Reproductive outcome in European and Middle Eastern/North African patients.
The aim of this retrospective cohort study was to assess differences in infertility-related baseline characteristics and IVF outcome between European and Middle Eastern/North African (MENA) patients. Of 2703 patients undergoing their first IVF cycle, 2485 were Caucasian of European descent and 218 originated from the MENA region. MENA patients were significantly younger (30.6 versus 34.0 years, P < 0.001), less likely smokers, with higher body mass indexes. Infertility duration was longer in MENA patients (P < 0.001), their male partners were younger (P < 0.001) and smoked more often than European male patients (P = 0.005). Male factor infertility (P = 0.017) and polycystic ovary syndrome (PCOS; P = 0.032) was more prevalent in MENA patients, showed significantly higher basal FSH concentrations (P = 0.012) and significantly fewer oocytes retrieved (RR 0.83, 95% CI 0.74-0.93, P = 0.001). Clinical pregnancy rates were comparable (22.4% [European] versus 22.9% [MENA]). Fewer MENA patients had surplus embryos cryopreserved (OR 0.41, 95% CI 0.22-0.76, P = 0.004). Despite younger age and higher prevalence of PCOS, MENA patients had significantly lower oocyte yields than their European counterparts (P = 0.001). These findings suggest a more rapid decline in ovarian function in women of MENA descent.
Medical University of Vienna, Department of Obstetrics and Gynecology, Division of Gynecological Endocrinology and Reproductive Medicine, Währinger Gürtel 18-20, 1090 Vienna, Austria; Wunschbaby Institut Feichtinger, Lainzerstrasse 6, 1130 Vienna, Austria. Electronic address: michael.a.feichtinger@meduniwien.ac.at.
Michael
M
Feichtinger
Medical University of Vienna, Department of Obstetrics and Gynecology, Division of Gynecological Endocrinology and Reproductive Medicine, Währinger Gürtel 18-20, 1090 Vienna, Austria.
Christian
C
Göbl
Medical University of Vienna, Department of Obstetrics and Gynecology, Division of Gynecological Endocrinology and Reproductive Medicine, Währinger Gürtel 18-20, 1090 Vienna, Austria.
Andrea
A
Weghofer
Wunschbaby Institut Feichtinger, Lainzerstrasse 6, 1130 Vienna, Austria.
Wilfried
W
Feichtinger
D000352:Africa, Northern; D016022:Case-Control Studies; D015925:Cryopreservation; D005060:Europe; D005260:Female; D005307:Fertilization in Vitro / Q000379:methods*; D005640:Follicle Stimulating Hormone / Q000097:blood; D006801:Humans; D007246:Infertility / Q000453:epidemiology / Q000208:ethnology / Q000628:therapy*; D008297:Male; D008877:Middle East; D015999:Multivariate Analysis; D009865:Oocytes / Q000166:cytology; D065851:Ovarian Reserve; D011085:Polycystic Ovary Syndrome / Q000097:blood / Q000175:diagnosis / Q000453:epidemiology; D011247:Pregnancy; D018873:Pregnancy Rate; D015995:Prevalence; D012189:Retrospective Studies; D012907:Smoking; D020554:Sperm Injections, Intracytoplasmic; D016896:Treatment Outcome; D044465:White People
D005640:Follicle Stimulating Hormone
IVF/ICSI outcome; MENA; ethnicity; male infertility; ovarian reserve