Do follicular fluid advanced glycation end products levels affect the ovarian response in unexplained infertility?

Autor: Kuntay Kokanalı, Cavidan Gulerman, Yasemin Tasci, Yaprak Engin-Ustun, Tuba Candar, Yasemin Yüksel, Yesim Bardakcı, Banu Seven
Rok vydání: 2021
Předmět:
Anti-Mullerian Hormone
Glycation End Products
Advanced

endocrine system
medicine.medical_specialty
endocrine system diseases
Pyridones
Endocrinology
Diabetes and Metabolism

Oocyte Retrieval
030209 endocrinology & metabolism
Stimulation
Fertilization in Vitro
medicine.disease_cause
Affect (psychology)
03 medical and health sciences
0302 clinical medicine
Endocrinology
Ovulation Induction
Pregnancy
Glycation
Internal medicine
Humans
Medicine
Prospective Studies
Sperm Injections
Intracytoplasmic

Unexplained infertility
030219 obstetrics & reproductive medicine
business.industry
Ovary
Pregnancy Outcome
Obstetrics and Gynecology
Embryo Transfer
Follicular fluid
female genital diseases and pregnancy complications
Follicular Fluid
Cross-Sectional Studies
Infertility
Female
business
Oxidative stress
Zdroj: Gynecological Endocrinology. 37:802-806
ISSN: 1473-0766
0951-3590
Popis: To compare the advanced glycation end products (AGEs) levels in follicular fluid according to the different ovarian responses of women who underwent controlled ovarian stimulation due to unexplained infertility and to examine the relationship between these levels and pregnancy outcomes.Sixty-three women who underwent fresh IVF/ICSI cycles with GNRH antagonist protocol were divided into 3 groups according to the number of retrieved oocytes as suboptimal (4-9 oocytes), optimal (10-15 oocytes) and high (15 oocytes) responders. AGEs levels in follicular fluid were measured by ELISA method.AGEs levels were 6.81 ± 2.20 µg/ml, 5.30 ± 2.01 and 6.44 ± 1.43 µg/ml in suboptimal, optimal and high response group, respectively. AGEs level was significantly higher in suboptimal response group than in optimal response group. The cutoff level of 6.19 µg/ml had a sensitivity of 59.3% and a specificity of 66.7% in distinguishing the suboptimal response group from the optimal response group. However, there were no statistically significant difference between AGEs levels and clinical pregnancy and live birth rates.Increased AGEs level in follicular fluid may be associated with decreased ovarian response during controlled ovarian stimulation in unexplained infertility case, however, it does not provide information about pregnancy outcomes.
Databáze: OpenAIRE