Association Between Vitamin D Deficiency and Unexplained Infertility

Ahmed Ramy, Tarek Rafaat, Ahmed Abdel Hameed, Ikran Haji
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Abstract

Background: The causes of female infertility are different and include genetic and anatomic abnormalities as well as endocrine and autoimmune disorders (ADs). Vitamin D might influence steroidogenesis of both estradiol and progesterone in healthy women where low levels of 25(OH)D levels might be associated with infertility. Aim of the Work: To elucidate if there is relationship between vitamin D and unexplained infertility and if it more prevalent in them. Patients and Methods: This case-control study was conducted at Ain Shams University Maternity Hospital during the period between October 2018-april 2019. A total of 70 women with prior history of unexplained infertility were included as group A (study group). A Second set of 70 fertile control group were included as group B (control group). Results: Our study indicated that 25(OH) vitamin-D was significant lower in unexplained infertility group than control group (according to vitamin D level 39 out of 70 in unexplained infertility patient (55.7) had deficiency, while 30(42.9%) had insufficiency and 1(1.4) had sufficiency, in comparison to control group 21(30.0%) had deficiency, while 43(61.4) had insufficiency and 6(8.6%) had sufficiency), there were no significant correlation between 25(OH) vitamin D and age and BMI. Conclusion: Vitamin-D deficiency had a role in unexplained infertility, nevertheless it is not a good diagnostic test.
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维生素 D 缺乏与不明原因不孕之间的关系
背景:导致女性不孕的原因多种多样,包括遗传和解剖异常以及内分泌和自身免疫性疾病(ADs)。维生素 D 可能会影响健康女性体内雌二醇和孕酮的类固醇生成,而 25(OH)D 水平过低可能与不孕症有关。工作目的阐明维生素 D 与不明原因不孕症之间是否存在关系,以及这种关系是否在不明原因不孕症中更为普遍。患者和方法:这项病例对照研究于 2018 年 10 月至 2019 年 4 月期间在艾因夏姆斯大学妇产医院进行。共纳入 70 名曾有不明原因不孕史的妇女作为 A 组(研究组)。第二组 70 名可育对照组被列为 B 组(对照组)。研究结果我们的研究表明,不明原因不孕症组的 25(OH)维生素-D 水平明显低于对照组(根据维生素 D 水平,70 名不明原因不孕症患者中有 39 人(55.7%)缺乏维生素 D,30 人(42.9%)不足,1(1.4)充足;与对照组相比,21(30.0%)不足,43(61.4)不足,6(8.6%)充足。结论维生素 D 缺乏在不明原因的不孕症中起着一定的作用,但它并不是一个很好的诊断测试。
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