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维生素 D 与体外受精周期中的卵泡募集。

Vitamin D and follicular recruitment in the in vitro fertilization cycle.

机构信息

Gynecology Department of the Clementino Fraga Filho University Hospital - Federal University of Rio de Janeiro - Rio de Janeiro - RJ, Brazil.

Fertipraxis - Human Reproduction Center, Rio de Janeiro - RJ, Brazil.

出版信息

JBRA Assist Reprod. 2024 Jun 1;28(2):269-275. doi: 10.5935/1518-0557.20240005.

Abstract

OBJECTIVE

Vitamin D (VD) is a fat-soluble steroid hormone, synthesized by the skin, most known for its role in bone mineral balance. Vitamin D receptors (VDR) are also found in the female reproductive system, but their role remains unclear. The objective of this study was to analyze the relationship between serum vitamin D levels and the number of oocytes retrieved after ovarian stimulation.

METHODS

This is a retrospective study involving 267 patients undergoing in vitro fertilization (IVF) carried out in the Fertipraxis clinic, a private practice facility. The patients were initially divided into two groups according to their VD levels. Group 1 included 152 patients with VD levels < 30 ng/mL and group 2 had 115 patients with VD levels > 30 ng/mL. They were further analyzed and separated considering their age, anthropometric data, ovarian reserve, amount of gonadotropin used, and follicles obtained until trigger day.

RESULTS

In our analysis, there were no difference in the number of follicles and oocytes retrieved, nor in the number of mature oocytes obtained from patients with both vitamin D deficiency and sufficiency.

CONCLUSIONS

The results of our study show no difference among number of follicles, oocytes retrieved and mature oocytes obtained after ovarian stimulation according to their vitamin D serum levels. Further higher-quality studies are needed to evaluate the possible roles of serum vitamin D levels in other stages of human fertilization process.

摘要

目的

维生素 D(VD)是一种脂溶性类固醇激素,由皮肤合成,其主要作用是维持骨骼矿物质平衡。维生素 D 受体(VDR)也存在于女性生殖系统中,但它们的作用尚不清楚。本研究旨在分析血清维生素 D 水平与卵巢刺激后获得的卵母细胞数量之间的关系。

方法

这是一项回顾性研究,涉及在 Fertipraxis 诊所进行的 267 例体外受精(IVF)患者。这些患者最初根据他们的 VD 水平分为两组。第 1 组包括 152 名 VD 水平<30ng/mL 的患者,第 2 组包括 115 名 VD 水平>30ng/mL 的患者。他们进一步根据年龄、人体测量数据、卵巢储备、使用的促性腺激素量以及触发日获得的卵泡进行分析和分离。

结果

在我们的分析中,维生素 D 缺乏和充足的患者的卵泡和卵母细胞数量以及获得的成熟卵母细胞数量没有差异。

结论

我们的研究结果表明,根据血清维生素 D 水平,卵巢刺激后获得的卵泡数量、卵母细胞数量和成熟卵母细胞数量没有差异。需要进一步进行更高质量的研究来评估血清维生素 D 水平在人类受精过程其他阶段的可能作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f40/11152436/8c4453277142/jbra-28-02-0269-g01.jpg

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