Reproductive outcome in European and Middle Eastern/North African patients

详细信息    查看全文

• 作者：Michael Feichtinger^a ; ^b ; ^{michael.a.feichtinger@meduniwien.ac.at}Author Vitae ; Christian Gö ; bl^a ; Andrea Weghofer^a ; Wilfried Feichtinger^b
• 关键词：ethnicity ; IVF/ICSI outcome ; male infertility ; MENA ; ovarian reserve
• 刊名：Reproductive BioMedicine Online
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：33
• 期：6
• 页码：684-689
• 全文大小：453 K
• 卷排序：33

文摘

The aim of this retrospective cohort study was to assess differences in infertility-related baseline characteristics and IVF outcome between European and Middle Eastern/North African (MENA) patients. Of 2703 patients undergoing their first IVF cycle, 2485 were Caucasian of European descent and 218 originated from the MENA region. MENA patients were significantly younger (30.6 versus 34.0 years, P < 0.001), less likely smokers, with higher body mass indexes. Infertility duration was longer in MENA patients (P < 0.001), their male partners were younger (P < 0.001) and smoked more often than European male patients (P = 0.005). Male factor infertility (P = 0.017) and polycystic ovary syndrome (PCOS; P = 0.032) was more prevalent in MENA patients, showed significantly higher basal FSH concentrations (P = 0.012) and significantly fewer oocytes retrieved (RR 0.83, 95% CI 0.74–0.93, P = 0.001). Clinical pregnancy rates were comparable (22.4% [European] versus 22.9% [MENA]). Fewer MENA patients had surplus embryos cryopreserved (OR 0.41, 95% CI 0.22–0.76, P = 0.004). Despite younger age and higher prevalence of PCOS, MENA patients had significantly lower oocyte yields than their European counterparts (P = 0.001). These findings suggest a more rapid decline in ovarian function in women of MENA descent.