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

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

Gynecol Endocrinol

Department of Obstetrics and Gynecology, University of Health Sciences, Zekai Tahir Burak Women Health Care, Training and Research Hospital, Ankara, Turkey.

Published: September 2021

AI Article Synopsis

Article Abstract

Objective: 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.

Methods: 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.

Results: 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.

Conclusion: 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.

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Source
http://dx.doi.org/10.1080/09513590.2021.1897095DOI Listing

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