Female Reproductive Health - study of an egg donor population.

IF 1.9 Q3 OBSTETRICS & GYNECOLOGY Jornal Brasileiro de Reproducao Assistida Pub Date : 2023-11-24 DOI:10.5935/1518-0557.20230046
Tatiana Filipa Santos Oliveira, Márcia Barreiro, António Tomé, Emídio Vale-Fernandes
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Abstract

Objective: Infertility is one of the most significant reproductive health issues addressed with medically assisted procreation. This study looked into a potential correlation between the number of mature oocytes harvested and donor biological characteristics in order to propose an anti-Müllerian hormone (AMH) cutoff level to optimize the selection of candidates for gamete donation.

Methods: The donors were healthy women included in the Public Gamete Bank between 2011 and 2021. Their results can be used as a national indicator of fertility.

Results: We found that women with higher AMH levels had more antral follicles and oocytes harvested. As age increased, the number of oocytes harvested decreased. The suggested AMH cutoff level for successful donation was 1.12 ng/mL.

Conclusions: The analysis of the reproductive health of Public Gamete Bank donors allows the standardization of AMH cutoff values at a national level, since the same laboratory techniques were employed consistently across medical centers. The study also allowed insight into the factors that compromise donation success. If adopted, a more rigorous selection of donor candidates would increase the success rate of egg donations.

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女性生殖健康——对卵子捐献者群体的研究。
目的:不孕不育是医学辅助生殖中最重要的生殖健康问题之一。本研究探讨了收获的成熟卵母细胞数量与供体生物学特性之间的潜在相关性,以提出抗米勒激素(AMH)的临界水平,从而优化配子供体的候选选择。方法:捐赠者是2011年至2021年间纳入公共游戏银行的健康女性。他们的研究结果可以作为衡量生育率的国家指标。结果:我们发现AMH水平较高的女性获得了更多的窦卵泡和卵母细胞。随着年龄的增长,收获的卵母细胞数量减少。建议的成功捐赠的AMH临界值为1.12 ng/mL。结论:对公共Gamete银行捐赠者生殖健康的分析允许在国家层面上标准化AMH截止值,因为医疗中心始终采用相同的实验室技术。这项研究还让我们得以深入了解影响捐赠成功的因素。如果获得通过,对捐赠者候选人进行更严格的选择将提高卵子捐赠的成功率。
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来源期刊
CiteScore
3.30
自引率
6.70%
发文量
56
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