Association of blood groups with ovarian reserve and outcome of in vitro fertilization treatment.

Abstract

BACKGROUNDThe association between ABO blood groups and ovarian reserve in infertile patients has been a point of controversy.OBJECTIVESThe aim of this study was to assess the correlation of certain blood groups with ovarian reserve and response to treatment in patients undergoing infertility treatment.DESIGNRetrospective medical record review.SETTINGInfertility clinic in the assisted reproductive technology (ART) unit at King Faisal Specialist Hospital and Research Center, Riyadh Saudi Arabia.PATIENTS AND METHODSAll patients under 40 years of age who attended the infertility clinic at a tertiary care centre in 2010 and underwent in vitro fertilization (IVF) treatment in 2010 and 2011 were divided into groups according to blood type, and clinical parameters were compared.MAIN OUTCOME MEASURE(S)The association between blood groups and ovarian reserve using day 3 luteinzing hormone (LH) and follicular stimulating hormone (FSH) levels, and antral follical count (AFC).RESULTSIn 424 patients who underwent 566 IVF cycles, age, LH, FSH and AFC were similar among the different blood groups (P=.9, .1, .5, respectively). With controlled ovarian stimulation, no difference was observed among the four groups in menopausal gonadotrophin (hMG) dose or the duration of stimulation. The number of oocytes retrieved, fertilization rate, cleavage rate, and number of embryos transferred were similar. There was no difference in the cancellation rate or pregnancy rate among the groups.CONCLUSIONThere was no significant association between blood type and ovarian reserve or response during IVF treatment in our population.LIMITATIONSAnti-Mullerian hormone levels are best correlated with ovarian reserve testing. Unavailability of AMH levels. Retrospective design.