Journals / Bakırköy Tıp Dergisi / 2015 / Cilt: 11 - Sayı: 4

Inherited thrombophilia as a potential risk factor in the etiology of unexplained infertility

Açıklanamayan İnfertilite Etiyolojisinde Olası Risk Faktörü Olarak Herediter Trombofilinin Yeri

Pages
162–166
DOI
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⚡ TL;DR(Too Long; Didn't Read)

As a result of our findings, although we did not observe a significant association between hereditary thrombophilia and unexplained infertility, the presence of a number of studies with contradictory findings demands future research with large sample sizes to clarify this issue.

📌 3 Key Takeaways

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Objective & Hypothesis:nherited thrombophilia as a potential risk factor in the etiology of unexplained infertility Objective: Unexplained infertility represents one of the most common diagnoses among infertile couples.
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Key Findings & Data:Material and Methods: In this study, genetic mutations of prothrombin gene G20210A, Factor V Leiden and methylene tetrahydrofolate reductase (MTHFR) C677T, as well as D-Dimer levels were investigated in 25 women diagnosed with unexplained infertility and 25 healthy fertile women.
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Conclusion & Impact:As a result of our findings, although we did not observe a significant association between hereditary thrombophilia and unexplained infertility, the presence of a number of studies with contradictory findings demands future research with large sample sizes to clarify this issue.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

nherited thrombophilia as a potential risk factor in the etiology of unexplained infertility Objective: Unexplained infertility represents one of the most common diagnoses among infertile couples. In this study we investigated the impact of inherited thrombophilia as a risk factor in unexplained infertility. Material and Methods: In this study, genetic mutations of prothrombin gene G20210A, Factor V Leiden and methylene tetrahydrofolate reductase (MTHFR) C677T, as well as D-Dimer levels were investigated in 25 women diagnosed with unexplained infertility and 25 healthy fertile women. Results: In the present study, among unexplained infertile women and the control group, MTHFR C677T, prothrombin G20210A mutations and D-Dimer levels did not have a statistically significant difference (p>0.05). Factor V Leiden mutation was not observed in either group. Conclusion: Currently, there still are unclear points in the etiopathogenesis of unexplained infertility. As a result of our findings, although we did not observe a significant association between hereditary thrombophilia and unexplained infertility, the presence of a number of studies with contradictory findings demands future research with large sample sizes to clarify this issue.

Özet

Amaç: Açıklanamayan infertilite, infertil çiftler arasında en sık konulan tanılardan biridir. Bu çalışmada açıklanamayan infertilitede risk faktorü olarak herediter trombofilinin etkisi araştırılmıştır. Gereç ve Yöntem: Bu çalışmada, 25 açıklanamayan infertil ve 25 fertil kadın hastada, protrombin gen G20210A mutasyonu, factor V leiden, metilen tetrahidrofolat reduktaz (MTHFR) C677T mutasyonları ve D-Dimer parametreleri araştırılmıştır. Bulgular: Çalışmamızda açıklanmayan infertilite ve kontrol grubu arasında MTHFR C677T, protrombin G20210A mutasyonları ve D-Dimer parametresi açısından istatistiksel olarak anlamlı fark bulunmamıştır (p>0.05). Factor V leiden mutasyonuna rastlanmadı. Sonuç: Açıklanamayan infertilite etiyopatogenezinde halen netleşmemiş noktalar mevcuttur. Bu çalışmanın sonucunda, herediter trombofili ile açıklanamayan infertilite arasında anlamlı bir ilişki çıkmamakla beraber, ilişki gösterilen çalışmaların da literatürde mevcut olması nedeniyle bu konuyu netleştirebilmek için, gelecekte yapılacak geniş olgu sayılı araştırmalara ihtiyaç vardır.

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Cite This Article

ADIGÜZEL, F. I., ADIGÜZEL, C., SEYFENTİNPĞLU, S., ÜRÜNSAK, İ. F. (2015). Inherited thrombophilia as a potential risk factor in the etiology of unexplained infertility. Bakırköy Tıp Dergisi, Cilt: 11 - Sayı: 4, 162–166. https://ajindex.com/articles/128801

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References (16)

  1. WHO: Report of the Meeting on the Prevention of Infertility at the Primary Health care Level. 1983
  2. Brandes M, Hamilton CJ, de Bruin JP, Nelen WL, Kremer JA. The relative contribution of IVF to the total ongoing pregnancy rate in a subfertile cohort. Hum Reprod 2010; 25: 118-126
  3. Siristatidis C, Bhattacharya S. Unexplained infertility, does it really exist? Does it matter? Hum Reprod 2007; 22: 2084-2087
  4. Casadei L, Puca F, Privitera L, Zamaro V, Emidi E. Inherited thrombophilia in infertile women: implication in unexplained infertility. Fertil Steril 2010; 94: 755-757
  5. Coulam CB, Jeyendran RS. Thrombophilic gene polymorphisms are risk factors for unexplained infertility. Fertil Steril 2009; 91: 1516-1517
  6. Grandone E, Colaizzo D, Lo Bue A, Checola MG, Cittadini E, Margaglione M. Inherited thrombophilia and in vitro fertilization implantation failure. Fertil Steril 2001; 76: 201-202
  7. Martinelli I, Taioli E, Ragni G, et al. Embryo implantation after assisted reproductive procedures and maternal thrombophilia. Haematologica 2003; 88: 789-793
  8. Azem F, Many A, Ben Ami I, et al. Increased rates of thrombophilia in women with repeated IVF failures. Hum Reprod 2004; 19: 368-370
  9. Qublan HS, Eid SS, Ababneh HA, et al. Acquired and inherited thrombophilia: implication in recurrent IVF and embryo transfer failure. Hum Reprod 2006; 21: 2694-2698
  10. Coulam CB, Jeyendran RS, Fishel LA, Roussev R. Multiple thrombophilic gene mutations are risk factors for implantation failure. Reprod Biomed Online 2006; 12: 322-327
  11. Blumenfeld Z, Brenner B. Thrombophilia-associated pregnancy wastage. Fertil Steril 1999; 72: 765-774
  12. Thaler CJ, Budiman H, Ruebsamen H, Nagel D, Lohse P. Effects of the common 677C>T mutation of the 5,10-methylenetetrahydrofolate reductase (MTHFR) gene on ovarian responsiveness to recombinant follicle-stimulating hormone. Am J Reprod Immunol 2006; 55: 251- 258
  13. Bianca S, Barrano B, Cutuli N, et al. Unexplained infertility and inherited thrombophilia. Fertil Steril 2009; 92: e4; author reply e5
  14. Brigden ML. The hypercoagulable state. Who, how, and when to test and treat. Postgrad Med 1997; 101: 249-262
  15. Ridker PM, Miletich JP, Buring JE, et al. Factor V Leiden mutation as a risk factor for recurrent pregnancy loss. Ann Intern Med 1998; 128: 1000-1003
  16. Many A, Schreiber L, Rosner S, Lessing JB, Eldor A, Kupferminc MJ. Pathologic features of the placenta in women with severe pregnancy complications and thrombop