Reduced Intellectual Ability in Offspring of Ovarian Hyperstimulation Syndrome: A Cohort Study.

EBioMedicine

Department of Reproductive Endocrinology, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, China; International Peace Maternal and Child Health Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai, China; Key Laboratory of Reproductive Genetics, Ministry of Education (Zhejiang University), Hangzhou, China. Electronic address:

Published: June 2017

AI Article Synopsis

  • Ovarian hyperstimulation syndrome (OHSS) is a complication from fertility treatments that could adversely affect both mothers and their children, specifically regarding intellectual ability.
  • A study compared 86 children born from mothers with OHSS to 172 children from mothers without OHSS during IVF, measuring their intellectual abilities using the Wechsler Intelligence Scale for Children.
  • The findings indicated that children born from OHSS mothers had significantly lower IQ scores, and a higher percentage of them fell below the low IQ threshold, suggesting a potential link between prenatal estradiol exposure and reduced intellectual capacity.

Article Abstract

Background: Ovarian hyperstimulation syndrome (OHSS), a complication of ovarian stimulation, has various adverse effects on both pregnant women and their offspring. However, whether OHSS will affect intellectual ability in offspring is still unknown.

Methods: We recruited 86 Chinese children born to OHSS women and 172 children conceived with non-OHSS In Vitro Fertilization (IVF) in this cohort study. Their intellectual ability was assessed according to the Revised Chinese Version of the Wechsler Intelligence Scale for Children (C-WISC). Verbal Intelligence Quotient (VIQ), Performance Intelligence Quotient (PIQ), and Full Intelligence Quotient (FIQ) were calculated. The investigation was registered in Chinese Clinical Trial Registry (ChiCTR-SOC-16009555).

Findings: OHSS offspring scored less on C-WISC (mean (standard deviation [SD]): (VIQ=92.7 (14.7), PIQ=108.9 (13.1), FIQ=100.6 (13.4)) compared with non-OHSS IVF offspring (VIQ=100.1 (13.2), PIQ=113.7 (10.8), FIQ=107.4 (11.5)). The prevalence of low IQ (<80) children was 4.7 times higher in OHSS offspring compared with non-OHSS offspring. Maternal estradiol level on hCG administration day was negatively associated with FIQ in offspring.

Interpretation: OHSS offspring displayed reduced intellectual ability. Prenatal estradiol exposure might be involved in underlying mechanism.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5478241PMC
http://dx.doi.org/10.1016/j.ebiom.2017.05.020DOI Listing

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