Predictive value of the level of vitamin D in follicular fluid on the outcome of assisted reproductive technology
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This study investigated the relationship between vitamin D levels in follicular fluid and the success rates of assisted reproductive technology.
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Abstract
ObjectiveTo 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 designEighty-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.ResultsA 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.ConclusionsThe 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.
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Cited by (23)
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- Women’s vitamin D levels and IVF results: a systematic review of the literature and meta-analysis, considering three categories of vitamin status (replete, insufficient and deficient) 2020
- Vitamin D-Binding Protein in Pregnancy and Reproductive Health 2020
- Impact of vitamin D on human embryo implantation—a prospective cohort study in women undergoing fresh embryo transfer 2020
- Association between vitamin D and endometriosis: a systematic review 2019
- The Relationship Between Female Reproductive Functions and Vitamin D 2018
- Vitamin D and women’s reproductive health (literature review) 2018
- Effect of serum vitamin D level on endometrial thickness and parameters of follicle growth in infertile women undergoing induction of ovulation 2018
- Effect of vitamin D deficiency and insufficiency on ART outcomes (a review) 2017
- Vitamin D and aspects of female fertility 2017
- Vitamin D and assisted reproductive treatment outcome: a systematic review and meta-analysis 2017
- Vitamin D and Female Reproduction 2017
- A Review on the Vitamin D and In Vitro Fertilization Outcomes 2017
- Vitamin D deficiency and pregnancy rates following frozen–thawed embryo transfer: a prospective cohort study 2016
- Is there a role for vitamin D in human reproduction? 2016
- The role of vitamin D in reproductive dysfunction in women – a systematic review 2016
- Valeur prédictive du dosage de vitamine D sur les taux de grossesse dans une cohorte de patientes suivies en FIV 2015
- The Pleiotropic Effects of Vitamin D in Gynaecological and Obstetric Diseases: An Overview on a Hot Topic 2015
- BMI and season are associated with vitamin D deficiency in women with impaired fertility: a two-centre analysis 2015
- High Prevalence of Vitamin D Deficiency in Infertile Women Referring for Assisted Reproduction 2015
- Role of vitamin D in female Reproduction 2015
- Correlation between follicular fluid 25-OH vitamin D and assisted reproductive outcomes. 2015
- Vitamin D in human reproduction: a narrative review 2013
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