AMH and polycystic ovary syndrome: Although both PCOM subgroups fulfilled diagnostic criteria Rotterdam for PCOS, stressed women had significantly lower AMH, pointing to granulosa suppression secondary to diminished LH-driven androgen supply and reduced aromatase activity (Teede et al. 2023; Yang et al. 2017; Dong et al. 2017; Carlsen et al. 2009; Ott 2025).