Association of antimullerian hormone levels with menstrual cycle type and dysmenorrhea in young asymptomatic women

More-severe menstrual pain is associated with lower antimullerian hormone concentration among Japanese women age 20–22 years who had never used oral contraceptives; the effect persisted even after adjustment for menstrual-cycle regularity.

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Shoko Konishi, Ph.D., Yukiko Nishihama, M.S., Ayaka Iida, B.S., Jun Yoshinaga, Ph.D., Hideki Imai, Ph.D.

Volume 102, Issue 5, Pages 1439–1443



To examine the association between antimüllerian hormone (AMH) levels and menstrual-cycle and lifestyle characteristics among young Japanese women.


Cross-sectional study.


A university.


Female students aged 20–22 years (n = 65) who had never used oral contraceptives.


Participants completed a questionnaire on reproductive and lifestyle characteristics, and kept a menstrual-cycle diary for 5 consecutive months. Serum AMH was measured once during the study period.

Main Outcome Measure(s):

Serum AMH concentration.


Compared with women with very mild menstrual pain, serum AMH concentration was 49.6% (95% CI 6.5%–72.8%) lower among women with severe menstrual pain. Higher AMH concentration was associated with irregular menstrual cycles. Even after adjusting for menstrual-cycle regularity and its interaction, more-severe menstrual pain was associated with significantly lower AMH concentration.


Circulating AMH concentration was significantly lower among young Japanese women who had more-severe menstrual pain. Underlying physiological mechanisms need to be addressed in future studies.

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Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders.