1. Predictive value of the level of vitamin D in follicular fluid on the outcome of assisted reproductive technology
- Author
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Aleyasin, Ashraf, Hosseini, Marzieh Agha, Mahdavi, Atossa, Safdarian, Leila, Fallahi, Parvin, Mohajeri, Mohammad Reza, Abbasi, Mohammad, and Esfahani, Fatemeh
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VITAMIN D , *REPRODUCTIVE technology , *SERUM , *COHORT analysis , *MEDICAL imaging systems , *PITUITARY hormones - Abstract
Abstract: Objective: To assess the correlation between the levels of vitamin D in follicular fluid and serum, and to determine whether the level of 25-hydroxyvitamin D (25OH-D) in follicular fluid of infertile women undergoing assisted reproductive technology (ART) is associated with the outcome. Study design: Eighty-two infertile women undergoing ART at an academic tertiary care centre were recruited for a prospective cohort study. Levels of 25OH-D in follicular fluid and serum were measured. Standardized regimens for pituitary downregulation and controlled ovarian hyperstimulation were employed. Patient and cycle parameters, and clinical pregnancy (defined as evidence of intra-uterine gestation sac plus heart rate on ultrasound) were determined. Results: A significant correlation was found between the levels of vitamin D in follicular fluid and serum (r =0.767, p =0.001). The overall rates of chemical, clinical and ongoing pregnancy were 35.5% (n =29), 29.3% (n =24) and 23.2% (n =19), respectively. No significant difference was found in these pregnancy rates between the tertiles of 25OH-D level in follicular fluid (p =0.959, 0.995 and 0.604, respectively). The median serum level of vitamin D was 8.13 (range 5.37–13.62)ng/ml in the clinically pregnant group and 8.29 (range 5.93–21.23)ng/ml in the non-pregnant group (p =0.235). Interestingly, the median level of vitamin D in follicular fluid was 9.19 (range 5.25–19.51)ng/ml in the clinically pregnant group and 10.34 (range 5.89–29.69)ng/ml in the non-pregnant group (p =0.433). The fertilization rate decreased significantly and the implantation rate increased (not significantly) with increasing tertiles of 25OH-D level in follicular fluid. Conclusions: The level of 25OH-D in follicular fluid is reflective of body stores of vitamin D. Most subjects in this study were deficient in vitamin D, but this study found that vitamin D deficiency does not play a pivotal role in the outcome of ART. [Copyright &y& Elsevier]
- Published
- 2011
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