Abstract
Background
Various studies have been conducted on the role of leptin in the different types of infertility, including endometriosis, polycystic ovaries and male infertility; however, only a few studies have been conducted on the effect of leptin on unexplained infertility. The purpose of the present study was therefore to compare serum leptin levels in women with unexplained infertility and fertile women as a contributing factor to female infertility in Iran.
Methods
The present case–control study was conducted on 40 women with unexplained infertility and 30 fertile women who met the inclusion criteria (FSH < 10, BMI < 30, normal AMH and AFC and age under 35). Serum leptin levels were analyzed on the third day of menstruation by ELISA method.
Results
Although the mean serum leptin level was higher in women with unexplained infertility (31.20 ± 2.83 ng/ml) than in fertile women (24.89 ± 2.93 ng/ml), no statistically significant differences were observed between the two groups (P = 0.13).
Conclusions
No statistically significant relationship was found between serum leptin levels in the two groups. In addition, there were no significant relationships between leptin and other predisposing factors such as hormone profile and antral follicle count.
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References
Akbarian A, Haghighi L. Update on unexplained infertility. Razi J Med Sci. 1995;2:165–72 (in Persian).
Fritz MA, Speroff L. Clinical gynecologic endocrinology and infertility. 8th ed. Tehran: Golban Publishers; 2010.
Demir B, Guven S, Guven ES, et al. Serum leptin level in women with unexplained infertility. J Reprod Immunol. 2007;75:145–9.
Hill M, Uyehara C, Hashiro M, et al. The utility of serum leptin and follicular fluid leptin, estradiol, and progesterone levels during an in vitro fertilization cycle. J Assist Reprod Genet. 2007;24:183–8.
Amjadi FS, Salehi E, Haghjooy SH. Leptin and fertility. J Isfahan Med Sch. 2010;28:1701–11 (in Persian).
Israel D, Chua J Sr. Leptin receptor modulation of adiposity and fertility. Trends Endocrinol Metab. 2010;21:10–6.
Barcz E, Milewski L, Radomski D, et al. A relationship between increased peritoneal leptin levels and infertility in endometriosis. Gynecol Endocrinol. 2008;24:526–30.
Wertel I, Gogacz M, Polak G, et al. Leptin is not involved in the pathophysiology of endometriosis-related infertility. Eur J Obstet Gynecol Reprod Biol. 2005;119:206–9.
Mohiti-Ardekani J, Tarof N, Aflatonian A. Relationships between free leptin and insulin resistance in women with polycystic ovary syndrome. Iran J Reprod Med. 2009;7:53–8 (in Persian).
Takeuchi T, Tsutsumi O. Basal leptin concentrations in women with normal and dysfunctional ovarian conditions. Int J Gynaecol Obstet. 2000;69:127–33.
Gogacz M, Polak G, Jakowicki J, et al. Peritoneal fluid leptin concentration in infertile patients. J Reprod Immunol. 2001;51:159–65.
Shafi R, Afzal MN. Status of serum leptin levels in females with infertility. Saudi Med J. 2008;29:1419–22.
Hardie L, Trayhurn P, Abramovich D, et al. Circulating leptin in women: a longitudinal study in the menstrual cycle and during pregnancy. Clin Endocrinol (Oxf). 1997;47:101–6.
Irandust KH, Rahmani Nia F, Mohebbi H, et al. The effect of aerobic exercise on plasma ghrelin and leptin concentrations in obese and normal weight women. Olympic. 2011;50:87–100.
Ozcelik O, Celik H, Ayar A, et al. Investigation of the influence of training status on the relationship between the acute exercise and serum leptin levels in obesefemales. Neuro Endocrinol Lett. 2004;25:381–5.
Gyton AC, Hall JE. Textbook of medical physiology. 11th ed. Philadelphia: Saunders Company; 2006.
Unal M, Unal DO, Baltaci AK, et al. Investigation of serum leptin levels in professional male football players and healthy sedentary males. Neuro Endocrinol Lett. 2005;26:148–51.
Farooqi IS, Matarese G, Lord GM, et al. Beneficial effects of leptin on obesity, T cell hyporesponsiveness, and neuroendocrine/metabolic dysfunction of human congenital leptin deficiency. J Clin Invest. 2002;110:1093–103.
Acknowledgments
The authors are grateful to the individuals who accepted to participate in this study. We are indebted to personnel of Vali-e-asr infertility clinic for their assistance in sample collection.
Authors’ contribution
Farzaneh Tafvizi contributed to project development, data collection and manuscript writing. Masomeh Masomi collected and analyzed data.
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The authors declare that they have no conflict of interest.
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The present case–control study was conducted after obtaining written informed consent from qualified patients interested in participating in the study.
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Dr. Farzaneh Tafvizi is Assistant Professor in Department of Biology at Islamic Azad University; Masomeh Masomi is the M.Sc. student in Department of Biology at Islamic Azad University.
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Tafvizi, F., Masomi, M. Comparison of Serum Leptin Level in Women with Unexplained Infertility and Fertile Women in Iran. J Obstet Gynecol India 66 (Suppl 1), 466–470 (2016). https://doi.org/10.1007/s13224-016-0843-9
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DOI: https://doi.org/10.1007/s13224-016-0843-9