Relationship between serum vitamin D levels and pregnancy rate of women with recurrent implantation failure undergoing IVF

Bita Saifi 1, *, Zahra Zandieh 2 and Mahsa Jalali 3

1 Department of Basic Sciences, Faculty of Medicine, Mashhad Medical Sciences, Islamic Azad University, Mashhad, Iran.
2 Department of Anatomy, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
3 Armaghan Infertility and IVF Center, Armaghan Clinic, Mashhad, Iran.
 
Research Article
Magna Scientia Advanced Research and Reviews, 2023, 07(01), 049–056
Article DOI: 10.30574/msarr.2023.7.1.0026
Publication history: 
Received on 02 January 2023; revised on 12 February 2023; accepted on 14 February 2023
 
Abstract: 
Objective: Vitamin D deficiency has been shown to be associated with pregnancy complications due to the effect on implantation. However, the effect of vitamin D on the clinical outcomes of IVF in women with recurrent implantation failure is unclear. Present study aimed to investigate the effect of vitamin D status in recurrent implantation failure (RIF) patients undergoing in vitro fertilization (IVF) cycles.
Methods: A cross-sectional study was carried out on 52 women with RIF undergoing IVF treatments from 2018 to 2019. Blood samples were collected from participant after 2 weeks of embryo transfer and then serum 25-OH vitamin D levels were measured using enzyme-linked immunosorbent assay (ELISA) method. Clinical pregnancy and patients’ characteristics were evaluated.
Results: The incidence of vitamin D deficiency, insufficiency and sufficiency among the studied population were 7.7%, 73.1% and 19.2%, respectively. Vitamin D levels were significantly associated with clinical pregnancy in patients with ≥30 years old, being overweight, duration of marriage and infertility duration ≥5 years and having history of abortion. By adjusting confounding factors in the multivariate analysis, we found a significant association between vitamin D levels and clinical pregnancy in RIF patients (p=0.007).
Conclusion: There is a significant correlation between vitamin D levels and clinical pregnancy rate in RIF woman undergoing IVF. However, more randomized, controlled trials are suggested.
 
Keywords: 
Vitamin D; In vitro fertilization; Pregnancy; Recurrent abortion
 
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