Anti-Müllerian Hormone (Ovarialreserve — BSO-Zeitpunkt bei BRCA-Beförderern)
Deterministische Ansicht der Quelle YAML Entität. Klinische Autorität bleibt mit den zitierten Quell-IDs und Rezensenten Sign-off Zustand.
| ID | BIO-AMH-OVARIAN-RESERVE |
|---|---|
| Art | Biomarker |
| Aliase | AMHAnti-Müllerische HormoneMISMüllerian hemmende SubstanzАнтимюллерів гормон (оваріальний резерв — час BSO у носіїв BRCA) |
| Status | reviewed 2026-05-18 | pending_clinical_signoff |
| Erkrankungen | DIS-OVARIAN |
| Quellen | SRC-NCCN-GENETIC-FAMILIAL-BREAST-OVARIAN-2025 |
Biomarker-Fakten
| Biomarker-Typ | serum_marker |
|---|---|
| Messung | VerfahrenSerumimmunassay (ECLIA, CLIA); zyklisch-tagesunabhängig Einheitenng/ml (oder pmol/L; Umrechnung 1 ng /ml - 7,14 pmol /L) Typischer Bereich
|
| Verwandte Biomarker | None declared |
Anmerkungen
Granulosa-cell-derived hormone reflecting primordial follicle pool; best single biomarker of ovarian reserve. Adjunct to risk-reducing bilateral salpingo-oophorectomy (RRSO) counseling in BRCA1/BRCA2 germline carriers and other HBOC syndromes (BRIP1, RAD51C, RAD51D, PALB2). NCCN 2025 (Genetic/Familial High-Risk: Breast/Ovarian): BRCA1 RRSO recommended at age 35-40 (after completion of childbearing); BRCA2 at age 40-45. AMH supports timing discussion — declining AMH (<1.0 ng/mL = diminished reserve) helps quantify remaining reproductive window and informs fertility-preservation referral (oocyte/embryo cryopreservation) before RRSO. NOT a screening test for ovarian cancer (CA-125 + TVUS combination has been evaluated and is NOT recommended for screening per UKCTOCS — no mortality benefit). Used in pediatric ovarian function monitoring after gonadotoxic chemotherapy (childhood cancer survivors). Falsely elevated in granulosa-cell tumors and PCOS; falsely suppressed by hormonal contraceptives. STUB pending two-Co-Lead signoff.
Verwendet von
Therapeutische Relevanz
BMA-AMH-OVARIAN-RESERVE-BSO-TIMING- Anti-Müllerian Hormone (AMH) spiegelt ursprüngliche Follikel Pool Größe und ist die beste...