Comparative characteristics of infertile women when applying melatonin in complex preparation for assisted reproductive technologies

Abstract

A retrospective analysis of medical records of infertile patients using assisted reproductive technologies and melatonin was performed. 76 infertile women were examined. Group 1 included 33 patients who received 3 mg of melatonin two weeks before and during ovulation induction, and group 2 included 43 patients who did not take melatonin. The average age of patients in the groups did not differ. The data of gynecological and ultrasound examinations, structure and thickness of the endometrium, antral follicle count, hormone levels: anti-mullerian, follicle-stimulating, luteinizing, progesterone, estradiol, prolactin, thyrotropin, and thyroxine were evaluated. The primary infertility incidence was significantly higher in all examined patients. Patients in the first group tended to decrease ovarian reserve, recurrent loss, and unexplained infertility; in the second group, more endometriosis, tubal and male infertility factors were observed. The incidence of extragenital pathology in the examined patients did not differ as well as antral follicle count and the thickness of the endometrium. We also did not find any significant difference in the level of hormones in the blood of the examined women, except that patients taking melatonin had significantly higher levels of lutropin but lower levels of the anti-mullerian hormone in the blood.

Aging-Related Ovarian Failure and Infertility: Melatonin to the Rescue

“…The granulosa cells are also the major site of ovarian estrogen synthesis and secretion [ 145 ]. In an extensive retrospective study of infertile women, Yuzko et al [ 146 ] reported that melatonin treatment caused a significant rise in circulating luteinizing hormone levels without a commensurate increase in blood estrogen levels. Melatonin treatment also was associated with depressed levels of anti-mullerian hormone; this latter finding indicated that the infertile woman did have a diminished oocyte reserve as expected, with this marker not being influenced by melatonin.…”