presence of genetic and immunological factors that affect hormone level ). We address the application of AMH in clinical practice and the prediction of reproductive capacity and population health.