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Peer-reviewed veterinary case report

Anti-Mullerian hormone test often misses ovaries in young female dogs

By Hill, J R et al.·Published in Australian veterinary journal·2018·School of Veterinary Science, Australia·View original on PubMed

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Original publication title: Low sensitivity of a test for anti-Mullerian hormone to assess presence of ovaries in prepubertal bitches.

Species:
dog

Plain-English summary

A group of young female dogs, including puppies under 6 months old, were tested for ovarian tissue using a hormone test called anti-Mullerian hormone (AMH). The results showed that the test was not very reliable for puppies, as it often indicated they had no ovarian tissue when they actually did. In older dogs, the test was more accurate, but there was still a chance of false negatives. Because of this, it's recommended to wait until a dog is older than 6 months before using this test to check for ovaries.

People also search for: dog ovarian tissue test · puppy hormone test accuracy · spayed dog hormone levels

Abstract

BACKGROUND: Anti-Mullerian hormone (AMH) is currently used in several species as an indicator of the number of antral and pre-antral follicles within the ovaries. Currently, there is some uncertainty on the precision of a single AMH test for detecting the presence of ovarian tissue in prepubertal, pubertal and spayed bitches. The purpose of this study was to investigate the specificity of AMH levels determined using the Gen II AMH ELISA to detect the presence or absence of ovarian tissue in bitches of varying ages. METHODS: From a large cohort of dogs located at an animal shelter, 36 bitches were assigned to three age groups (< 6&#x2009;months; 6-18&#x2009;months and&#x2009;>&#x2009;2&#x2009;years of age) plus a group of six spayed bitches. RESULTS: AMH was below the detectable limit for each spayed bitch (< 0.010&#x2009;ng/mL) and for 9/10 intact bitches aged less than 6&#x2009;months. AMH levels were therefore significantly different for these two groups compared with older intact bitches (6-18&#x2009;months, 0.302&#x2009;&#xb1;&#x2009;0.135&#x2009;ng/mL; > 2&#x2009;years, 0.237&#x2009;&#xb1;&#x2009;0.210&#x2009;ng/mL). AMH was undetectable in two intact bitches aged >&#x2009;2&#x2009;years of age, which gave a sensitivity of 82% in that group. Overall, the sensitivity of the test was 90% for all bitches aged over 6&#x2009;months, which highlights that a small percentage of intact females will be incorrectly diagnosed as having no ovarian tissue. CONCLUSION: AMH testing had very low sensitivity in bitches aged less than 6&#x2009;months and thus it is advisable to delay testing in very young bitches.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/30152067/