Abstract

Although the mechanism underlying the relationship between vitamin D insufficiency and reproduction is unknown, research suggests that it may have a direct deleterious impact on ovarian function. This is primarily because vitamin D insufficiency can affect gonadal function. The anti-müllerian hormone (AMH) is one of the most important biomarkers produced by granulosa cells and plays a key role in folliculogenesis. This study wanted to look at and compare vitamin D and AMH levels in infertile and fertile women, as well as the relationship between them in both groups. A hundred infertile and fertile women participated in the study. Anti-müllerian, prolactin, follicle-stimulating, and luteinizing hormones, as well as 25 hydroxyvitamin D, were estimated. Vitamin D deficiency was found in 72% of infertile women (n = 36), compared to 48% (n = 24) of the fertile group. There was no significant link between 25-hydroxyvitamin D and AMH in both groups. Infertile women exhibited a significantly lower serum AMH and higher body mass index. This study's findings suggested that the correlation between vitamin D and ovarian reserve markers was unlikely to present. However, the infertile group has a more significant vitamin D deficiency and insufficiency rate.

References

1. Jose-Miller AB, Boyden JW, Frey KA. Infertility. Am Fam Physician. 2007; 75 (6): 849-56. 2. Holick MF. Vitamin D deficiency. The New England Journal of Medicine. 2007; 357: 266–81. 3. Monteiroa AM, Brásb AF, Dantasa S. Does vitamin D deficiency have a role in the reduced fertility? Rev Port Endocrinol Diabetes Metab. 2018; 13 (1): 26-30. 4. Holick MF, Binkley NC, Bischoff-Ferrari HA, Gordon CM, Hanley DA, Heaney RP, et al. Evaluation, treatment, and prevention of vitamin D deficiency: an endocrine society clinical practice guideline. J Clin Endocrinol. Metab 2011; 96: 1911–30. 5. Grzechocinska B, Dabrowski FA, Cyganek A, Wielgos M. The role of vitamin D in impaired fertility treatment. Neuroendocrinol. Endocrinol. Lett. 2013; 34: 756–62. 6. Dennis NA, Houghton LA, Jones GT, van Rij AM, Morgan K, McLennan IS. The level of serum anti-Müllerian hormone correlates with vitamin D status in men and women but not in boys. J Clin Endocrinol Metab. 2012; 97: 2450–5. 7. Fabris AM, Cruz M, Iglesias C, Pacheco A, Patel A, Patel J, et al. Impact of vitamin D levels on ovarian reserve and ovarian response to ovarian stimulation in oocyte donors. Reprod Biomed Online. 2017; 35: 139–44. 8. Weenen C, Laven JS, Von Bergh AR, Cranfield M, Groome NP, Visser JA, Kramer P, Fauser BC, Themmen AP. Anti-mullerian hormone expression pattern in the human ovary: potential implications for initial and cyclic follicle recruitment. Mol Hum Reprod. 2004; 10: 77-83. 9. Dewailly D, Andersen CY, Balen A, Broekmans F, Dilaver N, Fanchin R, et al. The physiology and clinical utility of anti-mullerian hormone in women. Hum Reprod Update. 2014; 20: 370–85. 10. MINI VIDAS®. Compact multiparametric immuno analyzer. 11. Yolken RH, Stopa PJ. Enzyme-linked fluorescence assay: ultrasensitive solid-phase assay for detection of human rotavirus. J Clin Microbiol. 1979; 10 (3): 317–21. 12. World Health Organization. Obesity: preventing and managing the global epidemic: report of a WHO consultation. Geneva: World Health Organization; 1997. 13. Irani M, Merhi Z. Role of vitamin D in ovarian physiology and its implication in reproduction: a systematic review. Fertil Steril. 2014; 102: 460–8. 14. Pearce K, Gleeson K, Tremellen K. Serum anti-Mullerian hormone production is not correlated with seasonal fluctuations of vitamin D status in ovulatory or PCOS women. Hum Reprod. 2015; 30: 2171–7. 15. Dennis NA, Houghton LA, Pankhurst MW, Harper MJ, McLennan IS. Acute supplementation with high dose vitamin D3 increases serum anti-Müllerian hormone in young women. Nutrients. 2017; 9: 719. 16. Dağ ZO, Dilbaz B. Impact of obesity on infertility in women. J Turk Ger Gynecol Assoc. 2015; 16 (2): 111–7. 17. Souter I, Baltagi LM, Kuleta D, Meeker JD, Petrozza JC. Women, weight, and fertility: the effect of body mass index on the outcome of superovulation/ intrauterine insemination cycles. Fertil Steril. 2011; 95: 1042–7. 18. Lata I, Tiwari S, Gupta A, Yadav S, Yadav S. To study the vitamin D levels in infertile females and correlation of Vitamin D deficiency with AMH levels in comparison to fertile females. J of Human Reprodative Science. 2017; 10 (2): 86-90. 19. Dressler N, Chandra A, Aguirre Dávila L, Spineli LM, Schippert C, von Versen-Höynck F. BMI and season are associated with vitamin D deficiency in women with impaired fertility: a two-centre analysis. Arch Gynecol Obstet. 2016; 293 (4): 907-14. 20. Rudick BJ, Ingles SA, Chung K, et al. Influence of vitamin D levels on in vitro fertilization outcomes in donor-recipient cycles. Fertil Steril. 2014; 101: 447-52. 21. Merhi ZO, Seifer DB, Weedon J, Adeyemi O, Holman S, Anastos K, et al. Circulating vitamin D correlates with serum antimüllerian hormone levels in late-reproductive-aged women: women’s interagency HIV study. Fertil Steril. 2012; 98: 228-34. 22. Merhi Z, Doswell A, Krebs K, Cipolla M. Vitamin D alters genes involved in follicular development and steroidogenesis in human cumulus granulosa cells. J Clin Endocrinol Metab. 2014 ; 99 (6): E1137-45. 23. Drakopoulos P, van de Vijver A, Schutyser V, Milatovic S, Anckaert E, Schiettecatte J, et al. The effect of serum vitamin D levels on ovarian reserve markers: a prospective cross-sectional study. Hum Reprod. 2017 ; 32 (1): 208–14. 24. Pearce K, Gleeson K, Tremellen K. Serum anti-Mullerian hormone production is not correlated with seasonal fluctuations of vitamin D status in ovulatory or PCOS women. Hum Reprod. 2015; 30 (9): 2171-7127.

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