Journal of International Reproductive Health/Family Planning ›› 2015, Vol. 34 ›› Issue (3): 203-205.

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Levels of Testosterone in Serum and Follicular Fluid Associated with Clinical Outcomes of IVF-ET

TIAN Dong-mei,ZHUANG Jing,REN Jie,ZHANG Xia,ZHU Ming-hui   

  1. Center of Reproductive,The Second Affiliated Hospital of Chengdu University of Traditional Chinese Medical,Chengdu 610041,China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-05-15 Online:2015-05-15
  • Contact: ZHU Ming-hui

Abstract: Objective: To explore the relationship between the testosterone(T) levels in serum and follicular fluid and the outcomes of stimulation in vitro fertilization-embryo transfer(IVF-ET) cycle. Methods: Data was collected from 43 patients who received IVF/ intracytoplasmic sperm injection(ICSI) treatment between May and August in 2011 at our center. T levels in serum and follicular fluid were detected by chemiluminiscence ELISA. ①43 patients were divided into 3 groups by the number of harvested oocytes: group L(1-5 oocytes), group M (6-15 oocytes) and group H (>15 oocytes). T levels, the fertilization rate and the clinical pregnancy rate were compared among three groups. ②43 patients were divided into the pregnant group and the non-pregnant group. T levels were then compared. Results: ①There were not significant differences in the follicular fluid T levels and the basal serum T level among three groups(P>0.05). There were significant differences in the serum T levels on the day of hCG administration among three groups(P<0.05). T level on the day of hCG administration in the H group was significantly higher than that in the M group(P=0.010) and the L group(P=0.001). However, there were not significant differences in the serum T levels at other time points of COH among three groups(P>0.05). ②There were not significant differences in the fertilization rate and the rate of high quality embryo among three groups (P>0.05), however there was significant difference in the clinical pregnancy rate (P<0.05). ③The serum T level on the day of ovum pick-up in the pregnant group was significantly higher than that in the non-pregnant group (P<0.05); however there was not significant difference in the T level of follicular fluid(P>0.05). Conclusions: During the IVF-ET treatment, the basal level of serum T can not predict ovarian response and pregnancy outcome; however the T level on the day of hCG administration could be a parameter,to predict ovarian response. The serum T level on the day of ovum pick-up is associated with pregnancy outcome; however, the T in the follicular fluid is not associated with pregnancy outcome.

Key words: Fertilization in vitro, Embryo transfer, Testosterone, Superovulation, Pregnancy outcome, Follicular fluid