Celiac disease does not influence markers of ovarian reserve in adolescent girls

Abstract

Purpose The aim of the study was to determine whether celiac disease affects ovarian reserve assessed by antral follicle counting, ovarian volume, and anti-mullerian hormone in adolescent patients. Methods This case-control multicenter trial was performed from January 1, 2017 to May 31, 2018 and included 45 girls. On days 2-5 of the menstrual cycle, measurements of serum follicle stimulating hormone, luteinizing hormone, estradiol, prolactin, and anti-mullerian hormone were performed. Antral follicle counts and ovarian volumes were determined on the same day. Results Evaluation was made of 21 (47.7%) celiac patients with a mean age of 15.8 +/- 1.3 years, and 24 (52.3%) healthy control subjects with a mean age of 16.2 +/- 1.2. There was no difference between the groups in respect of right and left ovarian volumes (p = 0.790 andp = 0.670, respectively). Serum levels of anti-mullerian hormone of the celiac patients and controls were found comparable [(3.7 +/- 2.9 (0.5-12) and 3.6 +/- 1.8 (1.2-8.1)] ng/mL, respectively,p = 0.915). Conclusions Celiac disease may not affect the ovarian reserve determined with established ovarian reserve markers including antral follicle counting, ovarian volume, and anti-mullerian hormone in adolescent patients.