Ovarian Function in Adolescents Conceived Using Assisted Reproductive Technologies.
Journal of pediatric and adolescent gynecology(2018)
Abstract
STUDY OBJECTIVE:To compare ovarian function between adolescents conceived using assisted reproductive technology (AcART) and adolescents who were conceived spontaneously (AcSP).
DESIGN:Multicenter study of ovarian function in AcART because of male or tubal infertility.
SETTING:University Hospital.
PARTICIPANTS:We evaluated 22 AcART and 53 AcSP at 1-2 years after menarche. The participants were born at term (≥37 weeks of gestation) with normal birth weights (≥2500 g) from singleton pregnancies.
INTERVENTIONS:None.
MAIN OUTCOME MEASURES:Differences in ovulation, reproductive hormones, and ovarian morphology.
RESULTS:AcART had an older age of menarche than that of AcSP, even after adjusting for maternal age at menarche, gestational age, and birth weight (P = .027). AcART had lower incidence of ovulation (P = .021) and higher luteinizing hormone serum levels (P = .01) than those of AcSP. The incidence of oligomenorrhea and the cycle length were similar between AcART and AcSP. AcART had levels of anti-Müllerian hormone, inhibin B, follicle-stimulating hormone, estradiol, and androgens similar to those of AcSP. The ovarian morphology, ovarian volume, and follicle counts were similar in both groups.
CONCLUSION:AcART had later menarche, lower ovulation rates, and higher luteinizing hormone levels than those of AcSP. Future studies should investigate whether these findings are indicative of a risk of ovarian dysfunction later in life for AcART.
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