Diagnose polycystic ovary syndrome. Clinical Background. Anti-Muellerian mÃ¼llerian (HORMONE) amh Or-muellerian mÃ¼llerian inhibiting substance is known to be instrumental in the determination of gender in, the embryo inducing testicular differentiation in the male and permitting development of the female reproductive tract in. its absenceowever in the cycling female, AMH is secreted by preantral and small antral follicles in the ovary, and circulating levels positively correlate with the number of remaining ovarian follicles. Thus, AMH levels reflect ovarian reserve (ie, the number of primordial follicles present).
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