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  • Original Article

    Association of Overweight and Consistent Anovulation among Infertile Women with Regular Menstrual Cycle: A Case-control Study

    Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(11):834-839

    Summary

    Original Article

    Association of Overweight and Consistent Anovulation among Infertile Women with Regular Menstrual Cycle: A Case-control Study

    Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(11):834-839

    DOI 10.1055/s-0041-1739464

    Views10

    Abstract

    Objective

    It has been suggested that excess body weight could represent a risk factor for infertility outcomes. The present study aimed to evaluate the association of overweight and anovulation among infertile women with regular menstrual cycles.

    Methods

    We conducted a retrospective case-control study with consistently anovulatory patients undergoing assisted reproduction treatment. The patients were stratified into normal weight (body mass index [BMI]: 18.5-24.9kg/m2) and overweight (BMI: 25.0- 29.9kg/m2).Those with polycystic ovary syndrome or obesity were excluded. The groups were matched for age, duration of infertility, prolactin, follicle stimulating hormone (FSH), thydroid stimulating hormone (TSH), luteinizing hormone (LH), and estradiol levels.

    Results

    Overweight was significantly associated with anovulation, when using the World Health Organization (WHO) criteria for anovulation: progesterone levels>5.65 ng/ml and ultrasonography evidence of follicle collapse (odds ratio [OR]: 2.69; 95% confidence interval [CI95%]: 1.04-6.98).

    Conclusion

    Body mass index above the normal range jeopardizes ovulation among non-obese infertile women with regular menstrual cycles.

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    Association of Overweight and Consistent Anovulation among Infertile Women with Regular Menstrual Cycle: A Case-control Study
  • Review Article

    Effect of the Air Filtration System Replacement on Embryo Quality in the Assisted Reproduction Laboratory

    Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(10):625-630

    Summary

    Review Article

    Effect of the Air Filtration System Replacement on Embryo Quality in the Assisted Reproduction Laboratory

    Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(10):625-630

    DOI 10.1055/s-0038-1670715

    Views9

    Abstract

    Improving infrastructural conditions of the in vitro fertilization laboratory, such as the air quality, has profound positive effects on embryo culture. Poor environmental conditions reduce the rate of embryo formation and, therefore, of pregnancy. This review article presents important publications regarding the impact of air quality in human reproduction laboratories on embryo quality, pregnancy success, and live births. The studies demonstrate that the replacing the air filtration system improves significantly the environmental air quality, and, consequently, improves laboratory parameters, such as the fertilization rate, the number of blastocysts, the embryo implantation rate, and the number of live births. On the other hand, improving air quality decreases the number of abortions. Therefore, environmental parameters that improve embryo quality and increase healthy child birth ratesmust be themain targets for the assisted reproduction laboratory quality control.

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