Yıl: 2023 Cilt: 6 Sayı: 1 Sayfa Aralığı: 38 - 43 Metin Dili: İngilizce DOI: 10.53446/actamednicomedia.1232347 İndeks Tarihi: 16-06-2023

THE EFFECTS OF VITAMIN D LEVELS ON PREGNANCY OUTCOMES IN PATIENTS RECEIVING FROZEN EMBRYO TRANSFER

Öz:
Objective: The aim of this study is to evaluate the effects of 25-OH vitamin D on pregnancy outcomes in infertile patients undergoing a frozen embryo transfer. Methods: In this prospective, single-blind study conducted at Kocaeli University Medical Faculty Hospital, Center for Assisted Reproductive Techniques, baseline serum levels of 25-OH vitamin D were measured at the start of treatment in 276 infertile patients who were scheduled to undergo frozen embryo transfer (FET). Cases with 25-OH-D vitamin levels lower than the level of deficiency (<20 ng/ml, group A, n=48) and higher than the level of deficiency (≥20 ng/ml, group B, n=44) were compared in terms of the rates of pregnancy as an outcome of the FET cycle, clinical pregnancy, ongoing pregnancy, live birth, implantation, pregnancy loss, and multiple pregnancy. Results: Cases in groups 1 and 2 had similar demographic characteristics, and the serum AMH levels, one of the cycle followup parameters, were statistically significantly higher in group 1 compared to group 2 (p=0.014). Pregnancy (41.6% vs. 31.8%), clinical pregnancy (35.4% vs. 25%), ongoing pregnancy (25% vs. 18.2%), live birth (20.8% vs. 18.2%), pregnancy loss (18.8% vs. 13.6%) and twin pregnancy (4.2% vs. 9.1%) were similar between the groups (p=0.328, p=0.278, p=0.428, p=0.749, p=0.507, p=0.421, respectively). Conclusion: There was no correlation between pregnancy outcomes from frozen embryo transfer and baseline serum 25-OH vitamin D levels obtained at the start of treatment. There is no indirect evidence showing that vitamin D level exerts its effects on fertility through endometrial receptivity and the implantation process.
Anahtar Kelime: 25-OH Vitamin D Frozen embryo transfer pregnancy outcome

DONMUŞ EMBRİYO TRANSFERİ YAPILAN HASTALARDA D VİTAMİNİ DÜZEYLERİNİN GEBELİK SONUÇLARINA ETKİSİ

Öz:
Amaç: Donmuş embriyo transferi yapılan infertil hastalarda 25-OH vitamin D’nin gebelik sonuçlarına etkisini değerlendirmek. Yöntem: Kocaeli Üniversitesi Tıp Fakültesi Hastanesi, Üremeye Yardımcı Teknikler Merkezinde prospektif -tek kör olarak yürütülen bu çalışmada donmuş embriyo transferi (DET) yapılması planlanan 276 infertil olgunun serum 25-OH vitamin D düzeyleri tedavi başlangıcında elde edildi. 25-OH-D vitamini seviyelerinin yetmezlik seviyesinde düşük olduğu olgular (<20 ng/ml, grup A, n=48) ve yetmezlik seviyesinin üstünde olduğu (≥20 ng/ml, grup B, n=44) olgular DET siklusu sonucundaki gebelik, klinik gebelik, devam eden gebelik, canlı doğum, implantasyon, gebelik kaybı ve çoğul gebelik oranları karşılaştırıldı. Bulgular: Grup 1 ve grup 2 olguların demografik özellikleri benzerdi ve siklus takip parametrelerinden serum AMH düzeyleri grup 1 de grup 2 ‘ye göre istatiksel olarak anlamlı yüksek izlenmiştir (p=0,014). Gruplar arasında gebelik (% 41,6 vs %31,8), klinik gebelik (%35,4 vs %25), devam eden gebelik (%25 vs %18,2), canlı doğum (%20,8 vs %18,2), gebelik kaybı (%18,8 vs %13,6) ve ikiz gebelik (% 4,2 vs % 9,1) benzerdi (sırasıyla; p= 0,328 p= 0.278, p= 0,428, p= 0,749, p= 0,507, p= 0,421 ). Sonuç: Donmuş embriyo transferinden elde edilen gebelik sonuçları ile tedavi başlangıcında elde edilen serum 25-OH vitamin D seviyeleri arasında ilişki tespit edilmemiştir. Vitamin D seviyesinin fertilite üzerindeki etkilerini endometriyal reseptivite ve implantasyon süreci üzerinden gösterdiğine dair dolaylı kanıt elde edilmemiştir.
Anahtar Kelime: 25-OH Vitamin D Donmuş Embriyo Transferi Gebelik Sonucu

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Cakir kole M, Köle E, görgülü g, Can B, güllüoğlu a, doger e, Aksoy L (2023). THE EFFECTS OF VITAMIN D LEVELS ON PREGNANCY OUTCOMES IN PATIENTS RECEIVING FROZEN EMBRYO TRANSFER. , 38 - 43. 10.53446/actamednicomedia.1232347
Chicago Cakir kole Merve,Köle Emre,görgülü gökşen,Can Baris,güllüoğlu ahmet,doger emek,Aksoy Lale THE EFFECTS OF VITAMIN D LEVELS ON PREGNANCY OUTCOMES IN PATIENTS RECEIVING FROZEN EMBRYO TRANSFER. (2023): 38 - 43. 10.53446/actamednicomedia.1232347
MLA Cakir kole Merve,Köle Emre,görgülü gökşen,Can Baris,güllüoğlu ahmet,doger emek,Aksoy Lale THE EFFECTS OF VITAMIN D LEVELS ON PREGNANCY OUTCOMES IN PATIENTS RECEIVING FROZEN EMBRYO TRANSFER. , 2023, ss.38 - 43. 10.53446/actamednicomedia.1232347
AMA Cakir kole M,Köle E,görgülü g,Can B,güllüoğlu a,doger e,Aksoy L THE EFFECTS OF VITAMIN D LEVELS ON PREGNANCY OUTCOMES IN PATIENTS RECEIVING FROZEN EMBRYO TRANSFER. . 2023; 38 - 43. 10.53446/actamednicomedia.1232347
Vancouver Cakir kole M,Köle E,görgülü g,Can B,güllüoğlu a,doger e,Aksoy L THE EFFECTS OF VITAMIN D LEVELS ON PREGNANCY OUTCOMES IN PATIENTS RECEIVING FROZEN EMBRYO TRANSFER. . 2023; 38 - 43. 10.53446/actamednicomedia.1232347
IEEE Cakir kole M,Köle E,görgülü g,Can B,güllüoğlu a,doger e,Aksoy L "THE EFFECTS OF VITAMIN D LEVELS ON PREGNANCY OUTCOMES IN PATIENTS RECEIVING FROZEN EMBRYO TRANSFER." , ss.38 - 43, 2023. 10.53446/actamednicomedia.1232347
ISNAD Cakir kole, Merve vd. "THE EFFECTS OF VITAMIN D LEVELS ON PREGNANCY OUTCOMES IN PATIENTS RECEIVING FROZEN EMBRYO TRANSFER". (2023), 38-43. https://doi.org/10.53446/actamednicomedia.1232347
APA Cakir kole M, Köle E, görgülü g, Can B, güllüoğlu a, doger e, Aksoy L (2023). THE EFFECTS OF VITAMIN D LEVELS ON PREGNANCY OUTCOMES IN PATIENTS RECEIVING FROZEN EMBRYO TRANSFER. Acta Medica Nicomedia, 6(1), 38 - 43. 10.53446/actamednicomedia.1232347
Chicago Cakir kole Merve,Köle Emre,görgülü gökşen,Can Baris,güllüoğlu ahmet,doger emek,Aksoy Lale THE EFFECTS OF VITAMIN D LEVELS ON PREGNANCY OUTCOMES IN PATIENTS RECEIVING FROZEN EMBRYO TRANSFER. Acta Medica Nicomedia 6, no.1 (2023): 38 - 43. 10.53446/actamednicomedia.1232347
MLA Cakir kole Merve,Köle Emre,görgülü gökşen,Can Baris,güllüoğlu ahmet,doger emek,Aksoy Lale THE EFFECTS OF VITAMIN D LEVELS ON PREGNANCY OUTCOMES IN PATIENTS RECEIVING FROZEN EMBRYO TRANSFER. Acta Medica Nicomedia, vol.6, no.1, 2023, ss.38 - 43. 10.53446/actamednicomedia.1232347
AMA Cakir kole M,Köle E,görgülü g,Can B,güllüoğlu a,doger e,Aksoy L THE EFFECTS OF VITAMIN D LEVELS ON PREGNANCY OUTCOMES IN PATIENTS RECEIVING FROZEN EMBRYO TRANSFER. Acta Medica Nicomedia. 2023; 6(1): 38 - 43. 10.53446/actamednicomedia.1232347
Vancouver Cakir kole M,Köle E,görgülü g,Can B,güllüoğlu a,doger e,Aksoy L THE EFFECTS OF VITAMIN D LEVELS ON PREGNANCY OUTCOMES IN PATIENTS RECEIVING FROZEN EMBRYO TRANSFER. Acta Medica Nicomedia. 2023; 6(1): 38 - 43. 10.53446/actamednicomedia.1232347
IEEE Cakir kole M,Köle E,görgülü g,Can B,güllüoğlu a,doger e,Aksoy L "THE EFFECTS OF VITAMIN D LEVELS ON PREGNANCY OUTCOMES IN PATIENTS RECEIVING FROZEN EMBRYO TRANSFER." Acta Medica Nicomedia, 6, ss.38 - 43, 2023. 10.53446/actamednicomedia.1232347
ISNAD Cakir kole, Merve vd. "THE EFFECTS OF VITAMIN D LEVELS ON PREGNANCY OUTCOMES IN PATIENTS RECEIVING FROZEN EMBRYO TRANSFER". Acta Medica Nicomedia 6/1 (2023), 38-43. https://doi.org/10.53446/actamednicomedia.1232347