Artigo Acesso aberto Produção Nacional Revisado por pares

The Impact of Controlled Ovarian Stimulation on Serum Oxidative Stress Markers in Infertile Women with Endometriosis Undergoing ICSI

2022; Multidisciplinary Digital Publishing Institute; Volume: 11; Issue: 6 Linguagem: Inglês

10.3390/antiox11061161

ISSN

2076-3921

Autores

Michele Gomes Da Broi, Evandro Maia Ferreira, Aline Zyman de Andrade, Alceu Afonso Jordão, Rui Alberto Ferriani, Paula Andrea Navarro,

Tópico(s)

Ovarian function and disorders

Resumo

Endometriosis-related infertility is associated with oxidative stress (OS). The present study aims to compare serum OS markers of infertile women with endometriosis and controls during the follicular phase of the natural cycle (D1), after pituitary downregulation using a GnRH agonist (D2), after controlled ovarian stimulation (COS) on the day of human chorionic gonadotropin administration (D3), and on the day of oocyte retrieval (D4). One hundred and eight serum samples (58 controls and 35 early and 18 advanced endometriosis cases) were collected at these four timepoints. OS markers were compared among the groups and timepoints using a linear regression model with mixed effects and a post-test using orthogonal contrasts. The significance was set at 5%. We observed altered OS markers in the endometriosis patients during the D1, D2, D3, and D4 timepoints compared to the controls. The evidence of systemic OS in infertile patients with endometriosis during COS suggests the mobilization of potent antioxidants in an attempt to protect the oocyte from oxidative damage, especially on the day of oocyte retrieval.

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