Study of aflatoxin B1 as a risk factor that impairs the reproductive performance in females – Egypt

Abstract

Infertility among couples in Egypt is causing increasing concern. Investigations showed a relationship between ovulatory disorders and the incidence of female factor-mediated fertility difficulties in couples. However, the factors responsible for the sudden increase in ovulatory disorders are not fully understood. The aim of this study was to assess the presence of aflatoxin in sera of infertile women and to correlate this with ovarian functions and hormonal parameters. Blood samples were collected from 70 adult Egyptian females comprising 50 infertile and 20 fertile control individuals, and screened for the presence of aflatoxin B1 (AFB1). Ovarian function was examined by measuring mean ovarian volume, and the umber and size of ovarian follicles. Blood hormonal levels were determined. All blood samples (patients and controls) showed negative results as regards AFB1 analysis. However, there was a significant enlargement in the mean ovarian volume but a significant decrease in follicular size. In addition, there were significant higher levels of lutinizing hormone (LH) and significant lower levels of mid-luteal progesterone in infertile females. Although blood samples were negative with respect to AFB1, the role of aflatoxin cannot be excluded as a contributing factor to female infertility, since the toxin was found to produce deleterious effects on the reproductive system in animals. More studies including aflatoxin analysis in ovarian biopsies are recommended to ascertain involvement of this toxin.