Are antral follicle count and serum anti-Mullerian hormone level, as reliable markers of ovarian reserve, affected by UV radiation?

Autor: Ozaltin S; Department of Obstetrics and Gynecology, Acibadem Fulya Hospital, Istanbul, Turkey., Celik HG; Department of Obstetrics and Gynecology, Acibadem Fulya Hospital, Istanbul, Turkey., Kar E; Department of Obstetrics and Gynecology, Istanbul Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey., Baran AK; Department of Emergency, Uskudar General Hospital, Istanbul, Turkey., Uzun K; Department of Obstetrics and Gynecology, Acibadem Fulya Hospital, Istanbul, Turkey., Naki M; MMN Clinic, Istanbul, Turkey., Bastu E; Nesta Clinic, Istanbul, Turkey.; Department of Obstetrics and Gynecology, UMass Chan Medical School, Worcester, MA, USA.
Jazyk: angličtina
Zdroj: Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology [Gynecol Endocrinol] 2022 Aug; Vol. 38 (8), pp. 639-643. Date of Electronic Publication: 2022 Jun 17.
DOI: 10.1080/09513590.2022.2087217
Abstrakt: Objective We aimed to assess whether ovarian reserve test including serum follicle stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E2), anti-Mullerian hormone (AMH) levels, and antral follicle count (AFC) which are ovarian reserve markers are affected by ultraviolet (UV) radiation or not. Methods Women between the ages of 25 and 40 who served as flight crew constituted the study population in this prospective case-control study. Age-matched women having no risk factor for low ovarian reserve were selected as control group. Participants were compared according to age, duration in profession, and ovarian reserve markers. Results A total of 134 patients were included: 66 participants in study group and 68 participants in control group. Serum AMH levels and AFC were found to be significantly lower while serum FSH and E2 levels were significantly higher in the study group. This difference was found to be more significant, especially in the advanced age group. When the participants were classified according to their working time, lower ovarian reserve was observed in women with longer working time. Discussion Working for a while in the air and being closer to the sun have negative effects on ovarian functions. Preventive measures may be taken earlier in flight crew than those in the normal population to prevent the decline of ovarian functions and possible conceiving problems.
Databáze: MEDLINE
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