Recently, growing interest in vitamin D has emerged from findings that demonstrate a low vitamin D status in populations. Similarly, much interest has been shown in the role that anti-Müllerian hormone (AMH) plays in reproductive physiology. Considerable confusion as to whether vitamin D status is related to ovarian function can be found in the literature. Our retrospective study was performed from June 2014 to April 2015. Oocyte donors were recruited and stimulated under the antagonist protocol with gonadotrophin-releasing hormone (GnRH) agonist to trigger ovulation. In 851 stimulation cycles, we determined the association among serum total and bioavailable vitamin D levels, ovarian reserve and response to ovarian stimulation and the reproductive outcome in their recipients. We showed that vitamin D levels were unrelated to ovarian reserve or ovarian response after ovarian stimulation; in oocyte recipients, gestational outcome did not differ according to a donor's vitamin D serum status. No correlation was observed between serum AMH and vitamin D. Bioavailable vitamin D was not related to recipients' ongoing pregnancy rate. Highly prevalent vitamin D insufficiency neither impaired ovarian reserve nor response or oocyte quality in egg donors. No evidence was found for recommending the analysis of vitamin D status in oocyte donors.

译文

最近,人们对维生素d的兴趣日益浓厚,这些发现表明人群中维生素d水平较低。同样,人们对抗苗勒激素 (AMH) 在生殖生理学中的作用也表现出了极大的兴趣。在文献中可以发现关于维生素d状态是否与卵巢功能有关的相当困惑。我们的回顾性研究是从2014年6月到2015年4月进行的。招募卵母细胞供体,并在拮抗剂方案下用促性腺激素释放激素 (GnRH) 激动剂刺激排卵。在851刺激周期中,我们确定了血清总维生素d和生物利用维生素d水平,卵巢储备和对卵巢刺激的反应以及接受者的生殖结果之间的关联。我们发现维生素d水平与卵巢储备或卵巢刺激后的卵巢反应无关; 在卵母细胞接受者中,根据供体的维生素d血清状态,妊娠结局没有差异。血清AMH与维生素d之间没有相关性。生物利用维生素d与接受者的持续怀孕率无关。非常普遍的维生素d不足不会损害卵子供体的卵巢储备,反应或卵母细胞质量。没有发现建议分析卵母细胞供体中维生素d状态的证据。

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