Antonio La Marca

MD, ObGyn, Modena, Italy

[Antonio La Marca @la_marcaantonio]

@juanjo_fraire @zoyaalii_ @GLiperis @maclaudiaa Surely that there is the need of well designed large prospective studies but it is biologically plausible that all mechanisms leading to the establishment of a limited pool of primordial follicles during foetal life might also have affected the quality

[Antonio La Marca @la_marcaantonio]

@zoyaalii_ @GLiperis @maclaudiaa There are studies showing that Amh may be an age independent marker of quality. Some articles showed increased risk of miscarriage and Down syndrome in women with low amh despite young age, suggesting reduced quality. #ESHREjc

[Antonio La Marca @la_marcaantonio]

@zoyaalii_ @GLiperis @MariMoura_Ramos @DrHelenONeill @rajmathur7 @juanjo_fraire @maclaudiaa @MinaNMincheva @juliauraji @TessaCopp @DrDevora @profscottnelson The AMH formula for choosing the dose of FSh was developed in the Western countries. When tested on the asian populations performed similarly well. That amh values differ between ethnic groups does not imply that terapeutical strategies must be differently elaborated #ESHREjc

[Antonio La Marca @la_marcaantonio]

@juanjo_fraire @GLiperis @MariMoura_Ramos @DrHelenONeill @rajmathur7 @maclaudiaa @MinaNMincheva @juliauraji @TessaCopp @DrDevora The formula based on amh for delivering the dose of FSh has been developed in Western countries. When tested on the asian populations performed similarly well. That amh values differ between ethnic groups does not imply that terapeutical strategies must be differently elaborated

[Antonio La Marca @la_marcaantonio]

@GLiperis @MariMoura_Ramos @DrHelenONeill @rajmathur7 @juanjo_fraire @maclaudiaa @MinaNMincheva @juliauraji @TessaCopp @DrDevora Many articles have consistently reported different absolute values in different etnhic groups. However in all those groups amh declines with ageing and becomes undetectable at the premenopausal stage. The decline in amh levels with ageing is a universal finding #ESHREjc

[Antonio La Marca @la_marcaantonio]

@maclaudiaa Our role now is to understand how to use this test and how to advise and inform patients with low amh. Before understanding whether or not to propose amh as a screening test we should understand what to do once a condition of poor ovarian reserve is recognized in a young woman

[Antonio La Marca @la_marcaantonio]

@maclaudiaa AMH test is one of the things that has really changed our practice. 20 years ago there was no attention by gynecologists to the ovarian reserve. The amh test has given us the possibility of estimating ovarian reserve. Although not perfect, this is the best we now have

[Antonio La Marca @la_marcaantonio]

The new Impact Factor: 1.8 !

@MGinecologica

[Minerva Obstetrics and Gynecology @MGinecologica]

The 2022 Impact factor is 1.8!

https://t.co/D2X8SczxNS

#minervaginecologica #edizioni_minerva_medica #obstetricsandgynecology #minervaobstetricsandgynecology #ostetriciaeginecologiapage #womanhealth #womenhealth #impact #impactfactor #profantoniolamarca
@profantoniolamarca

[Antonio La Marca @la_marcaantonio]

@juanjo_fraire @klattes @BuratiniJose @Jenny_A_Visser @PolyzosN Prolonged pituitary (Fsh and Lh) suppression would lead to a reduced number of antral follicles hence explaining the reduced serum levels of AMH.

[Antonio La Marca @la_marcaantonio]

Endometrial receptivity testing in IVF. A large RCT on JAMA showing no benefits

[Antonio La Marca @la_marcaantonio]

@simoniego Probably increased pollution and exposure to chemicals which may act as endocrine disruptors. Testis are highly sensitive to those molecules

[Antonio La Marca @la_marcaantonio]

Sperm concentration dropped from 101 million/ml in 1973 to 49 million/ml in 2018: a drop of 51.6%. This decline has been found in all the continents. The rate of decline is increasing and it currently seems to settle at -2.64% per year.

(Levine H. HumReprodUpdate 2022 Nov 15)

[Antonio La Marca @la_marcaantonio]

Per mantenere la rotta bisogna regolare di continuo le vele e il timone. In barca come nella vita

[Antonio La Marca @la_marcaantonio]

Nice evening with friends..while planning for the next future. With @profscottnelson @chrblockeel Alex Quaas

#brussels #ivf #fertility #ovarianstimulation #ovarianstimulationprotocols #fertility #fertilitytreatment #medicaleducation #university #gonadotropins

[Minerva Obstetrics and Gynecology @MGinecologica]

An article from our April issue!
Anti-Müllerian hormone as a predictor of pregnancy in women under 35 years with unexplained infertility undergoing ICSI: a retrospective study

https://t.co/U5XTmfFH5E

#minervaginecologica #infertility #predictor #AMH #hormones

[Minerva Obstetrics and Gynecology @MGinecologica]

The free editorial form our February issue!
Infertility and adverse pregnancy outcome: from pathophysiology to clinical relevance

https://t.co/PDML7d7CjQ

#minervaginecologica #edizioni_minerva_medica #obstetricsandgynecology #free #ArticleOfTheDay #infertility

[Minerva Obstetrics and Gynecology @MGinecologica]

Infertility and adverse pregnancy outcome: from pathophysiology to clinical relevance

https://t.co/PDML7d7CjQ

#minervaginecologica #edizioni_minerva_medica #obstetricsandgynecology #minervaobstetricsandgynecology #ostetriciaeginecologiapage #onlinefirst

[Rita Vassena @RitaVassena]

📢New paper alert!
Massive integrated view of clinical and experimental data on serum FSH and AMH as fertility markers, and their role in regulating oocyte quality / ageing.
From the @eugin_en team in 🇮🇹
@BuratiniJose @la_marcaantonio @ESHRE
https://t.co/m1sNabGJer

[Minerva Obstetrics and Gynecology @MGinecologica]

Current and future hormonal contraception in Italy: results from an Italian consensus expert meeting

https://t.co/0S4Y0SKh2D

#minervaginecologica #edizioni_minerva_medica #obstetricsandgynecology #minervaobstetricsandgynecology #newissue #hormonal #contraception

[Prof. Feynman @ProfFeynman]

If you want to master something, teach it. The more you teach, the better you learn. Teaching is a powerful tool to learning.