Há alteração do dia da ovulação em pacientes com sobrepeso ou obesidade? Estudo transversal

Reinaldo Satoru Azevedo Sasaki, Mário Silva Aprobatto, Mônica Canêdo Silva Maia, Eliamar Aparecida de Barros Fleury e Ferreira, Christiane Ricaldoni Giviziez, Neuma Zanluchi
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Abstract

Background

The primary function of the menstrual cycle is to promote the reproductive capacity of women and changes in this cycle impact on female fertility. Obesity is often associated with changes in the menstrual cycle.

Objective

Assess whether there is difference between ovulation's day in patients with normal BMI and those with overweight or obesity in infertile patients without Polycystic Ovary Syndrome.

Methods

Cross‐sectional study in Human Reproduction Outpatient Clinic. Two groups, one with 71 patients with normal BMI and the other with 45 patients with a BMI indicating overweight/obesity. It was next analyzed the day of ovulation of patients in each group. The samples included patients 18‐38 years without Polycystic Ovary Syndrome, whith the variables that could interfere with ovulation, matched, ensuring the homogeneity of the groups.

Results

Patients with overweight or obese had an average ovulation in 14.62° day of the cycle, and patients with normal BMI average at 14.21° day, with no statistical significance between groups.

Conclusion

there was no statistical difference of day of ovulation among patients with normal BMI and those with overweight or obesity, which had no other comorbidities that would put affect fertility.

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超重或肥胖患者的排卵日期是否有变化?横向研究
月经周期的主要功能是促进妇女的生殖能力,而月经周期的变化会影响女性的生育能力。肥胖通常与月经周期的变化有关。目的评价无多囊卵巢综合征的不育患者中BMI正常患者与超重或肥胖患者的排卵日是否存在差异。方法在人类生殖门诊进行横断面研究。分为两组,一组有71名BMI正常的患者,另一组有45名BMI显示超重/肥胖的患者。然后分析各组患者的排卵天数。样本包括18 - 38岁无多囊卵巢综合征的患者,与可能干扰排卵的变量匹配,确保组的同质性。结果超重或肥胖患者月经周期平均排卵时间为14.62°d, BMI正常患者平均排卵时间为14.21°d,组间差异无统计学意义。结论BMI正常患者与超重、肥胖患者的排卵天数无统计学差异,超重、肥胖患者无其他影响生育的合并症。
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