AMH and Insulin resistance: The resultant insulin resistance leads to decreased estradiol production, decreased production of sex hormone-binding globulins, and loss of ovarian reserves, leading to long anovulatory cycles and eventually may decline the age at onset of menopause [7] Inhibin B and anti-müllerian hormone (AMH) are considered to be significant markers of reproductive aging where inhibin B levels indicate the ovarian activity and the AMH levels are used to determine the ovarian reserves [8].