Abstract

Objective: This is a retrospective study to evaluate the effect of using the antioxidants containing coenzyme Q10 (CoQ10) and omega-3 in patients undergoing in vitro fertilization and intracytoplasmic sperm injection (IVF-ICSI) for unexplained infertility. Materials Methods: A total of 299 patients undergoing IVF-ICSI for unexplained infertility at the IVF center of Ondokuz Mayis University were studied. The subject group consisted of 135 patients who used OMEPA Q10 (Co Q10 100 mg, omega-3 600 mg, eicosapentaenoic acid 300 mg, docosahexaenoic acid 230 mg) for two months before ovarian stimulation. A group of 164 patients who did not use the supplement were evaluated as the control group. Results: The pregnancy rate of patients using antioxidants was statistically higher than that of those who did not use the supplement (p < 0.05). The pregnancy rates of patients in the two groups were 32.9% and 49.6% respectively. The pregnancy rate of patients using antioxidants was statistically higher than that of those who did not use the supplement (p < 0.05) seemed not enough. Conclusion: We concluded that using antioxidants that contain Co Q10 and omega-3 in patients undergoing IVF-ICSI for unexplained infertility increased the clinical pregnancy rate. We recommend using antioxidants that contain Co Q10 and omega-3 in infertile patients.

Highlights

  • Today, despite many advances in infertility treatment, the rate of achieving live pregnancy after the first cycle of in vitro fertilization (IVF) is still around 29% [1]

  • This is a retrospective study to evaluate the effect of using the antioxidants containing coenzyme Q10 (CoQ10) and omega-3 in patients undergoing in vitro fertilization and intracytoplasmic sperm injection (IVF-ICSI) for unexplained infertility

  • Omega-3 consists of alpha-Linoleic acid (ALA), eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA)

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Summary

Introduction

Despite many advances in infertility treatment, the rate of achieving live pregnancy after the first cycle of in vitro fertilization (IVF) is still around 29% [1]. Co Q10, referred to as ubiquinone, is found in the inner membrane of mitochondria [7] and helps mitochondrial energy production by providing electron transport [8] This energy production is vital for the continuation of normal reproductive function, since oocyte maturation, fertilization, and implantation of the embryo into endometrium are energy-dependent processes [9] [10]. A lack of several micronutrients was detected in patients with unexplained infertility [14] This deficiency may decrease the quality of oocytes by causing an increase of oxygen radicals in oocyte microenvironments [15]. It has been suggested that antioxidant supplements may improve the success of IVF by providing a positive effect on oocyte quality This study investigates this suggested effect of omega-3 and Co Q10 usage in order to determine whether it can improve IVF success in unexplained infertility patients

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