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There was a decrease by 8.5% (<jats:italic>p\u00a0<\/jats:italic>=\u00a00.015) in ovarian volume between baseline and follow up in the electro\u2010acupuncture group, and by 11.7% (<jats:italic>p\u00a0<\/jats:italic>=\u00a00.01) in <jats:styled-content style=\"fixed-case\">AFC<\/jats:styled-content> in the physical exercise group. No other variables were affected.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study is the first to demonstrate that acupuncture reduces serum <jats:styled-content style=\"fixed-case\">AMH<\/jats:styled-content> levels and ovarian volume. Physical exercise did not influence circulating <jats:styled-content style=\"fixed-case\">AMH<\/jats:styled-content> or ovarian volume. 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