AMH and ischemia: A permanent decrease in several primordial follicles that cannot be replaced in adulthood, and a decrease in anti-Mullerian hormone (AMH) and change in ovarian histopathology with the presence of fibrosis and ischemia have been documented (Algandaby 2021; E. kaygusuzoglu et al. 2018; Sancho-Martínez et al. 2012).