Detoxification as a potential intervention for improving in vitro fertilization outcomes: a comparative analysis of failed cycles before and after detox

Oluwole I. Ogunsola, Atinuke Adeyi, Oladapo A. Ashiru
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Abstract

Objectives: In vitro fertilization (IVF) success rates vary, posing challenges for patients with repeated failed cycles. Environmental toxins, including endocrine-disrupting chemicals, may contribute to IVF failure. Detoxification has emerged as a potential intervention to improve outcomes, but its efficacy remains uncertain. Methods: We conducted a retrospective analysis of data from 65 IVF patients undergoing detoxification at a private fertility clinic in Lagos, Nigeria, between 2020 and 2022. Demographic data, IVF history, and detoxification details were collected. Logistic regression assessed the impact of age and failed IVF cycles on live birth outcomes, with odds ratios calculated. Results: Of 65 patients, 33 achieved a positive pregnancy outcome after detoxification. A significant reduction in failed IVF cycles postdetoxification was observed (P < 0.0001). Logistic regression indicated that older age and more failed IVF cycles were associated with decreased odds of live birth. However, detoxification mitigated this effect, reducing the odds of failed IVF cycles, although not significantly. Conclusion: Detoxification shows promise as an intervention to improve IVF outcomes in patients with repeated failed cycles. By reducing failed IVF cycles and enhancing live birth rates, detoxification may optimize reproductive success. Further research with larger sample sizes is needed to confirm these findings and elucidate underlying mechanisms. Nonetheless, our study highlights the importance of considering environmental factors and adopting holistic approaches to enhance IVF success.
将戒毒作为改善体外受精结果的潜在干预措施:对戒毒前后失败周期的比较分析
目的:体外受精(IVF)的成功率各不相同,这给反复失败的患者带来了挑战。环境毒素(包括干扰内分泌的化学物质)可能是导致体外受精失败的原因之一。排毒疗法已成为改善疗效的潜在干预措施,但其疗效仍不确定。方法:我们对尼日利亚拉各斯一家私人生育诊所在 2020 年至 2022 年期间接受排毒治疗的 65 名试管婴儿患者的数据进行了回顾性分析。我们收集了人口统计学数据、试管婴儿史和排毒详情。逻辑回归评估了年龄和失败的试管婴儿周期对活产结果的影响,并计算了几率比。结果:在 65 名患者中,33 人在戒毒后获得了阳性妊娠结果。戒毒后失败的试管婴儿周期明显减少(P < 0.0001)。逻辑回归表明,年龄越大、失败的试管婴儿周期越多,活产的几率就越低。然而,排毒缓解了这一影响,降低了试管婴儿周期失败的几率,但并不显著。结论排毒疗法有望改善反复失败周期患者的试管婴儿结果。通过减少失败的试管婴儿周期和提高活产率,排毒可优化生殖成功率。要证实这些发现并阐明其背后的机制,还需要进行样本量更大的进一步研究。尽管如此,我们的研究强调了考虑环境因素和采用综合方法提高试管婴儿成功率的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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