Combined metabolic-reproductive association and predictive value of AMH and TyG index in PCOS: a single-center retrospective study - Report - MDSpire

Combined metabolic-reproductive association and predictive value of AMH and TyG index in PCOS: a single-center retrospective study

  • By

  • Yu Chen

  • Xinyan Shi

  • Lin Ma

  • Yujie Hu

  • Mei Wang

  • Lei Shu

  • July 8, 2026

  • 0 min

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Clinical Report: Investigating the Combined Metabolic and Reproductive Relationships of AMH and TyG Index in PCOS

Overview

This study investigates the associations of anti-Müllerian hormone (AMH) and the triglyceride-glucose (TyG) index with polycystic ovary syndrome (PCOS).

Background

Polycystic ovary syndrome (PCOS) is a common endocrine disorder affecting a significant percentage of women of reproductive age, characterized by reproductive and metabolic dysregulation.

Data Highlights

ParameterOdds Ratio (OR)P-value
AMH1.252< 0.05
TyG index1.981< 0.05
Interaction1.029< 0.001
Low AMH/High TyG4.5610.002
Double-high group12.082< 0.05

Key Findings

  • AMH and TyG index are associated with PCOS (ORs = 1.252, 1.981; both P < 0.05).
  • A significant interaction between AMH and TyG index was identified (OR = 1.029, P < 0.001).
  • In the low AMH subgroup, a significant positive association with PCOS risk was observed for the TyG index (OR = 4.561, P = 0.002).
  • Risk for PCOS increased across groups defined by AMH and TyG levels (ORs = 3.582, 5.894, 12.082; all P < 0.05).
  • The predictive model combining AMH and TyG index showed the highest accuracy (AUC = 0.693).

Clinical Implications

The findings highlight the importance of assessing both AMH and the TyG index in the evaluation of PCOS risk. Clinicians may consider these markers in conjunction to improve risk stratification and management strategies for affected patients.

Conclusion

The study demonstrates that AMH and the TyG index serve as risk factors for PCOS.

Related Resources & Content

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  5. Guideline - Monash Centre for Health Research and Implementation (MCHRI) -- Evidence-Based Guidelines PCOS 2023
  6. Utility of Serum Anti-Müllerian Hormone Measurement as Part of Polycystic Ovary Syndrome Diagnosis
  7. Superiority of the triglyceride glucose index over the homeostasis model in predicting metabolic syndrome based on NHANES data analysis
  8. https://academic.oup.com/jcem/article/108/10/2447/7242360
  9. https://www.tjod.org/wp-content/uploads/2025/01/Evidence-Based-Guidelines-PCOS-2023.pdf
  10. Guideline - Monash Centre for Health Research and Implementation (MCHRI)
  11. Diagnostic and prognostic value of triglyceride glucose index: a comprehensive evaluation of meta-analysis - PMC
  12. The association between triglyceride-glucose index and polycystic ovary syndrome: a systematic review and meta-analysis across different populations - PubMed
  13. Frontiers | Triglyceride glucose index - body mass index predicts insulin resistance, metabolic syndrome and associates with impaired ovulation in Chinese women with polycystic ovary syndrome

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