Besides its interest for diagnosis, the finding of an elevated serum AMH level in PCOS has open major pathophysiological issues. This review addresses the three most important issues: 1- the role of AMH in the disturbed folliculogenesis of PCOS; 2- the role of AMH in the gonadotropin dysregulation of PCOS and 3- the role of AMH in the trans-generational transmission of PCOS. For each of those issues, the clinical and experimental evidences currently available are discussed and pathophysiological hypothesis are proposed.
Keywords: FSH; GnRH; androgens; anovulation; anti-müllerian hormone; aromatase; follicle; polycystic ovary syndrome.
Copyright © 2020 Dewailly, Barbotin, Dumont, Catteau-Jonard and Robin.