Androgen levels in blood and follicular fluid of IVF patients with diminished ovarian reserve

Author:

Gavisova AA1ORCID,Shevtsova MA1,Kindysheva SV1,Starodubtseva NL1,Frankevich VE1ORCID,Nazarenko TA1,Dolgushina NV1

Affiliation:

1. Kulakov national medical research center for obstetrics, gynecology and perinatology, Moscow, Russia

Abstract

Androgen concentrations in follicular fluid samples collected from patients undergoing in vitro fertilization (IVF) may provide useful clinical indicators. This study aimed to analyze possible associations of the androgen levels in follicular fluid and blood plasma in patients with diminished ovarian reserve (POR) in IVF programs. Cross-sectional study with a parallel group design, conducted in 2019–2021, enrolled 300 patients with infertility, aged 18–42 years, applying for assisted reproduction involving IVF/intracytoplasmic sperm injection and embryo transfer. The androgen profiles of blood plasma and follicular fluid were determined by liquid chromatography with tandem mass spectrometry (LC-MS/MS). Androgen concentrations in blood plasma and follicular fluid, particularly those of dehydroepiandrosterone (DHEA-S), androstenedione and total testosterone, significantly correlated. The results implicate androgen levels in blood plasma and follicular fluid as early markers of POR in patients with infertility.

Publisher

Pirogov Russian National Research Medical University

Subject

General Medicine

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