Demographic characteristics and AMH levels in rural and urban women participating in an IVF programme
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INVICTA Fertility and Reproductive Center, Warsaw, Poland
Department of Gynecological Endocrinology, Medical University of Warsaw, Poland
INVICTA Fertility and Reproductive Center, Gdańsk, Poland
Department of Obstetrics and Gynaecology, Medical Center of Postgraduate Education, Warsaw, Poland
Department of Obstetrics and Gynecological Nursing, Faculty of Health Sciences, Medical University of Gdansk, Poland
Ann Agric Environ Med. 2018;25(1):120-123
The primary aim of this preliminary study was to compare the IVF results of couples living in rural and urban areas. Additionally, the ovarian reserve parameters, such as AMH concentrations, were compared for the same groups.

Material and Methods:
The database of 1,265 women undergoing in vitro fertilization at the Invicta Fertility Center between May 2011-July 2012 were retrospectively analyzed. Women undergoing their first assisted reproductive technology cycle with ICSI, stimulated according to the long protocol, and whose AMH levels were measured using the same DSL kit, were selected. Ultimately, 651 women were included in the study. All participants were categorized based on the area where they live: rural areas, small towns (<100,000 inhabitants) and large cities (>100,000).

The mean age of the patients living in large cities was significantly higher in comparison to those from rural areas and small towns. A significantly higher pregnancy body mass index (BMI) was found in women from rural areas in comparison to the women living in small and large towns. Serum AMH and inhibin B concentrations, number of ampules of gonadotropins, and antral follicle count (AFC), did not differ significantly among the groups. The study showed no significant differences among the groups in terms of clinical pregnancy rate, both per started cycle and per embryo transfer.

No significant differences were found in IVF outcomes among the groups inhabiting rural areas, small and large cities.

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