Is there A Link between Serum Thyroid Stimulating Hormone Level and the Results of in vitro Fertiliz

来源 :Journal of Reproduction and Contraception | 被引量 : 0次 | 上传用户:wangyaoxf520
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Objective To analyze the clinical features and outcomes in infertile patients with different levels of thyroid stimulating hormone (TSH) undergoing IVF/ICSI, and to investigate whether inappropriate level of TSH has the adverse effect on the results of the IVF-ET. Methods A total of 389 patients undergoing IVF/ICSI from January 2009 to December 2011 were divided into 3 groups according to the basal TSH level: group A (TSH< 2.0 mIU/L), group B (TSH 2.0-4.5 mIU/L) and group C (TSH>4.5 mIU/L). Oocyte retrieved, fertilization rate, cleavage rate, available embryo rate, pregnancy rate and miscarriage rate were analyzed to explore whether serum TSH level was correlated with the results of IVF/ICSI. Results There were no differences in number of oocyte retrieved, fertilization rate, cleavage rate and available embryo rate among 3 groups (P>0.05). Clinical pregnancy rate in group B (43.0%) was significantly higher than that in group A (30.2%) and group B (23.5%), respectively (P<0.05). There were no significant differences in miscarriage rate among 3 groups. Conclusion TSH level has no effect on fertility rate or miscarriage rate in patients undergoing IVF/ICSI. Inadequacy TSH level would decrease the IVF/ICSI pregnancy rate. Objective To analyze the clinical features and outcomes in infertile patients with different levels of thyroid stimulating hormone (TSH) undergoing IVF / ICSI, and to investigate whether inappropriate levels of TSH has the adverse effect on the results of the IVF-ET. Methods A total of 389 patients undergoing IVF / ICSI from January 2009 to December 2011 were divided into 3 groups according to the basal TSH level: group A (TSH <2.0 mIU / L), group B (TSH 2.0-4.5 mIU / L) and group C (TSH> 4.5 mIU / L). Oocyte retrieved, fertilization rate, cleavage rate, available embryo rate, pregnancy rate and miscarriage rate were analyzed to explore whether serum TSH level was correlated with the results of IVF / ICSI. in number of oocyte retrieved, fertilization rate, cleavage rate and available embryo rate among 3 groups (P> 0.05). Clinical pregnancy rate in group B (43.0%) was significantly higher than that in group A (30.2%) and group B 23.5%), respectively (P <0.05). There w ere no significant differences in miscarriage rate among 3 groups. Conclusion TSH level has no effect on fertility rate or miscarriage rate in patients undergoing IVF / ICSI. Inadequacy TSH level would decrease the IVF / ICSI pregnancy rate.
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